| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w26100 |
| 来源ID | Working Paper 26100 |
| The Effects of Primary Care Chronic-Disease Management in Rural China | |
| Yiwei Chen; Hui Ding; Min Yu; Jieming Zhong; Ruying Hu; Xiangyu Chen; Chunmei Wang; Kaixu Xie; Karen Eggleston | |
| 发表日期 | 2019-07-29 |
| 出版年 | 2019 |
| 语种 | 英语 |
| 摘要 | Health systems globally face increasing morbidity and mortality from chronic diseases, yet many - especially in low- and middle-income countries - lack strong chronic disease management in primary health care (PHC). We provide evidence on China’s efforts to promote PHC management using unique five-year panel data in a rural county, including health care utilization from medical claims and health outcomes from biomarkers. Utilizing plausibly exogenous variation in management intensity generated by administrative and geographic boundaries, we compare hypertension/diabetes patients in villages within two kilometers distance but managed by different townships. Results show that, compared to patients in townships with median management intensity, patients in high-intensity townships have 4.8% more PHC visits, 5.2% fewer specialist visits, 11.7% fewer inpatient admissions, and 3.6% lower medical spending. They also tend to have better medication adherence and better control of blood pressure. The resource savings from avoided inpatient admissions substantially outweigh the costs of the program. |
| 主题 | Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w26100 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/583773 |
| 推荐引用方式 GB/T 7714 | Yiwei Chen,Hui Ding,Min Yu,et al. The Effects of Primary Care Chronic-Disease Management in Rural China. 2019. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w26100.pdf（889KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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