Table 6.

Total economic burden and financial protection in 2008

	Shanghai		Beijing		Fuzhou		Chongqing
	N = 572		N = 561		N = 355		N = 608
Annual direct medical expense
Average total direct medical expenditure($)	6086		7886		9963		8013
Average percentage of total hospital admission expenditure (%)	80.1		84.6		93.0		89.5
Total cost paid by insurance($)	5151		6510		7533		5243
Average total OOP payments($)	935		1377		2430		2771
Reimbursement rate (%)	85.0		82.3		74.6		62.3
Socio-economic profile in 2008
GDP per capita ($)	10,530 [30]		9257 [31]		4841 [32]		3356 [33]
Household non-subsistence expenditure($)	4781		4080		3679		3174
Economic burden and the financial protection of medical insurance
Average proportion of OOP as to household non-subsistence expenditure (%)	19.6		33.7		66.0		87.3
Proportion of households experiencing catastrophic health expenditure (%)	8.7		30.0		65.1		67.6
Age group	<60	≥60	<60	≥60	<60	≥60	<60	≥60
Average salary/pension for employees/retirees	6061	2659	8111	/	3963	1820	3886	1702
Average total direct medical expenditure($)	6243	5973	7491	8147	11,267	9552	9810	7292
Average percentage of total hospital admission expenditure (%)	77.6	81.9	88.4	82.1	93.8	92.7	88.7	89.9
Total cost paid by insurance($)	5191	5122	6046	6816	8378	7267	5942	4963
Average total OOP payments($)	1051	850	1445	1332	2890	2285	3868	2329
Reimbursement rate (%)	83.1	86.3	81.5	82.9	74.6	74.6	57.8	64.2