Table 1.
Characteristic | No. of Outpatient Visits (%) | p-Value | ||
---|---|---|---|---|
Total | PHC 1 | Private Clinics | ||
Total | 417,664,423 (100.0) | 11,798,425 (100.0) | 405,865,998 (100.0) | |
Age group (years) | ||||
0–19 | 77,658,372 (18.6) | 232,464 (2.0) | 77,425,908 (19.1) | <0.001 |
20–39 | 70,478,935 (16.9) | 342,464 (2.9) | 70,136,471 (17.3) | |
40–64 | 162,393,179 (38.9) | 3,685,685 (31.2) | 158,707,494 (39.1) | |
>64 | 107,133,938 (25.7) | 7,537,812 (63.9) | 99,596,126 (24.5) | |
Gender | ||||
Female | 244,815,159 (58.0) | 6,900,386 (58.5) | 237,914,773 (58.6) | <0.001 |
Male | 172,849,264 (41.4) | 4,898,039 (41.5) | 167,951,225 (41.4) | |
Type of health insurance | ||||
NHI 2 | 397,902,947 (95.3) | 11,160,933 (94.6) | 386,742,014 (95.3) | <0.001 |
Medical Aid | 19,761,477 (4.7) | 637,492 (5.4) | 19,123,984 (4.7) | |
Region | ||||
Metropolitan | 283,169,896 (67.8) | 4,260,084 (36.1) | 278,909,813 (68.7) | <0.001 |
Non-metropolitan | 134,494,527 (32.2) | 7,538,341 (63.9) | 126,956,186 (31.3) | |
Visits for SMDGs 4 | ||||
Yes | 332,383,732 (79.6) | 8,347,599 (70.8) | 324,036,133 (79.8) | <0.001 |
No | 85,280,691 (20.4) | 3,450,826 (29.2) | 81,829,865 (20.2) | |
CCI 5 | ||||
0 | 377,073,942 (90.3) | 11,034,668 (93.5) | 366,039,274 (90.2) | <0.001 |
1 and more | 40,590,481 (9.7) | 763,757 (6.5) | 39,826,724 (9.8) | |
Total claim costs (million USD 3) (total (mean ± SD 6)) |
6,827.9 (16.3 ± 67.8) |
117.9 (10.0 ± 14.2) |
6,710.0 (16.5 ± 68.8) |
<0.001 |
NHI 2 costs (million USD 3) (total (mean ± SD 6)) |
5,161.2 (12.4 ± 60.4) |
92.3 (7.8 ± 10.1) |
5,069.0 (12.5 ± 61.2) |
<0.001 |
OOP 7 costs (million USD 3) (total (mean ± SD 6)) |
1,666.6 (4.0 ± 8.6) |
16.9 (2.2 ± 4.4) |
1,641.0 (4.0 ± 8.6) |
<0.001 |
1 PHC: Public Health Clinic, 2 NHI: National Health Insurance, 3 USD: United States dollar, 4 SMDG: Small Minor Disease Group, 5 CCI: Charlson comorbidity index, 6 SD: Standard deviation. 7 OOP: Out-of-pocket.