Delivery Care Utilization Among Rural Women in China
Author Information
Author(s): Xiao Shengbin, Yan Hong, Shen Yuan, Dang Shaonong, Hemminki Elina, Wang Duolao, Long Qian, Gao Jianmin
Primary Institution: Xi'an Jiaotong University College of Medicine
Hypothesis
Does health insurance make a difference in the utilization of delivery services among rural women in China?
Conclusion
Women reimbursed by the New Cooperative Medical Scheme (NCMS) had lower hospital costs and perceived financial affordability for delivery services compared to those who paid out of pocket.
Supporting Evidence
- 46.3% of women received reimbursement for delivery care costs.
- The NCMS group had significantly lower total hospital costs compared to the Non-NCMS group.
- Women in the NCMS group were less likely to consider their delivery costs expensive.
Takeaway
This study found that women in rural China who had health insurance paid less for delivery services and felt it was more affordable than those without insurance.
Methodology
A cross-sectional survey was conducted in two rural counties in Shaanxi province, China, using structured questionnaires to collect data from women who gave birth.
Potential Biases
Potential selection bias due to misclassification of women based on reimbursement status.
Limitations
Data were collected retrospectively, which may introduce recall bias, and some women who did not claim reimbursement were included in the Non-NCMS group, potentially introducing selection bias.
Participant Demographics
Women giving birth in rural Shaanxi, with varying ages, parity, and household income levels.
Statistical Information
P-Value
< 0.001
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website