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.
Win-win strategies for climate and food security
02.10.2017 | International Institute for Applied Systems Analysis (IIASA)
The personality factor: How to foster the sharing of research data
06.09.2017 | ZBW – Leibniz-Informationszentrum Wirtschaft
University of Maryland researchers contribute to historic detection of gravitational waves and light created by event
On August 17, 2017, at 12:41:04 UTC, scientists made the first direct observation of a merger between two neutron stars--the dense, collapsed cores that remain...
Seven new papers describe the first-ever detection of light from a gravitational wave source. The event, caused by two neutron stars colliding and merging together, was dubbed GW170817 because it sent ripples through space-time that reached Earth on 2017 August 17. Around the world, hundreds of excited astronomers mobilized quickly and were able to observe the event using numerous telescopes, providing a wealth of new data.
Previous detections of gravitational waves have all involved the merger of two black holes, a feat that won the 2017 Nobel Prize in Physics earlier this month....
Material defects in end products can quickly result in failures in many areas of industry, and have a massive impact on the safe use of their products. This is why, in the field of quality assurance, intelligent, nondestructive sensor systems play a key role. They allow testing components and parts in a rapid and cost-efficient manner without destroying the actual product or changing its surface. Experts from the Fraunhofer IZFP in Saarbrücken will be presenting two exhibits at the Blechexpo in Stuttgart from 7–10 November 2017 that allow fast, reliable, and automated characterization of materials and detection of defects (Hall 5, Booth 5306).
When quality testing uses time-consuming destructive test methods, it can result in enormous costs due to damaging or destroying the products. And given that...
Using a new cooling technique MPQ scientists succeed at observing collisions in a dense beam of cold and slow dipolar molecules.
How do chemical reactions proceed at extremely low temperatures? The answer requires the investigation of molecular samples that are cold, dense, and slow at...
Scientists from the Max Planck Institute of Quantum Optics, using high precision laser spectroscopy of atomic hydrogen, confirm the surprisingly small value of the proton radius determined from muonic hydrogen.
It was one of the breakthroughs of the year 2010: Laser spectroscopy of muonic hydrogen resulted in a value for the proton charge radius that was significantly...
17.10.2017 | Event News
10.10.2017 | Event News
10.10.2017 | Event News
20.10.2017 | Information Technology
20.10.2017 | Materials Sciences
20.10.2017 | Interdisciplinary Research