Effect of China’s maternal health policy on improving rural hospital delivery: Evidence from two cross-sectional surveys

Abstract This population-based cross-sectional study aims to explore the effect of China’s Rural Hospital Delivery Subsidy (RHDS) policy on the utilization of women’s hospital delivery between rural and urban areas. A total of 2398 women were drawn from the Fourth and Fifth National Health Service S...

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Autores principales:	Xiaojing Fan, Yongjian Xu, Martyn Stewart, Zhongliang Zhou, Shaonong Dang, Duolao Wang, Jianmin Gao
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2018
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e1435af97bf04a068897e9bf48b21b20
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spelling	oai:doaj.org-article:e1435af97bf04a068897e9bf48b21b202021-12-02T15:05:41ZEffect of China’s maternal health policy on improving rural hospital delivery: Evidence from two cross-sectional surveys10.1038/s41598-018-29830-82045-2322https://doaj.org/article/e1435af97bf04a068897e9bf48b21b202018-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-018-29830-8https://doaj.org/toc/2045-2322Abstract This population-based cross-sectional study aims to explore the effect of China’s Rural Hospital Delivery Subsidy (RHDS) policy on the utilization of women’s hospital delivery between rural and urban areas. A total of 2398 women were drawn from the Fourth and Fifth National Health Service Surveys, from the Shaanxi province. A generalized linear mixed model was used to analyze the influence of the RHDS policy on the hospital delivery rate. Concentration index and decomposition methods were used to explore the equity of hospital delivery utilization. Prior to introduction of the RHDS policy, the difference in hospital delivery rates was −0.09 (95% CL: −0.16, −0.01) between rural and urban women when adjusting the influence of socioeconomic factors on hospital delivery; after implementation of the policy, the difference was reduced to 0.02 (95% CL: −0.01, 0.06). The horizontal inequity index was reduced from 0.084 to 0.009 for rural women and from 0.070 to 0.011 for urban women. China’s Rural Hospital Delivery Subsidy policy had some positive effect on reducing the gap between rural and urban women’s hospital delivery rate and inequity. However, there is still a pro-rich inequity of hospital delivery utilization for both rural and urban women.Xiaojing FanYongjian XuMartyn StewartZhongliang ZhouShaonong DangDuolao WangJianmin GaoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 8, Iss 1, Pp 1-8 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Xiaojing Fan Yongjian Xu Martyn Stewart Zhongliang Zhou Shaonong Dang Duolao Wang Jianmin Gao Effect of China’s maternal health policy on improving rural hospital delivery: Evidence from two cross-sectional surveys
description	Abstract This population-based cross-sectional study aims to explore the effect of China’s Rural Hospital Delivery Subsidy (RHDS) policy on the utilization of women’s hospital delivery between rural and urban areas. A total of 2398 women were drawn from the Fourth and Fifth National Health Service Surveys, from the Shaanxi province. A generalized linear mixed model was used to analyze the influence of the RHDS policy on the hospital delivery rate. Concentration index and decomposition methods were used to explore the equity of hospital delivery utilization. Prior to introduction of the RHDS policy, the difference in hospital delivery rates was −0.09 (95% CL: −0.16, −0.01) between rural and urban women when adjusting the influence of socioeconomic factors on hospital delivery; after implementation of the policy, the difference was reduced to 0.02 (95% CL: −0.01, 0.06). The horizontal inequity index was reduced from 0.084 to 0.009 for rural women and from 0.070 to 0.011 for urban women. China’s Rural Hospital Delivery Subsidy policy had some positive effect on reducing the gap between rural and urban women’s hospital delivery rate and inequity. However, there is still a pro-rich inequity of hospital delivery utilization for both rural and urban women.
format	article
author	Xiaojing Fan Yongjian Xu Martyn Stewart Zhongliang Zhou Shaonong Dang Duolao Wang Jianmin Gao
author_facet	Xiaojing Fan Yongjian Xu Martyn Stewart Zhongliang Zhou Shaonong Dang Duolao Wang Jianmin Gao
author_sort	Xiaojing Fan
title	Effect of China’s maternal health policy on improving rural hospital delivery: Evidence from two cross-sectional surveys
title_short	Effect of China’s maternal health policy on improving rural hospital delivery: Evidence from two cross-sectional surveys
title_full	Effect of China’s maternal health policy on improving rural hospital delivery: Evidence from two cross-sectional surveys
title_fullStr	Effect of China’s maternal health policy on improving rural hospital delivery: Evidence from two cross-sectional surveys
title_full_unstemmed	Effect of China’s maternal health policy on improving rural hospital delivery: Evidence from two cross-sectional surveys
title_sort	effect of china’s maternal health policy on improving rural hospital delivery: evidence from two cross-sectional surveys
publisher	Nature Portfolio
publishDate	2018
url	https://doaj.org/article/e1435af97bf04a068897e9bf48b21b20
work_keys_str_mv	AT xiaojingfan effectofchinasmaternalhealthpolicyonimprovingruralhospitaldeliveryevidencefromtwocrosssectionalsurveys AT yongjianxu effectofchinasmaternalhealthpolicyonimprovingruralhospitaldeliveryevidencefromtwocrosssectionalsurveys AT martynstewart effectofchinasmaternalhealthpolicyonimprovingruralhospitaldeliveryevidencefromtwocrosssectionalsurveys AT zhongliangzhou effectofchinasmaternalhealthpolicyonimprovingruralhospitaldeliveryevidencefromtwocrosssectionalsurveys AT shaonongdang effectofchinasmaternalhealthpolicyonimprovingruralhospitaldeliveryevidencefromtwocrosssectionalsurveys AT duolaowang effectofchinasmaternalhealthpolicyonimprovingruralhospitaldeliveryevidencefromtwocrosssectionalsurveys AT jianmingao effectofchinasmaternalhealthpolicyonimprovingruralhospitaldeliveryevidencefromtwocrosssectionalsurveys
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Effect of China’s maternal health policy on improving rural hospital delivery: Evidence from two cross-sectional surveys

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