The economic burden of medical treatment of children with asthma in China
Abstract Background At present, there are few studies on the economic burden and medical treatment of children with asthma in China. Thus this study aimed to investigate the economic burden of medical treatment of children with asthma in China. Method The 2015 China Medical Insurance Research Associ...
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| Format: | Article |
| Language: | English |
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BMC
2020-08-01
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| Series: | BMC Pediatrics |
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| Online Access: | http://link.springer.com/article/10.1186/s12887-020-02268-6 |
| _version_ | 1818979272821309440 |
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| author | Ping Wu Baoping Xu Adong Shen Zonglin He Casper J. P. Zhang Wai-kit Ming Kunling Shen |
| author_facet | Ping Wu Baoping Xu Adong Shen Zonglin He Casper J. P. Zhang Wai-kit Ming Kunling Shen |
| author_sort | Ping Wu |
| collection | DOAJ |
| description | Abstract Background At present, there are few studies on the economic burden and medical treatment of children with asthma in China. Thus this study aimed to investigate the economic burden of medical treatment of children with asthma in China. Method The 2015 China Medical Insurance Research Association (CHIRA) database was searched for patients with asthma from 0 to 14 years old. A cross-sectional study with cost analysis was conducted. Results The annual per capita direct medical cost was RMB 525 (US$75) related to asthma. Totaling 58% of the medical expenditure for asthma was covered by insurance in China, the majority of which were direct medical costs. Those that have the highest rates of using antibiotics were central China (100.0%), children aged 3 years and under (63.6%), as well as fourth-tier and fifth-tier cities (77.1%). Outpatient clinics (98.58% vs 1.42%, P < 0.01), tertiary hospitals (62.08% vs 37.92%, P < 0.01), and general hospitals (72.27% vs 27.73%, P < 0.01) were more often visited than the inpatient clinics, secondary and primary as well as the specialized clinics, respectively. Conclusion The economic burden of childhood asthma in China is relatively low, and the national medical insurance reduces their economic burden to a large extent. Abuse of antibiotics in treating asthma was found in China. There remain opportunities to strengthen the hierarchical medical system, reducing hospitalization and emergency visits, and ultimately reducing the economic burden of children with asthma. |
| first_indexed | 2024-12-20T16:56:54Z |
| format | Article |
| id | doaj.art-24c7b40cd345459db47efd62302c7556 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-12-20T16:56:54Z |
| publishDate | 2020-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-24c7b40cd345459db47efd62302c75562022-12-21T19:32:42ZengBMCBMC Pediatrics1471-24312020-08-0120111110.1186/s12887-020-02268-6The economic burden of medical treatment of children with asthma in ChinaPing Wu0Baoping Xu1Adong Shen2Zonglin He3Casper J. P. Zhang4Wai-kit Ming5Kunling Shen6China National Clinical Research Center of Respiratory Diseases; Respiratory Department of Beijing Children’s Hospital, Capital Medical University; National Center for Children’s HealthChina National Clinical Research Center of Respiratory Diseases; Respiratory Department of Beijing Children’s Hospital, Capital Medical University; National Center for Children’s HealthChina National Clinical Research Center of Respiratory Diseases; Respiratory Department of Beijing Children’s Hospital, Capital Medical University; National Center for Children’s HealthInternational School, Jinan UniversitySchool of Public Health, The University of Hong KongInternational School, Jinan UniversityChina National Clinical Research Center of Respiratory Diseases; Respiratory Department of Beijing Children’s Hospital, Capital Medical University; National Center for Children’s HealthAbstract Background At present, there are few studies on the economic burden and medical treatment of children with asthma in China. Thus this study aimed to investigate the economic burden of medical treatment of children with asthma in China. Method The 2015 China Medical Insurance Research Association (CHIRA) database was searched for patients with asthma from 0 to 14 years old. A cross-sectional study with cost analysis was conducted. Results The annual per capita direct medical cost was RMB 525 (US$75) related to asthma. Totaling 58% of the medical expenditure for asthma was covered by insurance in China, the majority of which were direct medical costs. Those that have the highest rates of using antibiotics were central China (100.0%), children aged 3 years and under (63.6%), as well as fourth-tier and fifth-tier cities (77.1%). Outpatient clinics (98.58% vs 1.42%, P < 0.01), tertiary hospitals (62.08% vs 37.92%, P < 0.01), and general hospitals (72.27% vs 27.73%, P < 0.01) were more often visited than the inpatient clinics, secondary and primary as well as the specialized clinics, respectively. Conclusion The economic burden of childhood asthma in China is relatively low, and the national medical insurance reduces their economic burden to a large extent. Abuse of antibiotics in treating asthma was found in China. There remain opportunities to strengthen the hierarchical medical system, reducing hospitalization and emergency visits, and ultimately reducing the economic burden of children with asthma.http://link.springer.com/article/10.1186/s12887-020-02268-6Childhood asthmaEconomic burdenChina medical insurance research association (CHIRA) database |
| spellingShingle | Ping Wu Baoping Xu Adong Shen Zonglin He Casper J. P. Zhang Wai-kit Ming Kunling Shen The economic burden of medical treatment of children with asthma in China BMC Pediatrics Childhood asthma Economic burden China medical insurance research association (CHIRA) database |
| title | The economic burden of medical treatment of children with asthma in China |
| title_full | The economic burden of medical treatment of children with asthma in China |
| title_fullStr | The economic burden of medical treatment of children with asthma in China |
| title_full_unstemmed | The economic burden of medical treatment of children with asthma in China |
| title_short | The economic burden of medical treatment of children with asthma in China |
| title_sort | economic burden of medical treatment of children with asthma in china |
| topic | Childhood asthma Economic burden China medical insurance research association (CHIRA) database |
| url | http://link.springer.com/article/10.1186/s12887-020-02268-6 |
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