wow-inequalities/02-data/intermediate/wos_sample/1d6dc107ec8b5f972c66464a51048d2c-elwell-sutton-timot/info.yaml

123 lines
3.9 KiB
YAML
Raw Normal View History

2023-09-28 14:46:10 +00:00
abstract: 'Non-communicable diseases (NCDs) are a large and rapidly-growing problem
in China and other middle-income countries. Clinical treatment of NCDs
is long-term and expensive, so it may present particular problems for
equality and horizontal equity (equal treatment for equal need) in
access to health care, although little is known about this at present in
low-and middle-income countries. To address this gap, and inform policy
for a substantial proportion of the global population, we examined
inequality and inequity in general health care utilization (doctor
consultations and hospital admissions) and in treatment of chronic
conditions (hypertension, hyperglycaemia and dyslipidaemia), in 30 499
Chinese adults aged >= 50 years from one of China''s richest provinces,
using the Guangzhou Biobank Cohort Study (2003-2008).
We used concentration indices to test for inequality and inequity in
utilization by household income per head. Inequality was decomposed to
show the contributions of income, indicators of `need for health care''
(age, sex, self-rated health, coronary heart disease risk and chronic
obstructive pulmonary disease) and non-need factors (education,
occupation, out-of-pocket health care payments and health insurance).
We found inequality and inequity in treatment of chronic conditions but
not in general health care utilization. Using more objective and
specific measures of `need for health care'' increased estimates of
inequity for treatment of chronic conditions. Income and non-need
factors (especially health insurance, education and occupation) made the
largest contributions to inequality. Further work is needed on why
access to treatment for chronic conditions in China is restricted for
those on low incomes and how these inequities can be mitigated.'
affiliation: 'Schooling, CM (Corresponding Author), Univ Hong Kong, Sch Publ Hlth,
Li Ka Shing Fac Med, 21 Sassoon Rd, Pokfulam, Hong Kong, Peoples R China.
Elwell-Sutton, Timothy M.; Lam, Tai H.; Leung, Gabriel M.; Schooling, C. M., Univ
Hong Kong, Sch Publ Hlth, Li Ka Shing Fac Med, Pokfulam, Hong Kong, Peoples R China.
Jiang, Chao Qiang; Zhang, Wei Sen, Guangzhou 12 Hosp, Guangzhou, Guangdong, Peoples
R China.
Cheng, Kar Keung, Univ Birmingham, Birmingham, W Midlands, England.'
author: Elwell-Sutton, Timothy M. and Jiang, Chao Qiang and Zhang, Wei Sen and Cheng,
Kar Keung and Lam, Tai H. and Leung, Gabriel M. and Schooling, C. M.
author-email: cms1@hkucc.hku.hk
author_list:
- family: Elwell-Sutton
given: Timothy M.
- family: Jiang
given: Chao Qiang
- family: Zhang
given: Wei Sen
- family: Cheng
given: Kar Keung
- family: Lam
given: Tai H.
- family: Leung
given: Gabriel M.
- family: Schooling
given: C. M.
da: '2023-09-28'
doi: 10.1093/heapol/czs077
eissn: 1460-2237
files: []
issn: 0268-1080
journal: HEALTH POLICY AND PLANNING
keywords: Inequity; inequality; chronic illness; access to care; China
keywords-plus: 'CHRONIC DISEASES; RISK-FACTORS; HONG-KONG; EQUITY; POPULATION; INCOME;
SERVICES; PREVALENCE; PREVENTION; MANAGEMENT'
language: English
month: AUG
number: '5'
number-of-cited-references: '54'
orcid-numbers: 'Cheng, Kar/0000-0002-1516-1857
Elwell-Sutton, Timothy/0000-0003-4950-726X
Lam, Tai Hing/0000-0002-2033-9971
Schooling, Mary/0000-0001-9933-5887
Leung, Gabriel/0000-0002-2503-6283'
pages: 467-479
papis_id: 1497e8ea8b8012dbaee5f8ec13559d38
ref: Elwellsutton2013inequalityinequity
researcherid-numbers: 'Leung, Gabriel Matthew/C-4336-2009
Cheng, Kar/AAL-8899-2021
Lam, Tai Hing/C-4317-2009
'
times-cited: '39'
title: 'Inequality and inequity in access to health care and treatment for chronic
conditions in China: the Guangzhou Biobank Cohort Study'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000323444700004
usage-count-last-180-days: '1'
usage-count-since-2013: '48'
volume: '28'
web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
year: '2013'