scholarly journals Can health service equity alleviate the health expenditure poverty of Chinese patients? Evidence from the CFPS and China health statistics yearbook

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shaoliang Tang ◽  
Ling Yao ◽  
Chaoyu Ye ◽  
Zhengjun Li ◽  
Jing Yuan ◽  
...  
Keyword(s):  
Health Service ◽  
Health Expenditure ◽  
Negative Impact ◽  
Medical Insurance ◽  
Moran’S I ◽  
Chinese Patients ◽  
Index Formula ◽  
Moran's I ◽  
Per Capita ◽  
The Impact

Abstract Objectives To comprehend the relationship between various indicators of health service equity and patients’ health expenditure poverty in different regions of China, identify areas where equity in health service is lacking and provide ideas for improving patients’ health expenditure poverty. Method Data from China Family Panel Studies (CFPS) in 2018 and the HFGT index formula were used to calculate the health expenditure poverty index of each province. Moreover, Global Moran’s I and Local Moran’s I test are applied to measure whether there is spatial aggregation of health expenditure poverty. Finally, an elastic net regression model is established to analyze the impact of health service equity on health expenditure poverty, with the breadth of health expenditure poverty as the dependent variable and health service equity as the independent variable. Results In the developed eastern provinces of China, the breadth of health expenditure poverty is relatively low. There is a significant positive spatial agglomeration. “Primary medical and health institutions per 1,000 population”, “rural doctors and health workers per 1,000 population”, “beds in primary medical institutions per 1,000 population”, “proportion of government health expenditure” and “number of times to participate in medical insurance (be aided) per 1,000 population” have a positive impact on health expenditure poverty. “Number of health examinations per capita” and “total health expenditure per capita” have a negative impact on health expenditure poverty. Both effects passed the significance test. Conclusion To enhance the fairness of health resource allocation in China and to alleviate health expenditure poverty, China should rationally plan the allocation of health resources at the grassroots level, strengthen the implementation of hierarchical diagnosis and treatment and encourage the investment in business medical insurance industry. Meanwhile, it is necessary to increase the intensity of medical assistance and enrich financing methods. All medical expenses of the poorest should be covered by the government.

scholarly journals The Burden of Smoking on the Financing of Healthcare

2020 ◽  
Keyword(s):  
Health Expenditure ◽  
Negative Impact ◽  
Developed Countries ◽  
Tobacco Consumption ◽  
Oecd Countries ◽  
Independent Variables ◽  
Per Capita ◽  
Methods Analytical ◽  
Age Range ◽  
The Impact

BACKGROUND: Smoking seems to be one of the serious health problems of present-day society, even in developed countries. In addition, smoking and its consequences may have a significant impact on health expenditure. AIM: Objective of the study is to determine the impact of smoking on health expenditure in a sample of the OECD member countries. DESIGN AND MEASUREMENTS (METHODS): Analytical procedures examine data from 2011 to 2018. Six variables, including two dependent (Health expenditure in US Dollars per capita and Health expenditure (% of GDP)) and four independent variables focused on smoking and tobacco consumption. SAMPLE: The sample consisted of all the OECD countries. RESULTS: For the variable identifying healthcare funding in terms of GDP, a impact was evident in smokers over 15 years of age, as well as those in the age range from 15 to 24 years. In the case of health expenditure per capita, an impact appeared only in smokers over 15 years of age. A medium-to-substantial rate of relation was identified in the link between health expenditure per capita and both smokers aged over 15 and smokers aged between 15 and 24. The relations that were analysed were negative. CONCLUSIONS: The results of the present study show that smoking has a negative impact on health expenditure.

scholarly journals The Effect of Health Shock and Basic Medical Insurance on Family Educational Investment for Children in China

2021 ◽  
Vol 18 (10) ◽  
pp. 5242
Author(s):  
Pu Liao ◽  
Zhihong Dou ◽  
Xingxing Guo
Keyword(s):  
Negative Impact ◽  
Medical Insurance ◽  
Generation Model ◽  
Two Phase ◽  
Parental Health ◽  
Health Shock ◽  
Basic Medical Insurance ◽  
Child Education ◽  
The Impact ◽  
Basic Medical

This paper explores the role of basic medical insurance in protecting family investment in child education. First, this paper establishes a two-phase overlapping generation model to theoretically analyse the impact of basic medical insurance on investment in child education under the influence of the impact of parental health. The results show that health shock reduces parental investment in child education, and medical insurance significantly alleviates the negative impact of parental health shock on investment in child education. Furthermore, this paper establishes a two-way fixed effect regression model based on the data of China Family Panel Studies (CFPS) in 2014 and 2016 to empirically test the above results. The results showed that parental health shocks negatively affect investment in child education, and paternal health shock has a more significant impact than maternal health shock. However, medical insurance significantly reduces this negative impact, provides security in investment in child education, and promotes the improvement of human capital.

scholarly journals The impact of a night confinement policy on patients in a UK high secure inpatient mental health service

2015 ◽  
Vol 17 (1) ◽  
pp. 21-30 ◽  
Author(s):  
Simon Chu ◽  
Kimberley McNeill ◽  
Karen M. Wright ◽  
Anthony Hague ◽  
Tracy Wilkins
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Negative Impact ◽  
Sleep Hygiene ◽  
Content Type ◽  
Inpatient Mental Health ◽  
The Impact

Purpose – From 2012, all high-secure forensic mental health services in England began operating a policy of confining patients to their locked bedrooms overnight to increase service efficiency and reduce costs. The purpose of this paper is to assess the views of staff and patients concerning the policy and examine the specific impact of the policy on patients. Design/methodology/approach – Measures of patients’ sleep hygiene, patients’ behaviour, ward atmosphere, engagement with therapy and adverse incidents were taken both before and after the night confinement (NC) policy was implemented. Both patients and staff also expressed their views of the impact of the NC policy. Findings – Results provide converging evidence that the impact of the NC policy on patients is negligible. There were no consistent negative effects of confining patients overnight. Rather, patients and staff were broadly positive about the impact that the practice had on patients. Practical implications – Confining patients to locked bedrooms overnight does not exert any consistent influence, positive or negative, on patients’ sleep hygiene, behaviour or engagement with therapy, and patients expressed a broadly positive view of the practice of NC. Thus, a NC policy may have a contribution to make to the provision an effective high-secure mental health service. Originality/value – The study provides convincing evidence that secure inpatient mental health services that are considering the adoption of a NC policy may do so without fear of a negative impact on patients.

Technological Innovation and the Agricultural Sustainability

2020 ◽  
pp. 1-16
Author(s):  
Rachida Khaled ◽  
Lamine Hammas
Keyword(s):  
Technological Innovation ◽  
Agricultural Sector ◽  
Negative Impact ◽  
Agricultural Productivity ◽  
Agricultural Sustainability ◽  
Net Income ◽  
Agriculture Sector ◽  
Per Capita ◽  
The Impact

The diffusion of the technological innovation can affect the agricultural sector in the three-sided (social, economic and environmental), a hand, it can contribute to solve problems of the agricultural sector: the effects of the climatic changes, the farming exodus and the migration and the problems of poverty and it can improve the agricultural productivity. But on the other hand, he can lead to new problems, such as depletion of energy resources caused by excessive use of energizing technologies, pollution of air and water and the destruction of soil by industrial waste. This paper aims to theoretically and empirically analyze the role of technological innovation in improving agricultural sustainability through the impact of mechanization on agricultural productivity, energy production and net income per capita for a panel of three Maghreb countries (Algeria, Morocco and Tunisia) during the period 1997-2012. By using simultaneous equations, the authors' finding that technological innovation cannot achieve the purpose of sustainable development in the agriculture sector in the Maghreb countries through the negative impact of mechanization and research and development on agricultural productivity.

The Inter-Linkage Between Governance and Poverty

2019 ◽  
pp. 838-865
Author(s):  
Maniklal Adhikary ◽  
Dyuti Sinha
Keyword(s):  
Negative Impact ◽  
Political Stability ◽  
Well Being ◽  
Economic Output ◽  
Governance Indicators ◽  
Regulatory Quality ◽  
Significant Negative Impact ◽  
Per Capita ◽  
Population Ratio ◽  
The Impact

This chapter aims at assessing the impact of governance on the country's economic and human well-being in the selected South Asian countries. The study finds that for the countries-India, Pakistan, Bangladesh, Sri Lanka and Nepal, over the years 1990-2012, the growing rate of GDP per capita (PPP) and growing employment to population ratio has a significant negative impact on the Global Hunger Index as expected. Also the panel regression run for the eight SAARC countries over the period 2007-13 to find out the impact of each of the six governance indicators on the per capita GDP showed that political stability and absence of violence, government effectiveness and regulatory quality have very strong and significant role in augmenting the economic output besides the remaining indicators. The trends for each of the indicators across countries over time show that except Bhutan, none of the countries are exhibiting good performance of the governance indicators.

scholarly journals Catastrophic health expenditure incidence and its equity in China: a study on the initial implementation of the medical insurance integration system

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Huan Liu ◽  
Hong Zhu ◽  
Jiahui Wang ◽  
Xinye Qi ◽  
Miaomiao Zhao ◽  
...  
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Low Income ◽  
Health Expenditure ◽  
Concentration Index ◽  
Medical Insurance ◽  
Catastrophic Health Expenditure ◽  
Integration System ◽  
Integration Policies ◽  
The Impact

Abstract Background By 2013, several regions in China had introduced health insurance integration policies. However, few studies addressed the impact of medical insurance integration in China. This study investigates the catastrophic health expenditure and equity in the incidence of catastrophic health expenditure by addressing its potential determinants in both integrated and non-integrated areas in China in 2013. Methods The primary data are drawn from the fifth China National Health Services Survey in 2013. The final sample comprises 19,788 households (38.4%) from integrated areas and 31,797 households (61.6%) from non-integrated areas. A probit model is employed to decompose inequality in the incidence of catastrophic health expenditure in line with the methodology used for decomposing the concentration index. Results The incidence of catastrophic health expenditure in integrated areas is higher than in non-integrated areas (13.87% vs. 13.68%, respectively). The concentration index in integrated areas and non-integrated areas is − 0.071 and − 0.073, respectively. Average household out-of-pocket health expenditure and average capacity to pay in integrated areas are higher than those in non-integrated areas. However, households in integrated areas have lower share of out-of-pocket expenditures in the capacity to pay than households in non-integrated areas. The majority of the observed inequalities in catastrophic health expenditure can be explained by differences in the health insurance and householders’ educational attainment both in integrated areas and non-integrated areas. Conclusions The medical insurance integration system in China is still at the exploratory stage; hence, its effects are of limited significance, even though the positive impact of this system on low-income residents is confirmed. Moreover, catastrophic health expenditure is associated with pro-poor inequality. Medical insurance, urban-rural disparities, the elderly population, and use of health services significantly affect the equity of catastrophic health expenditure incidence and are key issues in the implementation of future insurance integration policies.

Analysis on Spatial Difference of the Rural Resident’s per Capita Net Income in Qinhuangdao City Based on ESDA

2014 ◽  
Vol 955-959 ◽  
pp. 3893-3898
Author(s):  
Yu Hong Wu
Keyword(s):  
Spatial Data ◽  
Rural Economy ◽  
Spatial Association ◽  
Spatial Data Analysis ◽  
Moran’S I ◽  
Net Income ◽  
Gis Technology ◽  
Moran's I ◽  
Per Capita ◽  
Global Moran’S I

Based on the exploratory spatial data analysis (ESDA) and GIS technology, the spatial differences of the rural economic development level of Qinhuangdao city was investigated by adopting the rural resident’s per capita net income data at town level in Qinhuangdao city from 2007 to 2011. The results of global Moran’s I value for rural resident’s per capita net income at town level showed that there existed significant positive spatial autocorrelation and significant spatial aggregation in the spatial distribution of rural resident’s per capita net income. However, the global Moran’s I value showed a decreasing trend during 2007 to 2011, indicating an enlarged spatial disparity of rural economy at the town level. The results of the Moran scatter plots and LISA cluster maps of 2007 and 2011 showed that most of towns were characterized by positive local spatial association , ie. They were located in the HH or the LL quadrant. The significant HH towns were mostly to be found in the south of Qinhuangdao city, Haigang district, Changli county, Lulong county. The significant LL towns were mostly to be found in the Qinglong county, north of Qinhuangdao city.

scholarly journals Does Climate Change Have Real Negative Impact on Economic Growth in Poor Countries? Evidence from Cote d’Ivoire (Ivory Coast)

2018 ◽  
Vol 4 (2) ◽  
pp. 204
Author(s):  
Felix Fofana N’Zué ◽  
Keyword(s):  
Climate Change ◽  
Economic Performance ◽  
Negative Impact ◽  
Value Added ◽  
Poor Countries ◽  
Distributed Lag ◽  
Long Run ◽  
Per Capita ◽  
Growth Change ◽  
The Impact

The objective of this paper is to determine the impact of climate change on Cote d’Ivoire’s economic performance via per capita gross domestic product (GDP) growth, change in agricultural value added, and change in the country’s cereal yield. The data ranged from 1960 to 2016. An autoregressive distributed lag (ARDL) model is used to investigate the long run dynamics between climate variables (precipitation and temperature) and the country’s per capita GDP, agricultural value added as % of GDP, and cereal yield. We found that climate change has not significantly impacted the economic performance of the country. However, precipitation has been found to have positively and significantly influenced the country’s cereal yield and agricultural value added contribution to GDP at large, and thus there is no need to worry more than it is necessary.

Comprehensive next-generation profiling of clonal hematopoiesis in cancer patients using paired tumor-blood sequencing for guiding personalized therapies.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e13662-e13662
Author(s):  
Ziyang Li ◽  
Wensou Huang ◽  
Jiani Yin ◽  
Chenglong Na ◽  
Xue Wu ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Negative Impact ◽  
Hot Spot ◽  
Brca2 Mutation ◽  
Chinese Patients ◽  
Next Generation ◽  
Loss Of Function ◽  
Clonal Hematopoiesis ◽  
The Impact ◽  
Independent Cohort

e13662 Background: Clonal hematopoiesis (CH) is commonly observed during genomic profiling of cancer patients. However, the relevance of CH in Chinese patients has yet to be characterized. Methods: We analyzed next-generation sequencing (NGS) data from blood and matched solid tumors of 4,544 cancer patients. For delineating the impact of CH on panel-based estimation of tumor mutational burden (TMB), its correlation with whole-exome-based TMB calculation was analyzed in an independent cohort of 175 patients. Results: A total of 1,749 CH mutations in 237 genes were identified in the blood of 1,301 (28.6%) patients, among which 26% carried more than one CH mutations. DMNT3A (35.8%), TET2 (13.2%), NOTCH1 (4.8%), ASXL1 (3.8%) and TP53 (3.7%) were among the top altered CH genes, while the prevalence of several other known CH genes, including JAK2 and SF3B1, were below 1%. The predominant hot-spot mutation in DNMT3A at R882 showed varying frequencies of different amino acid changes. An age-associated accumulation of CH events was observed, with alterations in DNMT3A, TET2, ASXL1 and TP53 showing evidence of early changes. A large proportion (74.1%, 1296 mutations) of CH was detectable in the matched tumors. Of these, 453 (25.9%) were functionally annotated as oncogenic or likely oncogenic, including two EGFR kinase domain mutations (V742I and R776H), one KRAS mutation (F156L) and a loss-of-function BRCA2 mutation. With respect to immunotherapy, while CH was not associated with microsatellite instability, it had a negative impact on accurate TMB determination. Consequently, we developed a novel panel-based TMB estimation algorithm with CH filters that showed optimal concordance with exome sequencing in an independent cohort of 175 patients. Conclusions: Our findings highlight the clinical significance of CH in fulfilling the promise of precision medicine and emphasize the need for matched tumor-blood sequencing.

Factors affecting the international competitiveness of polish economy system in 2004-2019

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Konrad Rojek
Keyword(s):  
Econometric Model ◽  
Negative Impact ◽  
Economic Effect ◽  
International Competitiveness ◽  
Gdp Per Capita ◽  
Content Type ◽  
Per Capita ◽  
The Government ◽  
Polish Economy ◽  
The Impact

Purpose This study aims to present the issue of the international systemic competitiveness of the Polish economy. The essence of this concept was shown, as well as the measures and methods of analysis used. The aim of the research was to identify the factors that had the greatest impact on the formation of the international systemic competitiveness of the Polish economy. Design/methodology/approach An econometric model was constructed to explain the shaping of the value of the dependent variable (gross domestic product [GDP] per capita) in the years 2004–2019. For this purpose, explanatory variables were used selected from among the measures of the international systemic competitiveness of the Polish economy. The developed econometric model was verified to check its practical usefulness. This process was performed using the Gretl program. The research also used the Pentagon Model of Macroeconomic Stabilization, which was used to examine the general economic development of Poland because of which it is possible to conclude about the international systemic competitiveness of the economy. Findings In the analyzed period (2004–2019), the international systemic competitiveness of the Polish economy was to the greatest extent conditioned by such factors as government integrity, tax burdens and investment freedom. It is significant that the integrity of the government had a negative impact on the value of GDP per capita. Practical implications The results of the conducted research may be particularly useful for the institutional sphere. They indicate systemic factors that had the greatest impact on the prosperity of Polish society in the analyzed period. This enables the weakest elements of the policy to be identified and improved. Proper applications and appropriate corrective actions will have a positive economic effect. Originality/value So far, it has not been possible to develop/indicate a uniform and generally accepted measure and method of analyzing international systemic competitiveness. Therefore, all attempts to assess and measure systemic competitiveness have a high research value. The vast majority of studies on the international competitiveness of the economy focus only on assessing its level (growth, decline and comparison with other countries). When building an econometric model (based on the 2004–2019 time series), the author also checks the impact of its individual components, not only its level. On this basis, it can be deduced, which factors influenced the competitiveness in a given period to a greater extent, positively or negatively.

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