Table 3.
Impact of health insurance and health workforce on healthcare use before and after China’s health system reform
| Self-medication (IRR) | Outpatient visits (IRR) | Hospital admissions (IRR) | ||||
|---|---|---|---|---|---|---|
| Before China’s health system reform | After China’s health system reform | Before China’s health system reform | After China’s health system reform | Before China’s health system reform | After China’s health system reform | |
| ARR at PHC institutions |
0.99* (0.99, 1.00) |
0.91** (0.90, 0.93) |
1.19*** (1.12, 1.27) |
1.04 (0.99, 1.10) |
1.55*** (1.28, 1.88) |
1.42 *** (1.27, 1.59) |
| ARR at county hospitals |
0.96*** (0.94, 0.98) |
0.90*** (0.88, 0.92) |
1.16*** (1.08, 1.23) |
1.01 (0.96, 1.06) |
1.82*** (1.47, 2.25) |
1.02 (0.77, 1.36) |
| Physicians density at PHC institutions |
0.79* (0.77, 0.81) |
0.83** (0.81, 0.85) |
1.13*** (1.04, 1.22) |
1.11*** (1.05, 1.18) |
1.61 *** (1.41, 1.84) |
1.00 (0.98, 1.01) |
| Physicians density at county hospitals |
0.99 (0.92, 1.06) |
0.91* (0.88, 0.95) |
1.38*** (1.29, 1.48) |
1.08*** (1.02, 1.15) |
1.03 ** (1.00, 1.05) |
0.98 ** (0.97, 0.99) |
*p < 0.05, **p < 0.01, ***p < 0.001