08 July 2014 : Short communication
Uncompensated care for children without insurance or from low-income families in a Chinese children’s hospitalWeifang ZhangABCDEFG, Xuefei WangBCDE, Jinzhong LiBCD, Zhuopu XuBC
Med Sci Monit 2014; 20:1162-1167
In China, children from low-income families, particularly those of rural to urban migrant families, have become one of the most vulnerable populations in terms of healthcare access. Without support, these families will finally give up treatment for their children. Our hospital has sought several ways to fund the uncompensated care for children without insurance or from low-income families.
Material and Methods
The annual hospital financial report and donated patients’ medical records from 2005 to 2011 were reviewed for extracting data, including disease type, and sources and amounts of donations. Files with information on uncompensated care were also reviewed. Uncompensated care was defined as the sum of a hospital’s “bad debt” and the charity care it provides.
The total expense of uncompensated care increased from 813 597 RMB in 2005 to 4 415 967 RMB in 2011, with a percentage of total budget ranging from 0.24% to 1.6% from 2005 to 2011. The hospital’s bad debt accounts for 17.6% of the uncompensated care charge on average per year. The charity care was from: 1) donations from common warm-hearted persons, companies, and institutions after media reporting; 2) governmental charity organizations; 3) non-governmental charity organizations; and 4) special funding from contributions solicited by hospital, media, and governmental charity organizations’ collaboration. Leukemia and congenital heart disease were the 2 leading types of diseases benefitted from the uncompensated care from 2005 to 2011.
Uncompensated care is still an indispensable complementary supporting measure for pediatric care access in China. Children from rural-to-urban migrant families should be considered as a target population for the government to focus on.
Keywords: Family, Child, Health Care Costs, Hospitals, Insurance, Health - economics, Socioeconomic Factors, Uncompensated Care - economics
01 November 2023 : EditorialEditorial: Factors Driving New Variants of SARS-CoV-2, Immune Escape, and Resistance to Antiviral Treatments as the End of the COVID-19 Pandemic is Declared
Med Sci Monit 2023; 29:e942960
28 Nov 2023 : Clinical ResearchImpact of Fluorodeoxyglucose-Positron Emission Tomography/Computed Tomography on Therapeutic Decisions and ...
Med Sci Monit In Press; DOI: 10.12659/MSM.942122
28 Nov 2023 : Clinical ResearchLong-Term Outcomes of Decompression and Grafting in Acute Pathological Proximal Femur Fractures in Children...
Med Sci Monit In Press; DOI: 10.12659/MSM.943031
27 Nov 2023 : Clinical ResearchComparison of Outcomes from Emergency Admissions to a Major Trauma Center in Turkey of 1646 Elderly Patient...
Med Sci Monit In Press; DOI: 10.12659/MSM.942916
Most Viewed Current Articles
13 Nov 2021 : Clinical ResearchAcceptance of COVID-19 Vaccination and Its Associated Factors Among Cancer Patients Attending the Oncology ...
Med Sci Monit 2021; 27:e932788
30 Dec 2021 : Clinical ResearchRetrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...
Med Sci Monit 2021; 27:e935379
14 Dec 2022 : Clinical ResearchPrevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase Levels
Med Sci Monit 2022; 28:e937990
08 Mar 2022 : Review articleA Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...
Med Sci Monit 2022; 28:e936292