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学科主题: 公共卫生
题名:
The influence of health insurance towards accessing essential medicines: The experience from Shenzhen labor health insurance
作者: Zhu, Minmin1; Dib, Hassan H.2; Zhang, Xinping1; Tang, Shengchun1; Liu, Liqun1,3
关键词: Essential medicines ; Health insurance ; Public health ; Outpatient medicine expense ; Shenzhen
刊名: HEALTH POLICY
发表日期: 2008-12-01
DOI: 10.1016/j.healthpol.2008.04.008
卷: 88, 期:2-3, 页:371-380
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Health Care Sciences & Services ; Health Policy & Services
研究领域[WOS]: Health Care Sciences & Services
关键词[WOS]: MALAYSIA ; DRUGS ; CHINA
英文摘要:

Objectives: Due to major problems of accessing essential medicines, this paper will evaluate the impact of the new Shenzhen labor health insurance on accessing essential medicines among migrant workers.

Methods: Medicines data and revenues-expenditures reports from 19 community health service centers in Shenzhen city were collected. Insurance indicators within two periods before and after 1st June 2006 were compared. Paired t-tests using month-values of indicators were performed. P value <0.05 considered statistically significant.

Results: The proportion of EMs in Medicine List of Shenzhen Labor health insurance is 88.5%. For each period, percentage costs of EM procured (P(eem)) was 43.1 % and increased to 46.1 %; costs of medicines per outpatient visit (E(mpv)) was 24.94 RMB and decreased to 22.20 RMB; percentage costs of medicine per outpatient visit (P(e)) were 49.1 % and decreased to 45.9%; number of outpatient visits (N(ov)) was 428,328 and increased to 490,305. Values of t for differences in P(eem), E(mpv), P(e) and N(ov) between the two periods were -1.125 (P = 0.285), 3.096 (P = 0.010), 1.458 (P = 0. 173) and -2.069 (P = 0.063), respectively.

Conclusions: Shenzhen labor health insurance had improved accessibility to EMs for migrant workers, and ensured for them basic health services. Popularization of this insurance will benefit more people. (C) 2008 Elsevier Ireland Ltd. All rights reserved.

语种: 英语
项目资助者: UHPP
WOS记录号: WOS:000262069000021
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/54498
Appears in Collections:北京大学公共卫生学院_期刊论文

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作者单位: 1.Minist Hlth, Beijing 100044, Peoples R China
2.Huazhong Univ Sci & Technol, Tongji Med Coll, Wuhan 430030, Hubei Province, Peoples R China
3.Peking Univ, Hlth Sci Ctr, Sch Publ Hlth, Dept Hlth Policy & Management, Beijing 100083, Peoples R China

Recommended Citation:
Zhu, Minmin,Dib, Hassan H.,Zhang, Xinping,et al. The influence of health insurance towards accessing essential medicines: The experience from Shenzhen labor health insurance[J]. HEALTH POLICY,2008,88(2-3):371-380.
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