[Study on out-of-pocket expenditure and related factors among cancer inpatients with Hunan Provincial Urban Employee Basic Medical Insurance].
OBJECTIVE
To explore the level and influential factors for out-of-pocket (OOP) expenditure regarding Hunan Provincial Urban Employee Basic Medical Insurance (UEBMI) and to provide evidence for improvement of medical insurance payment system.


METHODS
Stratified random sampling method was used to obtain 10 527 records of cancer inpatients from January 2011 to December 2014. Social demographic and expenditure information were collected from UEBMI information system. The proportion of OOP expenditure for inpatient and each part of the cost was described. Multiple linear regression was used to analyze main related factors of OOP expenditure.


RESULTS
The median proportion of OOP for inpatients costs was 20.11%, and remained stable from 2011 to 2014. The main related factors for OOP expenditure were age, civil servant, retirment status, hospital level, cost of hospitalization, hospitalization duration, medicine cost, proportion of general medical service charges, treatment cost, expenses of examination and laboratory test, and cancer type.


CONCLUSIONS
OOP expenditure among UEBMI cancer inpatients was under control and stable. The level can well reflect the policy preferences. It could be further improved through the control of related factors, particularly the hospital level.
Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078; Hunan Provincial Medical Injury and Fertility Insurance Management and Service Bureau, Changsha 410004, China.
Xiankun
X
Mo
Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China.
Zhenqiu
Z
Sun
Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China.
Xiaoli
X
Liu
Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China.
Jingcheng
J
Shi
Hunan Provincial Medical Injury and Fertility Insurance Management and Service Bureau, Changsha 410004, China.
Zhaoquan
Z
Sun
Hunan Provincial Medical Injury and Fertility Insurance Management and Service Bureau, Changsha 410004, China.
Mingfu
M
Li
D017048:Health Care Costs; D005102:Health Expenditures; D006760:Hospitalization / Q000191:economics; D006801:Humans; D007297:Inpatients; D009369:Neoplasms / Q000191:economics*