Table 4.
Decomposition of household income-related inequalities in outpatient and inpatient services utilization.
| Outpatient services | Inpatient services | |||||||
|---|---|---|---|---|---|---|---|---|
| Determinants | Marginal effects (bk) | p | Contribution to CI (%) | Marginal effects (bk) | p | Contribution to CI (%) | ||
| Gender and age (years) | 8.16 | −6.93 | ||||||
| Men | ||||||||
| 0–14 | −0.0547 | 0.092 | 0.037 | −3.87 | −0.0550* | 0.035 | 0.036 | −1.61 |
| 15–24 | 0.0242 | 0.606 | −0.094 | −1.82 | −0.0436 | 0.180 | −0.094 | 1.37 |
| 25–34 | 0.0265 | 0.569 | 0.063 | 2.31 | −0.0730*** | <0.001 | 0.064 | −2.69 |
| 35–44 | 0.0043 | 0.916 | 0.118 | 1.50 | −0.0738*** | <0.001 | 0.119 | −10.94 |
| 45–54 | 0.0019 | 0.961 | 0.039 | 0.36 | −0.0645** | 0.007 | 0.039 | −5.07 |
| 55–64 | 0.0236 | 0.578 | −0.030 | −2.75 | −0.0571* | 0.021 | −0.030 | 2.80 |
| 65– | 0.0141 | 0.735 | −0.129 | −5.63 | −0.0459 | 0.084 | −0.128 | 7.65 |
| Women | ||||||||
| 0–14 | −0.0636* | 0.036 | −0.034 | 4.31 | −0.0592* | 0.021 | −0.034 | 1.69 |
| 15–24 | Reference | |||||||
| 25–34 | 0.1144* | 0.040 | 0.082 | 14.32 | −0.0286 | 0.346 | 0.082 | −1.51 |
| 35–44 | 0.0082 | 0.842 | 0.097 | 2.36 | −0.0661** | 0.003 | 0.097 | −7.92 |
| 45–54 | 0.0271 | 0.520 | 0.035 | 4.67 | −0.0713** | 0.002 | 0.035 | −5.11 |
| 55–64 | 0.0138 | 0.738 | −0.062 | −3.64 | −0.0653** | 0.005 | −0.062 | 7.19 |
| 65– | 0.0115 | 0.780 | −0.107 | −3.96 | −0.0498 | 0.053 | −0.107 | 7.22 |
| Socioeconomic status | ||||||||
| Household income | 184.03 | 253.47 | ||||||
| Quintile I | Reference | |||||||
| Quintile II | −0.0061 | 0.570 | −0.399 | 18.86 | 0.0368** | 0.001 | −0.399 | −47.53 |
| Quintile III | −0.0013 | 0.908 | 0.009 | −0.09 | 0.0437*** | <0.001 | 0.009 | 1.24 |
| Quintile IV | 0.0095 | 0.408 | 0.408 | 28.72 | 0.0566*** | <0.001 | 0.408 | 71.71 |
| Quintile V | 0.0221 | 0.063 | 0.800 | 136.54 | 0.0882*** | <0.001 | 0.800 | 228.05 |
| Marital status | −10.22 | 4.79 | ||||||
| Unmarried and others | Reference | |||||||
| Married | −0.0139 | 0.162 | 0.026 | −10.22 | 0.0155 | 0.081 | 0.026 | 4.79 |
| Education | −26.83 | 11.34 | ||||||
| Illiteracy | Reference | |||||||
| Primary school or junior middle school | 0.0435 | 0.051 | −0.232 | −25.05 | −0.0245 | 0.105 | −0.232 | 5.92 |
| Senior high school or technical secondary school | 0.0105 | 0.453 | −0.066 | −16.91 | −0.0248 | 0.062 | −0.066 | 16.63 |
| College, university, or above | 0.0171 | 0.275 | 0.139 | 15.13 | −0.0302* | 0.013 | 0.139 | −11.21 |
| Employment status | 32.91 | −15.74 | ||||||
| Employed | 0.0140 | 0.167 | 0.037 | 9.95 | −0.0444*** | <0.001 | 0.038 | −13.34 |
| Retired | 0.0197 | 0.137 | 0.198 | 22.93 | −0.0042 | 0.709 | 0.197 | −2.04 |
| Student | 0.0022 | 0.957 | 0.005 | 0.03 | −0.0616* | 0.015 | 0.005 | −0.36 |
| Unemployed and others | Reference | |||||||
| Place of residence | 27.21 | −28.45 | ||||||
| Urban | Reference | |||||||
| Rural | −0.0159 | 0.098 | −0.108 | 27.21 | 0.0398*** | <0.001 | −0.108 | −28.45 |
| Healthcare accessibility | ||||||||
| Type of basic medical insurance scheme | −17.26 | 26.61 | ||||||
| UEBMI | 0.0245 | 0.243 | 0.277 | 56.25 | 0.0848** | 0.003 | 0.276 | 81.48 |
| URRBMI, URBMI, NCMS, and others | 0.0338* | 0.044 | −0.078 | −73.51 | 0.0603** | 0.001 | −0.077 | −54.87 |
| None | Reference | |||||||
| Critical illness insurance | −4.60 | −0.90 | ||||||
| Yes | 0.0079 | 0.368 | −0.040 | −4.60 | 0.0037 | 0.645 | −0.039 | −0.90 |
| No | Reference | |||||||
| Commercial health insurance | 20.79 | 7.40 | ||||||
| Yes | 0.0270* | 0.024 | 0.153 | 20.79 | 0.0229* | 0.042 | 0.154 | 7.40 |
| No | Reference | |||||||
| Distance to the nearest health facility | 4.14 | −0.68 | ||||||
| ≤ 5 km | Reference | |||||||
| >5 km | −0.0409* | 0.020 | −0.077 | 4.14 | 0.0159 | 0.428 | −0.078 | −0.68 |
| Time taken to travel to the nearest health facility | 0.35 | 0.16 | ||||||
| <30 min | Reference | |||||||
| ≥30 min | −0.0176 | 0.808 | −0.190 | 0.35 | −0.0189 | 0.744 | −0.190 | 0.16 |
| Health status | ||||||||
| Self-assessed health | −53.78 | −22.18 | ||||||
| Very poor | 0.0920** | 0.006 | 0.008 | 1.90 | 0.1001** | 0.002 | 0.008 | 0.84 |
| Poor | 0.0990*** | <0.001 | −0.084 | −10.48 | 0.1385*** | <0.001 | −0.084 | −6.11 |
| Fair | 0.0709*** | <0.001 | −0.086 | −42.81 | 0.0618*** | <0.001 | −0.087 | −15.69 |
| Good | 0.0258** | 0.008 | −0.008 | −2.39 | 0.0299** | 0.001 | −0.008 | −1.22 |
| Excellent | Reference | |||||||
| Chronic disease | −44.67 | −16.16 | ||||||
| Yes | 0.1126*** | <0.001 | −0.023 | −44.67 | 0.0970*** | <0.001 | −0.023 | −16.16 |
| No | Reference | |||||||
| limitation of daily activities | −39.35 | −11.61 | ||||||
| Yes | 0.0607*** | <0.001 | −0.124 | −39.35 | 0.0428*** | <0.001 | −0.124 | −11.61 |
| No | Reference | |||||||
Indicates that the difference was statistically significant *p < 0.05,
p < 0.01,
p < 0.001. Bold values indicate the total contribution to CI of each determinant.