scholarly journals The Risk Factors for Chinese Medical Economic Burden of Aging: A Cross-Sectional Study Based on Guangdong Province

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Jialong Chen ◽  
Zhenzhu Qian ◽  
Liuna Yang ◽  
Ting Liu ◽  
Mingwei Sun ◽  
...  
Keyword(s):  
Risk Factors ◽  
Economic Burden ◽  
Malignant Tumors ◽  
Guangdong Province ◽  
Medical Insurance ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Accounting Data ◽  
Insurance System ◽  
Basic Medical

Background. The proportion of aging in China is increasing, which needs more healthcare recourses. To analyze the risk factors of the direct medical economic burden of aging in China and provide the strategies to control the cost of treatment, the information was collected based on Guangdong Province’s regular health expenditure accounting data collection plan. Methods. The multiple linear regression models were used to explore the risk factors of inpatient expenses of the elderly in Guangdong province. Results. The results revealed that hospital day, age, male patients, and patients who suffer from malignant tumors are key factors to increase the direct medical economic burden of aging. Moreover, the medical insurance for urban employees can reduce the medical economic burden, comparing with the medical insurance for urban residents. Conclusions. The basic medical insurance system and the serious illness insurance system should be improved. While striving to speed up the development of regional economy, the government should pay attention to the construction of basic medical institutions in economically backward areas, increase the allocation of health human resources, and facilitate the masses to seek medical treatment nearby.

scholarly journals The relationship between psychosocial risk factors, burnout and quality of life among primary healthcare workers in rural Guangdong province: a cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Joseph Obiri Asante ◽  
Meng Jie Li ◽  
Jing Liao ◽  
Yi Xiang Huang ◽  
Yuan Tao Hao
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Primary Healthcare ◽  
Healthcare Workers ◽  
Guangdong Province ◽  
Cross Sectional Study ◽  
Poor Quality ◽  
Cross Sectional ◽  
Developing Cities

Abstract Background Healthcare workers are often exposed to stressful working conditions at work which affect their quality of life. The study investigated the relationship between psychosocial risk factors, stress, burnout, and quality of life among primary healthcare workers in general medical practice in Qingyuan and Chaozhou cities in Guangdong province. Method The cross-sectional study was conducted in 108 primary health facilities including 36 community health centers (CHCs) across two developing cities in Guangdong province. A total of 873 healthcare workers completed the questionnaires. Quality of life was evaluated using The World Health Organization Quality of Life Questionnaire (WHOQOL-BREF) and psychological risk factors were evaluated by the Copenhagen Psychosocial Questionnaire (COPSOQ). General quality of life and the quality of life domains were transformed into a score range from minimum 0 to 100 maximum. Higher scores indicated better quality of life and vice versa. Significant associations were verified using multiple regression analysis. Results Poor quality of life was observed in 74.6% of healthcare workers surveyed. General poor quality of life was significantly higher among workers who reported higher burnout (Beta = − 0.331, p < 0.001). In addition, workers with high levels of burnout, unmarried workers and female workers had a higher possibility of physical health. A greater risk of poor psychological health was observed among workers with high burnout, poor sense of community and those with lower educational levels. Workers who lacked social support, those with fewer possibilities for development had increased probability of poor quality of life in the social domain. Poor quality of life in the environmental domain was observed among workers who were dissatisfied with their jobs and workers with low salaries. Conclusions Primary healthcare workers in developing cities in China have a highly demanding and strained working environment and poor quality of life. Reducing job stress and improving work conditions may ultimately improve the well-being of primary healthcare workers.

scholarly journals China Stroke Statistics 2019: A Report From the National Center for Healthcare Quality Management in Neurological Diseases, China National Clinical Research Center for Neurological Diseases, the Chinese Stroke Association, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention and Institute for Global Neuroscience and Stroke Collaborations

2020 ◽  
Vol 5 (3) ◽  
pp. 211-239 ◽  
Author(s):  
Yong-Jun Wang ◽  
Zi-Xiao Li ◽  
Hong-Qiu Gu ◽  
Yi Zhai ◽  
Yong Jiang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Disease Control ◽  
Neurological Diseases ◽  
Medical Insurance ◽  
Cerebrovascular Diseases ◽  
Hospital Death ◽  
Years Of Life Lost ◽  
Basic Medical Insurance ◽  
Control And Prevention ◽  
Basic Medical

China faces the greatest challenge from stroke in the world. The death rate for cerebrovascular diseases in China was 149.49 per 100 000, accounting for 1.57 million deaths in 2018. It ranked third among the leading causes of death behind malignant tumours and heart disease. The age-standardised prevalence and incidence of stroke in 2013 were 1114.8 per 100 000 population and 246.8 per 100 000 person-years, respectively. According to the Global Burden of Disease Study 2017, the years of life lost (YLLs) per 100 000 population for stroke increased by 14.6%; YLLs due to stroke rose from third highest among all causes in 1990 to the highest in 2017. The absolute numbers and rates per 100 000 population for all-age disability-adjusted life years (DALYs) for stroke increased substantially between 1990 and 2017, and stroke was the leading cause of all-age DALYs in 2017. The main contributors to cerebrovascular diseases include behavioural risk factors (smoking and alcohol use) and pre-existing conditions (hypertension, diabetes mellitus, dyslipidaemia and atrial fibrillation (AF)). The most prevalent risk factors among stroke survivors were hypertension (63.0%-84.2%) and smoking (31.7%-47.6%). The least prevalent was AF (2.7%-7.4%). The prevalences for major risk factors for stroke are high and most have increased over time. Based on the latest national epidemiological data, 26.6% of adults aged ≥15 years (307.6 million adults) smoked tobacco products. For those aged ≥18 years, age-adjusted prevalence of hypertension was 25.2%; adjusted prevalence of hypercholesterolaemia was 5.8%; and the standardised prevalence of diabetes was 10.9%. For those aged ≥40 years, the standardised prevalence of AF was 2.31%. Data from the Hospital Quality Monitoring System showed that 3 010 204 inpatients with stroke were admitted to 1853 tertiary care hospitals during 2018. Of those, 2 466 785 (81.9%) were ischaemic strokes (ISs); 447 609 (14.9%) were intracerebral haemorrhages (ICHs); and 95 810 (3.2%) were subarachnoid haemorrhages (SAHs). The average age of patients admitted was 66 years old, and nearly 60% were male. A total of 1555 (0.1%), 2774 (0.6%) and 1347 (1.4%) paediatric strokes (age <18 years) were identified among IS, ICH and SAH, respectively. Over one-third (1 063 892 (35.3%)) of the patients were covered by urban resident basic medical insurance, followed by urban employee basic medical insurance (699 513 (23.2%)) and new rural cooperative medical schema (489 361 (16.3%)). The leading risk factor was hypertension (67.4% for IS, 77.2% for ICH and 49.1% for SAH), and the leading comorbidity was pneumonia or pulmonary infection (10.1% for IS, 31.4% for ICH and 25.2% for SAH). In-hospital death/discharge against medical advice rate was 8.3% for stroke inpatients, ranging from 5.8% for IS to 19.5% for ICH. The median and IQR of length of stay was 10.0 (7.0–14.0) days, ranging from 10.0 (7.0–13.0) in IS to 14.0 (8.0–22.0) in SAH. Data from the Chinese Stroke Center Alliance demonstrated that the composite scores of guideline-recommended key performance indicators for patients with IS, ICH and SAH were 0.77±0.21, 0.72±0.28 and 0.59±0.32, respectively.

scholarly journals A Stuy of Health Care Reform in China in Light of the USA and Canadian Systems

2016 ◽  
Vol 4 (1/2) ◽  
pp. 21
Author(s):  
Greg Chen
Keyword(s):  
Urban Areas ◽  
Social Insurance ◽  
Medical Insurance ◽  
Global Marketplace ◽  
Insurance System ◽  
Basic Medical Insurance ◽  
Government Mandates ◽  
The Usa ◽  
The U.S ◽  
Basic Medical

This article describes and examines the newly implemented basic medical insurance system for urban employees in China. The insurance system was built on two distinct concepts, individual providence and social insurance, and was characterized by national government mandates, local government administration, and employer/employee contributions. The study found that the Chinese basic medical insurance program for urban employees was implemented in all major urban areas. About 130 million people were covered under the scheme as of May 2005. The program benefits are limited with relatively low ceilings on reimbursable expenses and high cost sharing from the insured. The procedure for reimbursement is complicated and time consuming. China can learn from the U.S. and Canadian systems in both financing and providing healthcare. The U.S. system arguably supplies the best medical services in terms of quality and accessibility for those who are insured and those who can pay out of pocket. But the huge costs may not work well with China at present. The Canadian system, which is relatively effective, efficient, and equitable, although not as accessible, may fit China better. The study also suggests that the U.S. employer-based healthcare insurance system requires a major overhaul. It puts U.S. companies at a disadvantaged position in the increasingly competitive global marketplace.

scholarly journals Reform of health-care payments for Chinese medical insurancepractices in Luohu District, Shenzhen City, Guangdong Province

2019 ◽  
Author(s):  
Fangfang Gong ◽  
Xizhuo Sun ◽  
Wenhai Li ◽  
Zou Zhang ◽  
Yanan Li
Keyword(s):  
Health Care ◽  
Medical Service ◽  
Service Providers ◽  
Guangdong Province ◽  
Medical Insurance ◽  
Hospitalization Rate ◽  
Health Maintenance ◽  
Insurance System ◽  
Shenzhen City ◽  
Medical Health Care

Abstract Background Following the implementation of the Healthy China 2030 strategy, China’s health-care system must shift from being disease-centered to health-centered. Medical insurance funds are the main economic resource for medical health-care service providers in China; therefore, the Chinese medical insurance system has become an important economic lever for adjusting the behavior of medical health-care providers. In the new round of medical reform, substantial progress has been made in the construction of a medical treatment insurance system. The world’s largest medical insurance network has been created in a relatively short period in China and basically achieves universal medical insurance coverage. However, this system mainly provides full coverage to the amount and has yet to fully achieve the principle of “health-care for all” proposed by the Healthy China 2020 strategy. China must promote reform in the medical insurance system and establish a medical insurance guidance mechanism to ensure that medical service providers consider and promote health care. Methods Using Luohu Hospital Group in Shenzhen City, Guangdong Province as the research object, the details of the health maintenance organization’s reform of its medical insurance payment patterns to be more health-oriented are introduced. Comparing the summarized characteristics of the health maintenance organization’s payment patterns, the relevant data for the medical insurance operation and health status of the insured before and after the reform were analyzed statistically. Results The data show that after the reform, the total hospitalization cost of the insured, number of inpatients, and hospitalization rate all decreased. The growth rate of expenditure in the medical insurance fund slowed and initial results were shown in preventive health-care work. The incidence of some infectious diseases and the hospitalization rate of patients with chronic diseases decreased. Conclusions The medical service providers form positive incentives and appropriate medical orientations, while patients demanding health care may form good habits of seeking medical treatment and healthy life, but not pursuing economic benefits through the medical insurance reform.

scholarly journals A Study of Healthcare Reform in China in Light of the USA and Canadian Systems

2019 ◽  
Vol 10 (2) ◽  
pp. 18
Author(s):  
Greg Chen
Keyword(s):  
Urban Areas ◽  
Social Insurance ◽  
Medical Insurance ◽  
Global Marketplace ◽  
Insurance System ◽  
Basic Medical Insurance ◽  
Government Mandates ◽  
The Usa ◽  
The U.S ◽  
Basic Medical

This article describes and examines the newly implemented basic medical insurance system for urban employees in China. The insurance system was built on two distinct concepts, individual providence and social insurance, and was characterized by national government mandates, local government administration, and employer/employee contributions. The study found that the Chinese basic medical insurance program for urban employees was implemented in all major urban areas. About 130 million people were covered under the scheme as of May 2005. The program benefits are limited with relatively low ceilings on reimbursable expenses and high cost sharing from the insured. The procedure for reimbursement is complicated and time consuming. China can learn from the U.S. and Canadian systems in both financing and providing healthcare. The U.S. system arguably supplies the best medical services in terms of quality and accessibility for those who are insured and those who can pay out of pocket. But the huge costs may not work well with China at present. The Canadian system, which is relatively effective, efficient, and equitable, although not as accessible, may fit China better. The study also suggests that the U.S. employer-based healthcare insurance system requires a major overhaul. It puts U.S. companies at a disadvantaged position in the increasingly competitive global marketplace.

scholarly journals Alcohol Intake by Workers in a Health Care Institution in Bucaramanga, Colombia

2018 ◽  
Vol 10 (11) ◽  
pp. 95
Author(s):  
Edna M. Gamboa-Delgado ◽  
Doris C. Quintero-Lesmes ◽  
Oscar F. Herrán
Keyword(s):  
Risk Factors ◽  
Alcohol Intake ◽  
Health Workers ◽  
Alcoholic Beverage ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
High Consumption ◽  
Normal Ranges ◽  
Significant Difference ◽  
Study Participants

The harmful alcohol intake represents a global problem. Its high consumption has been associated with cardio metabolic risk factors. Evaluating their consumption in health workers is important for the formulation of strategies to promote healthy lifestyles. The objective of this study was to determine the consumption of alcohol and establish the differences of this intake in terms of socio-demographic and cardiovascular characteristics of interest in hospital workers of Bucaramanga, Colombia. An analytical cross sectional was made (baseline of an intervention study to reduce cardiovascular risk factors). Sociodemographic, anthropometric, biochemical, physical activity, and lifestyles characteristics, as well as alcohol consumption (g / week) were evaluated using a previously validated Frequency Alcohol Questionnaire. Multiple linear regression models were used, adjusting for sex, age, socio-economic level, schooling and marital status. 77.4% (95% CI: 71.2% to 82.8%) of the study participants consumed some type of alcoholic beverage during the month prior to the survey, with an average of 70.0 grams of alcohol per week of 70.0 g. We found a statistically significant difference (p = 0.012) of 40.4 grams of alcohol per week (95% CI: 8.9 to 71.8 g / week) consumed among those who have hypertriglyceridemia and those who do not. In conclusion, the high consumption of grams of alcohol per week is related to a triglyceride level above the normal ranges.

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