Affordable Access

Access to the full text

Prioritizing the perceived equity of the residents to construct an equitable health care system: evidence from a national cross-sectional study in China

Authors
  • Lv, Hui1
  • Gu, Jianqin2
  • Yuan, Xiangdong3
  • Miao, Yudong2, 4
  • 1 Management Institute of Xinxiang Medical University, Xinxiang, China , Xinxiang (China)
  • 2 Henan University, Zhengzhou, China , Zhengzhou (China)
  • 3 Department of General Surgery of Guangdong General Hospital, Guangzhou, China , Guangzhou (China)
  • 4 People’s Hospital of Zhengzhou University, 7 Weiwu Road, Zhengzhou, Henan Province, 450003, China , Zhengzhou (China)
Type
Published Article
Journal
BMC Health Services Research
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Mar 04, 2020
Volume
20
Issue
1
Identifiers
DOI: 10.1186/s12913-020-5026-9
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundBuilding an equitable health care system involves both the promotion of social justice in health and people’s subjective perception of the promotion. This study aimed to analyze the overall status and associated factors of the perceived equity of the Chinese health care system, and then to offer policy recommendations for health care reform.MethodsInformation on the perceived equity score (scale 0 to 10) of 10,243 valid cases in total were derived from the data set of Chinese Social Survey 2015. Univariate analysis methods were applied to present respondents’ overall perceived equity of the Chinese health care system. Multivariate linear regression method was used to explore the associated factors of the perceived equity and examine their independent effect.ResultsThe respondents gave positive but relatively low marks (6.7 ± 2.6, 95% CI: = 6.64~6.74) of the equity of the Chinese health care system. Younger respondents reported a higher score of perceived equity than their elder counterparts (β = − 0.132, 95% CI: − 0.203~ − 0.062, P < 0.001). Respondents with lower education level were significantly more likely to consider the Chinese health care system equitable (β = − 0.104, 95% CI: − 0.153~ − 0.056, P < 0.001). Respondents satisfied with the Social Health Insurance reimbursement ratio tended to score the system higher in the survey (β = 0.044, 95% CI: 0.024~0.063, P < 0.001). Respondents residing in eastern China and rural areas were significantly more likely to consider the Chinese health care system equitable (β = − 0.268, 95% CI: − 0.338~ − 0.199, P < 0.001). Meanwhile, rural respondents reported higher scores of the perceived equity than urban respondents did (β = 0.348, 95% CI: 0.237~0.458, P < 0.001). Respondents from regions with adequate GPs scored the system higher in this survey (β = 0.087, 95% CI: 0.008~0.165, P < 0.001). The present study found no influence of gender, economic status, Social Health Insurance coverage, or satisfaction with the latest treatment on perceived equity.ConclusionsEliminating the sense of inequity among a range of populations should be prioritized in health care reform. A national-level investigation system to rate residents’ perceived equity was necessary for global health care reform.

Report this publication

Statistics

Seen <100 times