scholarly journals The burden of the current curative expenditure of injury in Dalian, China—a study based on the “system of health accounts 2011”

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shu Sun ◽  
Liuna Yang ◽  
Xinzhu Hu ◽  
Yalan Zhu ◽  
Boxi Liu ◽  
...  
Keyword(s):  
Financial Burden ◽  
Age Groups ◽  
Body Parts ◽  
Injury Mortality ◽  
Medical Institutions ◽  
Life Threatening ◽  
Different Dimensions ◽  
Health Accounts ◽  
System Of Health Accounts ◽  
The Cost

Abstract Background Injury is one of the major public health problems and causes more than 5 million deaths in the world annually. Cases of specific types of injury are life-threatening and heavily-burdened to individuals and society. This study was aimed to assess the financial burden of injury on patients. Methods A total of 565 medical institutions were selected with multistage stratified cluster random sampling, containing 152,553 valid samples. Subsequently, the distribution of injury current curative expenditure (CCE) in different dimensions (including age and site of injury) was analyzed under the framework of System of Health Accounts 2011 (SHA 2011) using the established database. Results In China, both urban and rural injury mortality rates showed an upward trend of more than 5 percentage points from 2006 to 2016. In Dalian, the CCE of injury reached 1572.73 million RMB, accounting for 7.45% of the total CCE. Those aged 15–24 reported larger proportion of CCE than the other age groups. As for the injuries in body parts, injuries occurred to the spine, lower limb, head and foreign body cost most. Conclusions Dalian has a relatively serious burden of injury costs. The essential and primary goal is to reduce the cost. Young people should pay attention to protect their head and limbs from injury, and related government sectors should implement preventive and educative measures.

scholarly journals The burden of the current curative expenditure of injury in Dalian,China—A study based on the “System of Health Accounts 2011”

2021 ◽  
Author(s):  
Shu Sun ◽  
Liuna Yang ◽  
Xinzhu Hu ◽  
Yalan Zhu ◽  
Boxi Liu ◽  
...  
Keyword(s):  
Financial Burden ◽  
Age Groups ◽  
Body Parts ◽  
Injury Mortality ◽  
Medical Institutions ◽  
Life Threatening ◽  
Different Dimensions ◽  
Health Accounts ◽  
System Of Health Accounts ◽  
The Cost

Abstract Background: Injury is one of the major public health problems and causes more than 5 million deaths in the world annually. Cases of specific types of injury are life-threatening and heavily-burdened to individuals and society. This study was aimed to assess the financial burden of injury on patients. Methods: A total of 565 medical institutions were selected with multistage stratified cluster random sampling, containing 152553 valid samples. Subsequently, the distribution of injury current curative expenditure (CCE) in different dimensions (including age and site of injury) was analyzed under the framework of System of Health Accounts 2011 (SHA 2011) using the established database. Results: In China, both urban and rural injury mortality rates showed an upward trend of more than 5 percentage points from 2006 to 2016. In Dalian, the CCE of injury reached 1572.73 million RMB, accounting for 7.45% of the total CCE. Those aged 15-24 reported larger proportion of CCE than the other age groups. As for the injuries in body parts, injuries occurred to the spine, lower limb, head and foreign body cost most.Conclusions: Dalian has a relatively serious burden of injury costs. The essential and primary goal is to reduce the cost. Young people should pay attention to protect their head and limbs from injury, and related government sectors should implement preventive and educative measures.

scholarly journals The burden of the current curative expenditure of injury in Dalian, China:based on “System of Health Accounts 2011”

2020 ◽  
Author(s):  
Shu Sun ◽  
Liuna Yang ◽  
Xinzhu Hu ◽  
Yalan Zhu ◽  
Boxi Liu ◽  
...  
Keyword(s):  
Financial Burden ◽  
Age Groups ◽  
Body Parts ◽  
Injury Mortality ◽  
Medical Institutions ◽  
Life Threatening ◽  
Different Dimensions ◽  
Health Accounts ◽  
System Of Health Accounts ◽  
The Cost

Abstract Background: Injury is one of the major public health problems and causes more than 5 million deaths in the world annually. Cases of specific types of injury are life-threatening and heavily-burdened to individuals and society. This study was aimed to assess the financial burden of injury on patients. Methods: A total of 565 medical institutions were selected with multistage stratified cluster random sampling, containing 152553 valid samples. Subsequently, the distribution of injury current curative expenditure (CCE) in different dimensions (including age and site of injury) was analyzed under the framework of System of Health Accounts 2011 (SHA 2011) using the established database. Results: In China, both urban and rural injury mortality rates showed an upward trend of more than 5 percentage points from 2006 to 2016. In Dalian, the CCE of injury reached 1572.73 million RMB, accounting for 7.45% of the total CCE. Those aged 15-24 reported larger proportion of CCE than the other age groups. As for the injuries in body parts, injuries occurred to the spine, lower limb, head and foreign body cost most.Conclusions: Dalian has a relatively serious burden of injury costs. The essential and primary goal is to reduce the cost. Young people should pay attention to protect their head and limbs from injury, and related government sectors should implement preventive and educative measures.

scholarly journals The burden of the current curative expenditure of injury in Dalian, China-A study based on “System of Health Accounts 2011” 

2020 ◽  
Author(s):  
Shu Sun ◽  
Liuna Yang ◽  
Xinzhu Hu ◽  
Yalan Zhu ◽  
Boxi Liu ◽  
...  
Keyword(s):  
Financial Burden ◽  
Age Groups ◽  
The Body ◽  
Curative Care ◽  
Medical Institutions ◽  
Different Dimensions ◽  
Health Accounts ◽  
System Of Health Accounts ◽  
The Cost ◽  
Medical Burden

Abstract Background: Injury is one of the major public health problems, which causes more than 5 million deaths in the world every year. Cases of specific types of injury put a great threat to human health and also add a heavy medical burden on individuals and societies. This study is aimed at assessing the financial burden of injury on patients. Methods: A total of 565 medical institutions were selected with multistage stratified cluster random sampling, containing 152553 valid samples. Subsequently, the distribution of injury current curative expenditure (CCE) in different dimensions (including age and site of injury) was analyzed under the framework of System of Health Accounts 2011(SHA 2011) using the established database. Results: In China, from 2006 to 2016, both urban and rural injury mortality rates showed an upward trend of more than 5 percentage points. In Dalian, the CCE of injury had reached 1572.73 million RMB, accounting for 7.45% of the total curative care expenditure. In the 15-24 age group, the cost of injury accounts for a larger proportion of CCE than other age groups. Among the injuries in different regions of the body, injuries to the spine, lower limb, head and foreign body entering cost the most.Conclusions: Dalian has a relatively serious burden of injury costs. The essential and primary goal is to reduce the cost. Young people in daily life and work should pay attention to protect their head and limbs from injury, the corresponding units should also do a good job in prevention.

scholarly journals Case study of the beneficiary group distribution of curative care expenditure based on SHA 2011 in Xinjiang autonomous region, China

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e043155
Author(s):  
Honghong Feng ◽  
Kai Pan ◽  
Xiaoju Li ◽  
Liwen Zhang ◽  
Lu Mao ◽  
...  
Keyword(s):  
Health Expenditure ◽  
Age Groups ◽  
Family Health ◽  
Curative Care ◽  
Medical Institutions ◽  
Health Policy Analysis ◽  
Health Accounts ◽  
System Of Health Accounts ◽  
Xinjiang Autonomous Region

BackgroundThe System of Health Accounts 2011 (SHA 2011) assists in health policy analysis and health expenditure comparison at the international level. Based on SHA 2011, this study analysed the distribution of beneficiary groups of curative care expenditure (CCE) in Xinjiang, to present suggestions for developing health policies.MethodsA total of 160 health institutions were selected using the multistage stratified random sampling method. An analysis of the agewise CCE distribution, institutional flow, and disease distribution was then performed based on the SHA 2011 accounting framework.ResultsIn 2016, the CCE in Xinjiang was ¥50.05 billion, accounting for 70.18% of current health expenditure and 6.66% of the gross domestic product. The per capita CCE was ¥2366.56. The CCE was distributed differently across age groups, with the highest spending on people over the age of 65 years. The CCE was highest for diseases of the circulatory, respiratory and digestive systems. Most of the expenditure was incurred in hospitals and, to a lesser extent, in primary healthcare institutions. Family health expenditure, especially on children aged 14 years and below, accounted for a relatively high proportion of the CCE.ConclusionSHA 2011 was used to capture data, which was then analysed according to the newly added beneficiary dimension. The findings revealed that the use of medical resources is low, the scale of primary medical institutions needs to be significantly expanded and there is a need to optimise the CCE financing scheme. Therefore, the health policymaking department should optimise the relevant policies and improve the efficiency of health services.

scholarly journals The burden of the current curative expenditure of injury in Dalian, China-A study based on “System of Health Accounts 2011”

2020 ◽  
Author(s):  
Shu Sun ◽  
Liuna Yang ◽  
Xinzhu Hu ◽  
Yalan Zhu ◽  
Boxi Liu ◽  
...  
Keyword(s):  
Foreign Body ◽  
Lower Limb ◽  
Control Strategies ◽  
Age Groups ◽  
The Body ◽  
Age Group ◽  
Curative Care ◽  
Health Accounts ◽  
System Of Health Accounts ◽  
The Cost

Abstract Background Injury is one of the major public health problems, which causes more than 5 million deaths in the world every year. Cases of specific types of injury put a tremendous threat to human health and also add a heavy medical burden on individuals and societies. This study was to calculate and analyze the current curative expenditure (CCE) of injury in Dalian and consequently to provide control strategies for decision-makers. Main text: A total of 565 medical institutions were selected with multistage stratified cluster random sampling, containing 4,375,351 valid samples. Subsequently, the distribution of injury CCE in different dimensions (including age and site of injury) was analyzed under the framework of System of Health Accounts 2011(SHA 2011) using the established database. There were increases from 32.36/100,000 in 2006 to 37.34/100,000 in 2017 and from 46.12/100,000 in 2006 to 54.48/100,000 in 2017 in urban and rural residents respectively. The study found that the CCE of injury in Dalian had reached 1572.73 million RMB, accounting for 7.45% of the total curative care expenditure. In the 15–25 age group, the cost of injury accounts for a larger proportion of CCE than other age groups. Among the injuries in different regions of the body, injuries to the spine, lower limb, head and foreign body entering cost the most. Conclusions Dalian has a relatively serious burden of injury costs. The essential and primary goal is to reduce the cost and increase the benefit of attending to patients with injuries. Specific control strategies should be tilted toward the age group 15–25. Injuries to the spine, lower limb, head and foreign body entering also should be priorities of interventions.

scholarly journals The Burden of the Current Curative Expenditure of Injury in Dalian, China-A study Based on "System of Health Accounts 2011"

2020 ◽  
Author(s):  
Shu Sun ◽  
Liuna Yang ◽  
Xinzhu Hu ◽  
Yalan Zhu ◽  
Boxi Liu ◽  
...  
Keyword(s):  
Foreign Body ◽  
Lower Limb ◽  
Control Strategies ◽  
Age Groups ◽  
The Body ◽  
Age Group ◽  
Curative Care ◽  
Health Accounts ◽  
System Of Health Accounts ◽  
The Cost

Abstract Background: Injury is one of the major public health problems, which causes more than 5 million deaths in the world every year. Cases of specific types of injury put a tremendous threat to human health and also add a heavy medical burden on individuals and societies. This study was to calculate and analyze the current curative expenditure (CCE) of injury in Dalian and consequently to provide control strategies for decision-makers.Methodology: A total of 565 medical institutions were selected with multistage stratified cluster random sampling, containing 4,375,351 valid samples. Subsequently, the distribution of injury CCE in different dimensions (including age and site of injury) was analyzed under the framework of System of Health Accounts 2011(SHA 2011) using the established database.Results: There were increases from 32.36/100,000 in 2006 to 37.34/100,000 in 2017 and from 46.12/100,000 in 2006 to 54.48/100,000 in 2017 in urban and rural residents respectively. The study found that the CCE of injury in Dalian had reached 1572.73 million RMB, accounting for 7.45% of the total curative care expenditure. In the 15-25 age group, the cost of injury accounts for a larger proportion of CCE than other age groups. Among the injuries in different regions of the body, injuries to the spine, lower limb, head and foreign body entering cost the most.Conclusions: Dalian has a relatively serious burden of injury costs. The essential and primary goal is to reduce the cost and increase the benefit of attending to patients with injuries. Specific control strategies should be tilted toward the age group 15-25. Injuries to the spine, lower limb, head and foreign body entering also should be priorities of interventions.

Patterns of Expenditure in Healthcare for Elderly in Shanghai

China Report ◽  
2020 ◽  
Vol 56 (3) ◽  
pp. 334-353
Author(s):  
Zhu Bifan ◽  
Li Fen ◽  
Wang Linan ◽  
Wang Changying ◽  
Jin Chunlin
Keyword(s):  
Elderly Care ◽  
Age Groups ◽  
The Elderly ◽  
Pattern Of Care ◽  
Younger Adults ◽  
Care For The Elderly ◽  
The Status ◽  
Integration Of Services ◽  
Health Accounts ◽  
System Of Health Accounts

This study aims to summarise the characteristics of elderly care system and analyse expenditures of healthcare for the elderly in Shanghai. The authors use medical records of 2015 and health account results of 2014 based on System of Health Accounts 2011 to describe the pattern of care expenditures for elderly. Individuals aged 60 years and above account for 19.5 per cent of Shanghai’s population but utilise 52.2 per cent of all outpatient visits and 45.3 per cent of all hospitalisations. Almost two-thirds of their medical expenditures occur in hospitals and 16 per cent in community health centres, corresponding to the status of resource allocation. The out-of-pocket payment ratio of the elderly is lower than that of the younger adults, which is attributable to the preferential reimbursement polices set by the insurance schemes. The leading causes of expenditures are cardiovascular disease, neoplasms and respiratory diseases. Care for the elderly costs more, and the elderly use more services than other age groups. The article recommends the monitoring of irrational utilisation of services, strengthening of primary level care and integration of services across different facilities to streamline care for elderly in Shanghai.

scholarly journals Possible Factors Affecting Pre-School Children's Irregular Posture Formation

2020 ◽  
Vol 3 (118) ◽  
pp. 19-24
Author(s):  
Laura Daniusevičiūtė-Brazaitė ◽  
Rūta Beistarytė
Keyword(s):  
Physical Activity ◽  
Financial Burden ◽  
Age Groups ◽  
Well Being ◽  
Study Data ◽  
The Body ◽  
Body Parts ◽  
Factors Affecting ◽  
Interactive Games ◽  
Posture Assessment

Background. A review of the health and physical activity of children and teenagers in Lithuania over the last twenty years has shown that many aspects of pupil physical capacity have deteriorated between 1992 and 2012 (Venckunas, Emeljanovas, Mieziene, & Volbekiene, 2017). Also research has shown that musculoskeletal disorders were most commonly found in children aged 4 to 6 years (Daniusevičiutė-Brazaitė & Grėbliauskienė, 2019). Therefore, if these negative trends continue, the growing health problems will pose a greater threat to human well-being and become a serious financial burden for the state and society. Currently technologies are an integral part of everyday life, so the need for interactive games or animated programs cannot be doubted. Research (Lobel, Engels, Stone, Burk, & Granic, 2017) has shown that the use of play-based intervention for children significantly improves fine and visual motor performance. Hence, it is important to identify the possible factors affecting pre-school children’s irregular posture formation. Methods. The study included 377 preschool children from 4 to 6 years old. Three evaluations were performed in the study: posture (using W. K. Hoeger posture assessment methodology), abdominal and back muscle endurance, and balance (Arcinavičius,, Kesminas, & Milčarek, 2004). Results. Assessing the results of the shoulder position of 5-year-old children, results showed that only 16% had good shoulder posture, satisfactory – 74%, bad – 10%. Age was found to have no effect on posture assessment results. According to the study, balance, back, and abdominal functional capacity were better in 6-year-old children. Conclusion. After analyzing 4-year old children group torso, abdomen, lower spine and legs, we can see that a higher percentage of children had a satisfactory posture in the aforementioned body parts. According to the posture results, the most abnormal part of the body was the abdomen. The study data showed that 6-year-old subjects’ balance, lower spine and abdominal performance were better compared to other age groups. Keywords: preschool child, physical activity, posture.

scholarly journals How did the Beneficiary Groups of Curative Care Expenditure Distribute? Based on SHA 2011: A Case Study in Xinjiang Autonomous Region, China

2020 ◽  
Author(s):  
Honghong Feng ◽  
Lu Mao ◽  
Xiaoju Li ◽  
Liwen Zhang ◽  
Dongsheng Rui
Keyword(s):  
Health Expenditure ◽  
Age Groups ◽  
International Health ◽  
Family Health ◽  
Large Data ◽  
Health Policies ◽  
Curative Care ◽  
Heavy Burden ◽  
Health Accounts ◽  
System Of Health Accounts

Abstract Background System of Health Accounts 2011 (SHA2011) not only meets the analysis of health policies but also increases the comparability of international health from expenditure. This study analyzes the distribution of beneficiary groups of curative care expenditure (CCE) in Xinjiang based on SHA 2011, and provides references for making health policies. Methods A total of 352 sample health institutions were collected with multistage stratified random sampling method in Xinjiang. According to the accounting framework of the SHA 2011, the CCE distribution, institutional flow and disease distribution of different age groups were analyzed. Results In 2016, the CCE in Xinjiang was 50.05 billion Chinese Yuan (CNY), accounting for 70.18% of current health expenditure (CHE), 6.66% of GDP, and per capita CCE was 2366.56 CNY. People aged over 65 was the consumed major CCE, different diseases treatment costs have a different distribution in the age groups. Three types of diseases with the highest CCE were circulatory, respiratory and digestive system diseases. All of the beneficiary expenditure mainly occurred in hospitals, the proportion of primary health care institutions was relatively small. Family health expenditure accounts for a relatively high proportion, especially children aged 14 years old and below. Conclusion This study used SHA2011 to capture large data and analyzed from the newly added beneficiary dimension. The population had a heavy burden of medical financing, the allocation of medical resources was unreasonable, and the scale of primary medical institutions needs to be reasonably expanded. The financing plan for CCE needs to be optimized to decrease the medical burden of disease.

The Unusual Cruelty of Nursing Homes Behind Bars

2020 ◽  
Vol 32 (5) ◽  
pp. 264-271
Author(s):  
Rachel E. López
Keyword(s):  
Nursing Homes ◽  
Human Dignity ◽  
Prison Population ◽  
Financial Burden ◽  
The Elderly ◽  
The United States ◽  
Term Care ◽  
Trained Staff ◽  
State Prisons ◽  
The Cost

The elderly prison population continues to rise along with higher rates of dementia behind bars. To maintain the detention of this elderly population, federal and state prisons are creating long-term care units, which in turn carry a heavy financial burden. Prisons are thus gearing up to become nursing homes, but without the proper trained staff and adequate financial support. The costs both to taxpayers and to human dignity are only now becoming clear. This article squarely addresses the second dimension of this carceral practice, that is the cost to human dignity. Namely, it sets out why indefinitely incarcerating someone with dementia or other neurocognitive disorders violates the Eighth Amendment of the United States Constitution’s prohibition on cruel and unusual punishment. This conclusion derives from the confluence of two lines of U.S. Supreme Court precedent. First, in Madison v. Alabama, the Court recently held that executing someone (in Madison’s case someone with dementia) who cannot rationally understand their sentence amounts to cruel and unusual punishment. Second, in line with Miller v. Alabama, which puts life without parole (LWOP) sentences in the same class as death sentences due to their irrevocability, this holding should be extended to LWOP sentences. Put another way, this article explains why being condemned to life is equivalent to death for someone whose neurodegenerative disease is so severe that they cannot rationally understand their punishment.

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