title: [Utilization and cost of outpatient care and their influencing factors among middle and aged peasant-workers in China].
abstract: OBJECTIVE
  To examine the utilization and cost of outpatient care and their influencing factors among middle and aged peasant-workers in China.
  
  
  METHODS
  The data of China Health and Retirement Longitudinal Study (CHARLS) collected in 2011-2012 were used and the data on peasant-workers aged 45 years and older were analyzed with Two-part Model.
  
  
  RESULTS
  The four-week outpatient rate of middle and aged peasant-workers was 13.7% (407/2 974). The determinants of the rate included gender, marital status, economic level, household size, the place of insurance enrollment, self-assessed health and having or having no chronic diseases. The average outpatient cost was (400.3±56.7) yuan (RMB) and the median was 138.0 yuan. Multivariate analyses showed that outpatient costs were higher for those males who lived in Eastern China and worked at the same place with insurance enrollment, with fair to bad self-assessed health and chronic diseases.
  
  
  CONCLUSIONS
  Allowing higher flexibility for migrants to transfer the new rural cooperative medical system(NCMS) between rural and urban areas and thus making reimbursement for medical services provided by undesignated providers received immediately could increase the use of outpatient services.
authors.affiliation: Department of Occupational and Environmental Health, Peking University School of Public Health, Beijing 100191, China.
authors.forename: Xin
authors.initials: X
authors.lastname: Zhao
authors.affiliation: Department of Occupational and Environmental Health, Peking University School of Public Health, Beijing 100191, China.
authors.forename: Di-yao
authors.initials: DY
authors.lastname: Ming
authors.affiliation: Department of Occupational and Environmental Health, Peking University School of Public Health, Beijing 100191, China.
authors.forename: Wen-jun
authors.initials: WJ
authors.lastname: Ma
mesh_terms: D000553:Ambulatory Care / Q000191:economics* / Q000706:statistics & numerical data*; D002681:China; D017048:Health Care Costs; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D012424:Rural Population