Abstract
MethodsWe used the baseline survey and first follow-up surveys of the China Health and Retirement Longitudinal Study of middle-aged and older populations conducted between 2011 and 2013. Correlates of effective coverage and treatment coverage for hypertension were analysed using multivariate logistic regression models, after controlling for demographic characteristics.ResultsIn 2011, 38.40% of 13 702 individuals surveyed were identified with hypertension. Overall, the effective treatment coverage among the middle-aged and older population in China from 2011 to 2013 was only 22.40% compared to the treatment coverage of 55.86%. Variations in effective coverage among patients enrolled in the three public health insurance schemes ranged from 22.60% to 29.31%.ConclusionsThe level of effective coverage for hypertension treatment in China was still very low, and that health insurance schemes play a significant role in improving treatment coverage and effective coverage for hypertension treatment. In the implementation of China’s health system reform, health equity and health care equality should be emphasised and enhanced by offering more equitable benefits packages across social health insurance schemes.
Highlights
MethodsWe used the baseline survey and first follow-up surveys of the China Health and Retirement Longitudinal Study of middle-aged and older populations conducted between 2011 and 2013
The rapid rise of non-communicable diseases and the phenomenon of an ageing population pose significant challenges for China’s health system
The level of effective coverage for hypertension treatment in China was still very low, and that health insurance schemes play a significant role in improving treatment coverage and effective coverage for hypertension treatment
Summary
We used the baseline survey and first follow-up surveys of the China Health and Retirement Longitudinal Study of middle-aged and older populations conducted between 2011 and 2013. We used the national baseline and first follow-up surveys of the China Health and Retirement Longitudinal Study (CHARLS) conducted in 2011 and 2013. The CHARLS collected data from a nationally-representative sample of the Chinese population aged 45 and above for research on the elderly and on health trends. Funding support for the CHARLS mainly came from Peking University, the Behavioral and Social Research Division of the National Institute on Aging and from the World Bank. CHARLS received ethics approval from the Peking University Biomedical Ethics Review Committee (Ref. No IRB00001052-11015) in 2011 [13]
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