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The effect of basic medical insurance on the changes of primary care seeking behavior: An application of hierarchical age-period-cohort analysis

In order to encourage residents to go to primary care facilities, China has set up differentiated basic medical insurance reimbursement ratios. The study aims to use the dynamic point of view of longitudinal data to examine the changes in the impact of basic medical insurance on primary care. The da...

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Detalles Bibliográficos
Autores principales: Cao, Na, Li, Xuyang, Jiang, Junfeng, Xu, Wenyan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9382404/
https://www.ncbi.nlm.nih.gov/pubmed/35991071
http://dx.doi.org/10.3389/fpubh.2022.929896
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author Cao, Na
Li, Xuyang
Jiang, Junfeng
Xu, Wenyan
author_facet Cao, Na
Li, Xuyang
Jiang, Junfeng
Xu, Wenyan
author_sort Cao, Na
collection PubMed
description In order to encourage residents to go to primary care facilities, China has set up differentiated basic medical insurance reimbursement ratios. The study aims to use the dynamic point of view of longitudinal data to examine the changes in the impact of basic medical insurance on primary care. The data for this study comes from the Chinese Family Panel Study (CFPS) in 2010, 2012, 2014, 2016, and 2018. We adopted Hierarchal Age-period-cohort-Cross-Classified Random Effects Models (HAPC-CCREM) to examine the changes in the impact of basic medical insurance on primary care. Compared with non-insured groups, participants of the New Rural Cooperative Medical System (coefficient = 0.730) have a relatively high incidence of primary care seeks, while Urban Residents' Basic Medical Insurance (coefficient = −0.482) and Urban Employees' Basic Medical Insurance (coefficient = −0.663) are lower, respectively. Age, period over time and cohort have a more obvious moderating effect on primary care seeks. The study of primary care behavior is an important direction for the construction of a hierarchical medical system. As basic medical insurance is the source of power for the hierarchical medical system, we can provide certain direction for policy formulation on the changes of basic medical insurance in primary care behavior.
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spelling pubmed-93824042022-08-18 The effect of basic medical insurance on the changes of primary care seeking behavior: An application of hierarchical age-period-cohort analysis Cao, Na Li, Xuyang Jiang, Junfeng Xu, Wenyan Front Public Health Public Health In order to encourage residents to go to primary care facilities, China has set up differentiated basic medical insurance reimbursement ratios. The study aims to use the dynamic point of view of longitudinal data to examine the changes in the impact of basic medical insurance on primary care. The data for this study comes from the Chinese Family Panel Study (CFPS) in 2010, 2012, 2014, 2016, and 2018. We adopted Hierarchal Age-period-cohort-Cross-Classified Random Effects Models (HAPC-CCREM) to examine the changes in the impact of basic medical insurance on primary care. Compared with non-insured groups, participants of the New Rural Cooperative Medical System (coefficient = 0.730) have a relatively high incidence of primary care seeks, while Urban Residents' Basic Medical Insurance (coefficient = −0.482) and Urban Employees' Basic Medical Insurance (coefficient = −0.663) are lower, respectively. Age, period over time and cohort have a more obvious moderating effect on primary care seeks. The study of primary care behavior is an important direction for the construction of a hierarchical medical system. As basic medical insurance is the source of power for the hierarchical medical system, we can provide certain direction for policy formulation on the changes of basic medical insurance in primary care behavior. Frontiers Media S.A. 2022-08-03 /pmc/articles/PMC9382404/ /pubmed/35991071 http://dx.doi.org/10.3389/fpubh.2022.929896 Text en Copyright © 2022 Cao, Li, Jiang and Xu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Cao, Na
Li, Xuyang
Jiang, Junfeng
Xu, Wenyan
The effect of basic medical insurance on the changes of primary care seeking behavior: An application of hierarchical age-period-cohort analysis
title The effect of basic medical insurance on the changes of primary care seeking behavior: An application of hierarchical age-period-cohort analysis
title_full The effect of basic medical insurance on the changes of primary care seeking behavior: An application of hierarchical age-period-cohort analysis
title_fullStr The effect of basic medical insurance on the changes of primary care seeking behavior: An application of hierarchical age-period-cohort analysis
title_full_unstemmed The effect of basic medical insurance on the changes of primary care seeking behavior: An application of hierarchical age-period-cohort analysis
title_short The effect of basic medical insurance on the changes of primary care seeking behavior: An application of hierarchical age-period-cohort analysis
title_sort effect of basic medical insurance on the changes of primary care seeking behavior: an application of hierarchical age-period-cohort analysis
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9382404/
https://www.ncbi.nlm.nih.gov/pubmed/35991071
http://dx.doi.org/10.3389/fpubh.2022.929896
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