The large study shows over 70% of stroke survivors in China experience a catastrophic impact on their financial situation due to loss of income and cost of health care.
The nationwide study, conducted by Australian and Chinese researcher's and published in Stroke – The Journal of the American Heart Association, reveals that more than one-third of stroke patients in China are pushed below the poverty line, due to out-of-pocket expenses for their care. Over 30% of the total household income of a stroke patient is dedicated to ongoing health care payments. The results strongly support the current health system reform which includes expanding health insurance coverage to all Chinese citizens.
"Stroke is the most common single cause of death in China, which has contributed to a rising economic burden from health care costs. This study provides the first true picture of the economic effects of stroke on families, showing that stroke imposes catastrophic financial pressure, with many at risk of impoverishment," says author Dr WU Yangfeng Director of The George Institute, China.
Those worst affected financially by stroke are main income earners without health insurance, with up to 60% of health care expenditure financed from out-of-pocket payments. According to the new study, health insurance in China is beneficial and provides protection for patients against such financial effects.
Lead author Dr Emma Heeley, The George Institute explains, "Health insurance can give protection from the financial strain of experiencing a stroke in China, provided there is a high enough level of cover, which is around 75%. Given the rate stroke and chronic disease is increasing, there is a strong need for accelerating initiatives to expand health insurance coverage in both urban and rural settings in China and other developing countries."
Authors note that patients with health insurance still incur some costs that are not covered (initial co-payment and medication costs), but emphasise that health insurance is a step in the right direction. Health insurance schemes were introduced in China in 1998, with coverage provided to employees of state enterprises and some areas of the private sector. The authors encourage expansion of health coverage particularly among women, low-income earners and rural communities.
Currently the Chinese Government is launching a nationwide health system reform to improve the health of China's 1.3 billion residents by 2020. "The key to this round of health system reform is to increase government spending on health and commit to health insurance for the whole population, including people in rural areas and non-workers," added Dr Heeley.
Researchers studies almost 5000 stroke patients for five months across 62 hospitals in China, recording information on income and health care expenditure. The study (ChinaQUEST) was supported by grants from the Macquarie Bank Foundation, The George Foundation, and Astra Zeneca Pharmaceutical China.
For further information, please contact:Emma Orpilla – Public Relations, The George Institute for International Health
The AusAID Australian Youth Ambassadors for Development scheme supported two researchers over 12 months during 2005-2007.
Do microplastics harbour additional risks by colonization with harmful bacteria?
05.04.2018 | Leibniz-Institut für Ostseeforschung Warnemünde
Rutgers-led innovation could spur faster, cheaper, nano-based manufacturing
14.02.2018 | Rutgers University
At the Hannover Messe 2018, the Bundesanstalt für Materialforschung und-prüfung (BAM) will show how, in the future, astronauts could produce their own tools or spare parts in zero gravity using 3D printing. This will reduce, weight and transport costs for space missions. Visitors can experience the innovative additive manufacturing process live at the fair.
Powder-based additive manufacturing in zero gravity is the name of the project in which a component is produced by applying metallic powder layers and then...
Physicists at the Laboratory for Attosecond Physics, which is jointly run by Ludwig-Maximilians-Universität and the Max Planck Institute of Quantum Optics, have developed a high-power laser system that generates ultrashort pulses of light covering a large share of the mid-infrared spectrum. The researchers envisage a wide range of applications for the technology – in the early diagnosis of cancer, for instance.
Molecules are the building blocks of life. Like all other organisms, we are made of them. They control our biorhythm, and they can also reflect our state of...
University of Connecticut researchers have created a biodegradable composite made of silk fibers that can be used to repair broken load-bearing bones without the complications sometimes presented by other materials.
Repairing major load-bearing bones such as those in the leg can be a long and uncomfortable process.
Study published in the journal ACS Applied Materials & Interfaces is the outcome of an international effort that included teams from Dresden and Berlin in Germany, and the US.
Scientists at the Helmholtz-Zentrum Dresden-Rossendorf (HZDR) together with colleagues from the Helmholtz-Zentrum Berlin (HZB) and the University of Virginia...
Novel highly efficient and brilliant gamma-ray source: Based on model calculations, physicists of the Max PIanck Institute for Nuclear Physics in Heidelberg propose a novel method for an efficient high-brilliance gamma-ray source. A giant collimated gamma-ray pulse is generated from the interaction of a dense ultra-relativistic electron beam with a thin solid conductor. Energetic gamma-rays are copiously produced as the electron beam splits into filaments while propagating across the conductor. The resulting gamma-ray energy and flux enable novel experiments in nuclear and fundamental physics.
The typical wavelength of light interacting with an object of the microcosm scales with the size of this object. For atoms, this ranges from visible light to...
13.04.2018 | Event News
12.04.2018 | Event News
09.04.2018 | Event News
24.04.2018 | Information Technology
24.04.2018 | Earth Sciences
24.04.2018 | Life Sciences