Effect of the new maternity insurance scheme on medical expenditures for caesarean delivery in Wuxi, China: a retrospective pre/post-reform case study
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Aiming to control rising medical expenditures and help improve China’s healthcare systems, this study examined whether a cap-based medical insurance scheme with shared financial interest between the insurance and healthcare providers is effective in containing hospitals’ C-section medical expenditures. We used 6547 caesarean delivery case records from a teaching tertiary-level general public hospital located in Wuxi, China (2004–2013), and used the Chow test to investigate the possibility of significant variation in mean medical expenditures for caesarean deliveries pre- and post-reform. We also used paired sample t-tests and linear regression models to compare the mean medical expenditures between insured and uninsured women undergoing caesarean delivery during the post-reform period. After the scheme’s implementation, medical expenditures for caesarean deliveries declined and the medical expenditures of women covered by the scheme were significantly lower than those of uninsured patients. These findings indicated the scheme’s effectiveness in minimizing caesarean delivery expenditures. The cap-based medical insurance scheme with shared financial interest between insurance and healthcare providers would likely steer healthcare providers’ behaviors in a more cost-effective direction.
Keywordsmaternity insurance scheme financial incentive caesarean delivery medical expenditure China
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- 14.Wuxi Statistic Bureau. Wuxi Statistical Yearbook (Wuxi Tong Ji Nian Jian). Beijing: China Statistics Press, 2014 (in Chinese)Google Scholar
- 17.Ren Y. Community Health Service. Dalian: Liaoning Science and Technology Press, 2011Google Scholar
- 18.Wuxi Statistic Bureau. Wuxi Statistical Yearbook (Wuxi Tong Ji Nian Jian). Beijing: China Statistics Press, 2013 (in Chinese)Google Scholar
- 19.Wuxi Statistic Bureau. A Briefing on the Development of Wuxi’s Economy in 2013(2013 Wuxi Guo Ming Jing Ji She Hui Fa Zhan Tong Ji Gong Bao). http://www.stats-sh.gov.cn/fxbg/201406/270679.html. Wuxi Statistic Bureau, 2014 (in Chinese)Google Scholar
- 21.Zhang P. Disscuss on the expense of cesarean delivery. China Pract Med (Zhongguo Shi Yong Yi Yao) 2010; 5: 257–258 (in Chinese)Google Scholar
- 22.Ma X, Qi L. Grey analysis of the causes of single disease hospitalization expenses increase in the hospital. Chin Health Econ (Zhongguo Wei Sheng Jing Ji) 2011; 30: 71 (in Chinese)Google Scholar