Abstract
BackgroundIn view of the irreversible pathology of progressive exacerbation, the societal burden of chronic kidney disease (CKD) is increasing along with the rise in total health expenditure. Meanwhile, disparities remain among urban and rural citizens with different types of health insurance. This study aimed to assess the socioeconomic disparities between hospitalized CKD patients in urban and rural areas.MethodA total of 501 CKD inpatients with urban or rural medical insurance (UMI or RMI, respectively) were selected from the top six tertiary hospitals in Wuhan. Demographic and socioeconomic data were collected as influencing factors. Data evaluation was performed using univariate and multivariate analyses.ResultSocioeconomic characteristics showed differences among hospitalized CKD patients with different health insurances. Patients with RMI were younger, and reported lower education levels, poor domestic economic conditions, shorter duration, and less frequent hospital stays than those with UMI (P<0.05). The predictors revealed varying associations between UMI and RMI. Among the hospitalized CKD patients with UMI, male and low-education individuals presented high hospitalization expenses (βgender = -0.406, βeducation level = 0.357, P<0.05). By contrast, no significant difference in this aspect was found among RMI inpatients.ConclusionsCare delivery and reimbursement models should be re-designed and implemented to improve equity among different CKD patients. The national health education should also be enhanced to prevent CKD and provide early treatment.
Highlights
Chronic kidney disease (CKD) is a general term for heterogeneous disorders affecting kidney structure and function[1]
This study aimed to assess the socioeconomic disparities between hospitalized CKD patients in urban and rural areas
CKD is defined based on the presence of abnormalities in the structure and function of the kidney for over 3 months, resulting in health complications; CKD is classified based on the cause, glomerular filtration rate category, and albuminuria category; once progression reaches the final stage, which is known as the end-stage renal disease (ESRD), CKD can only be treated by dialysis and transplantation [2,3,4,5] (S1 Table)
Summary
Chronic kidney disease (CKD) is a general term for heterogeneous disorders affecting kidney structure and function[1]. CKD is defined based on the presence of abnormalities in the structure and function of the kidney for over 3 months, resulting in health complications; CKD is classified based on the cause, glomerular filtration rate category, and albuminuria category; once progression reaches the final stage, which is known as the end-stage renal disease (ESRD), CKD can only be treated by dialysis and transplantation [2,3,4,5] (S1 Table). Chronic, non-communicable epidemic disease with an irreversible pathology of progressive exacerbation that affects people worldwide [6], CKD has become a global health issue. In view of the irreversible pathology of progressive exacerbation, the societal burden of chronic kidney disease (CKD) is increasing along with the rise in total health expenditure. This study aimed to assess the socioeconomic disparities between hospitalized CKD patients in urban and rural areas
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