Next Article in Journal
Effect of Climate and Land Use on the Spatio-Temporal Variability of Tick-Borne Bacteria in Europe
Previous Article in Journal
Microbial Groundwater Quality Status of Hand-Dug Wells and Boreholes in the Dodowa Area of Ghana
Open AccessArticle

Effects of Rural Medical Insurance on Chronically Ill Patients’ Choice of the Same Hospital Again in Rural Northern China

1
School of Business, Central South University, Changsha 410083, Hunan, China
2
College of Management and Economics, Tianjin University, Tianjin 300072, China
3
Manchester Institute of Innovation Research, Alliance Manchester Business School, The University of Manchester, Manchester M13 9PL, UK
4
Department of Scientific Research, Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
5
Hertford College, University of Oxford, Oxford OX1 3BW, UK
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(4), 731; https://doi.org/10.3390/ijerph15040731
Received: 5 March 2018 / Revised: 1 April 2018 / Accepted: 10 April 2018 / Published: 12 April 2018
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
The emergence of rural health insurance plays a crucial role in alleviating the pressure on rural medical expenditure. Under the current medical system in northern China, rural medical insurance may reduce the free referral of patients with chronic diseases among hospitals. This study was carried out based on the results of an investigation of rural chronically-ill patients in eight county hospitals in northern China, as well as through the comparison and analysis of patients with chronic diseases, considering whether they were with or without rural health insurance. The main results showed that both age (χ2 = 22.9, p < 0.000) and income level (χ2 = 18.5, p < 0.000) had considerable impact on the rural peoples’ willingness to buy health insurance. Meanwhile, both the quality of the hospital’s treatment (B = 0.555, p < 0.000), and service quality (B = 0.168, p < 0.000) had a significant positive correlation with the likelihood of a given patient choosing the same hospital on the next visit, but the medical costs had a significant negative correlation (B = −0.137, p < 0.000). Eventually, it was found that the provision of rural health insurance had weakened the three relationships upon which the aforementioned correlations were based. View Full-Text
Keywords: patients with chronic diseases; patient’s choice of hospital; rural medical insurance; Northern China patients with chronic diseases; patient’s choice of hospital; rural medical insurance; Northern China
Show Figures

Figure 1

MDPI and ACS Style

Jiang, K.; You, D.; Li, Z.; Wei, W.; Mainstone, M. Effects of Rural Medical Insurance on Chronically Ill Patients’ Choice of the Same Hospital Again in Rural Northern China. Int. J. Environ. Res. Public Health 2018, 15, 731.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop