Understanding the impact of unequal utilization of medical services on the consumption of resources in hemophilia

Cost Effectiveness and Resource Allocation

Research

Xue Wang¹  Chunhou Li¹  Lele Li²  Xiangyu Chen²  Yixuan Li²  Xiaotong He² 

[1] Peking Union Medical College Hospital, Chinese Academy of Medical Science, 100730, Beijing, China;School of Labor and Human Resources, Renmin University of China, 100872, Beijing, China;

关键词: Utilization of medical services;    Consumption of medical resources;    Hemophilia patients;    Accessibility of medical services;    Inequity;   

DOI  :  10.1186/s12962-022-00409-5

 received in 2022-08-18, accepted in 2022-12-15,  发布年份 2022

来源: Springer

【 摘 要 】

ObjectiveUnequal utilization of medical services will have a significant impact on the consumption of resources entitled through health insurance claims of patients. With the proposal of the goal of Healthy China, it is essential to achieve the equity of medical service utilization of patients with rare diseases to further promote social equity and justice. To analyze the consumption of medical resources of rare disease patients, so as to explore how different medical insurance types impact patients’ medical resources consumption. This study pioneeringly used medical data from Peking Union Medical College Hospital. By analyzing the consumption data, this paper fills the research gap of existing studies on the analysis of medical service utilization inequality based on the perspective of insurance participation by examining the effects of different types of insurance coverage on medical resource consumption of hemophiliacs. At the same time, rare disease patients as a minority group have long been neglected in the analysis of medical resource consumption, and this paper fills the research gap of medical service utilization of this group to a certain extent by taking hemophiliacs as the object of analysis.MethodsBased on the medical data of hemophilia patients in Peking Union Medical College Hospital from 2010 to 2020, we analyze the consumption of medical resources of the patients, and use a multiple regression model to explore how different medical insurance types impact patients’ medical resources consumption.ResultsThe study has three main findings. Firstly, the disparity in medical expenditure among different hemophilia patients is quite obvious, and the drug expense accounts for a large proportion of the total cost. Secondly, the ratio of reimbursement is generally low, and there is a wide difference in the amount of reimbursement for different types of medical insurance. Thirdly, the resource consumption of patients with different medical insurance types differs a lot.ConclusionIn order to improve the current medical insurance system and mechanism for providing orphan drugs, we put forward the following suggestions. First of all, the medical security system should expand its coverage to eliminate the medical expenditure gap between different hemophilia patients, therefore better promoting equity under the same insurance type. At the same time, the reimbursement level of medical expenses for patients with rare diseases should be appropriately improved, so as to reduce the financial burden of patients with rare diseases, and promote the realization of economic equity. In addition, society should pay special attention to the disadvantaged groups, reduce the differences between various medical insurance, and improve the level of health and equity of the whole society.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

Fig. 1

12864_2022_9026_Article_IEq55.gif

Fig. 3

Fig. 1

Fig. 4

Fig. 3

Fig. 6

41408_2022_764_Article_IEq31.gif

41408_2022_764_Article_IEq30.gif

41408_2022_764_Article_IEq28.gif

Fig. 1

41408_2022_764_Article_IEq26.gif

41408_2022_764_Article_IEq25.gif

41408_2022_764_Article_IEq24.gif

41408_2022_764_Article_IEq19.gif

41408_2022_764_Article_IEq16.gif

41408_2022_764_Article_IEq14.gif

41408_2022_764_Article_IEq12.gif

40249_2022_1045_Article_IEq22.gif

Fig. 1

Fig. 1