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Level and effect of medical insurance for five parts of cancer for urban and rural residents: a case study in Anhui Province
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Jia-cheng JIANG1, Lu HU1, Zhu CHEN1, Si-xuan CHEN1, Xin-yu JIN1, Li-dan WANG1, 2
Modern Preventive Medicine | 2024, 51(20) : 3736 - 3740
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Modern Preventive Medicine | 2024, 51(20): 3736-3740
Level and effect of medical insurance for five parts of cancer for urban and rural residents: a case study in Anhui Province
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Jia-cheng JIANG1, Lu HU1, Zhu CHEN1, Si-xuan CHEN1, Xin-yu JIN1, Li-dan WANG1, 2
Affiliations
  • School of Health Management, Anhui Medical University, Hefei, Anhui 230032, China
Published: 2024-10-25 doi: 10.20043/j.cnki.MPM.202407193
Outline
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Objective

To observe the level and effect of medical insurance for five sites of cancer in China using an area of Anhui Province as an example.

Methods

Using the district’s Medicare billing list data for the three-year period 2019-2021. Based on the concepts of actual compensation ratio, bottom-line compensation ratio and catastrophic health expenditure, the level and effect of medical security were calculated by level, cost and level of medical institution, etc.

Results

Overall, the out-of-pocket share of the patients was maintained at around 30%, the out-of-pocket share of patients with high medical expenses was small (16.59%). The level of tertiary medical institutions’ actual compensation ratio was low (65.81%-70.52%), but overallit still exceeded the bottom-line compensation ratio under the 40% and 25% catastrophic health expenditure standards.

Conclusion

The multi-level health insurance system has begun to bear fruit. There is a need to equalize the protection for different types of illnesses, to strengthen the hierarchical diagnosis and treatment, and to pay further attention to the needs of patients with “serious illnesses and light treatment”.

Urban and rural residents  /  Cancer  /  The level of medical security  /  Catastrophic health expenditure
Jia-cheng JIANG, Lu HU, Zhu CHEN, Si-xuan CHEN, Xin-yu JIN, Li-dan WANG. Level and effect of medical insurance for five parts of cancer for urban and rural residents: a case study in Anhui Province[J]. Modern Preventive Medicine, 2024 , 51 (20) : 3736 -3740 . DOI: 10.20043/j.cnki.MPM.202407193
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Year 2024 volume 51 Issue 20
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Article Info
doi: 10.20043/j.cnki.MPM.202407193
  • Receive Date：2024-07-11
  • Online Date：2026-03-20
  • Published：2024-10-25
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  • Received：2024-07-11
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    School of Health Management, Anhui Medical University, Hefei, Anhui 230032, China
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表12种不同金属材料的力学参数
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Number of
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小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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