Expenditure of hospital care on cancer in China, from 2011 to 2015
Cai, Yue1; Xue, Ming1; Chen, Wanqing2,3; Hu, Maogui4; Miao, Zhiwen1; Lan, Lan5; Zheng, Rongshou2,3; Meng, Qun1
Corresponding AuthorMeng, Qun(mengqun@nhfpc.gov.cn)
AbstractObjective: A solid understanding of levels and trends of spending on cancer is important to evaluate whether our healthcare resources were wisely spent and to prioritize future resources for cancer treatment and prevention. However, studies on economic burden of cancers in China are scant and the results are inconsistent. Methods: The Chinese hospital information database and nearly 350 million inpatient medical record data were used. As the ratios of cancer inpatient payments to total inpatient payments were mainly influenced by the grades and sites of hospitals, the estimates of payments of cancer inpatients in this study were stratified by hospital grades and provinces. Only the payments of cancer inpatients happened in grade 2, grade 3 and specialized cancer hospitals were included in the analyses. The total medical payments of cancers in China were estimated based on the ratios of outpatient payments to inpatient payments in specialized cancer hospitals. Results: From 2011 to 2015, the payments of cancer inpatients in China have increased by 84.1% and the total inpatient payments reached 177.1 billion RMB in 2015, accounting for 4.3% of the total health expenditure in China. Based on the ratio of outpatient payments to inpatient payments, the total payments on cancer treatments in China were estimated to be 221.4 billion RMB in 2015. Among different cancer types, the highest payments were the treatment of trachea, bronchus and lung cancer. The major cancer inpatient payments (67.1% in 2015) spent in grade 3 general hospitals and this ratio increased continually from 2011 to 2015. The expenditure of cancer treatments also varies by region with the major expenditure in the eastern region of China. Conclusions: This study estimated the total payments of cancer treatments in China and analyzed how the money was spent on cancer treatments in the recent 5 years, which would provide information for decision makings on the allocation of resources to service provisioning, prevention strategies, research funding, and assessing whether the economic burden of cancer is affordable to the governments.
KeywordCancer payments expenditure economic burden
Indexed BySCI
Funding ProjectNational Natural Science Foundation of China[71403189]
Funding OrganizationNational Natural Science Foundation of China
WOS Research AreaOncology
WOS SubjectOncology
WOS IDWOS:000407395500011
Citation statistics
Cited Times:9[WOS]   [WOS Record]     [Related Records in WOS]
Document Type期刊论文
Corresponding AuthorMeng, Qun
Affiliation1.Natl Hlth & Family Planning Commiss, Ctr Hlth Stat & Informat, Beijing 100032, Peoples R China
2.Chinese Acad Med Sci, Canc Hosp, Natl Canc Ctr, Natl Cent Canc Registry, Beijing 100021, Peoples R China
3.Peking Union Med Coll, Beijing 100021, Peoples R China
4.Chinese Acad Sci, Inst Geog Sci & Nat Resources Res, State Key Lab Resources & Environm Informat Syst, Beijing 100101, Peoples R China
5.Sichuan Univ, West China Sch Publ Hlth, Chengdu 610041, Sichuan, Peoples R China
Recommended Citation
GB/T 7714
Cai, Yue,Xue, Ming,Chen, Wanqing,et al. Expenditure of hospital care on cancer in China, from 2011 to 2015[J]. CHINESE JOURNAL OF CANCER RESEARCH,2017,29(3):253-262.
APA Cai, Yue.,Xue, Ming.,Chen, Wanqing.,Hu, Maogui.,Miao, Zhiwen.,...&Meng, Qun.(2017).Expenditure of hospital care on cancer in China, from 2011 to 2015.CHINESE JOURNAL OF CANCER RESEARCH,29(3),253-262.
MLA Cai, Yue,et al."Expenditure of hospital care on cancer in China, from 2011 to 2015".CHINESE JOURNAL OF CANCER RESEARCH 29.3(2017):253-262.
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