Examining inequality in utilisation of health management services for the elderly in rural Henan China

Wu, Huan; Liu, Yaqing

doi:10.1186/s12913-020-05630-7

BMC Health Services Research

Table 3 Decomposition of concentration indices of HMS utilization

From: Examining inequality in utilisation of health management services for the elderly in rural Henan China

	Concentration index	Elasticity			Contribution			Percentage Contribution(%)
	Concentration index	No HMS utilisation	Physical examination utilisation	Auxiliary examination utilisation	No HMS utilisation	Physical examination utilisation	Auxiliary examination utilisation	No HMS utilisation	Physical examination utilisation	Auxiliary examination utilisation
Age	0.0018	0.8673^b	−1.3265^b	−1.2172^b	0.0016	−0.0024	−0.0022	−2.19	−4.17	−2.72
Gender
Male	Ref.
Female	−0.0456	−0.0461	0.0749^a	0.0758^a	0.0021	−0.0034	− 0.0035	−2.88	−5.91	−4.32
Marital status
Widowed	Ref.
Unmarried	0.0045	−0.0022	− 0.0023	0.0001	0.0000	0.0000	0.0000	0.00	0.00	0.00
Married	0.0185	0.0418	−0.1494^a	− 0.1525^a	0.0008	− 0.0028	− 0.0028	−1.10	−4.87	−3.46
Divorced	−0.0095	0.0016	0.0005	0.0009	0.0000	0.0000	0.0000	0.00	0.00	0.00
Education
Primary school and below	Ref.
Junior high school and above	0.0067	0.0420^b	0.0137	0.0209	0.0003	0.0001	0.0001	−0.41	0.17	0.12
Household income	0.2718	−0.1480^c	0.1724^b	0.2476^c	−0.0402	0.0469	0.0673	55.07	81.57	83.09
Social medical insurance
No insurance	Ref.
New Rural Cooperative Medical Scheme	−0.0514	− 0.3012^a	0.4216^b	0.5220^c	0.0155	−0.0217	−0.0268	−21.23	−37.74	−33.09
Urban Resident Basic Medical Insurance	0.0122	−0.0224^b	0.0223^b	0.0245^b	−0.0003	0.0003	0.0003	0.41	0.52	0.37
Urban Employee Basic Medical Insurance	0.0218	−0.0017	0.0044	0.0071	0.0000	0.0001	0.0002	0.00	0.17	0.25
Others	0.0106	0.0024	0.0008	0.0001	0.0000	0.0000	0.0000	0.00	0.00	0.00
Private health insurance
No	Ref.
Yes	−0.0138	−0.0020	0.0050	0.0046	0.0000	−0.0001	−0.0001	0.00	−0.17	− 0.12
Family size	0.0494	−0.0732	0.1755	0.1621	−0.0036	0.0087	0.0080	4.93	15.13	9.88
Distance from the nearest primary health facility	−0.0036	0.0981^c	−0.1395^c	−0.1304^c	− 0.0004	0.0005	0.0005	0.55	0.87	0.62
Any chronic disease
No	Ref.
Yes	−0.0070	−0.0530^b	0.0762^b	0.0666^b	0.0004	−0.0005	−0.0005	− 0.55	−0.87	− 0.62
Service satisfaction score of village clinic	−0.0025	− 0.5187^c	0.5956^c	0.5267^c	0.0013	−0.0015	−0.0013	−1.78	−2.61	−1.60
Service satisfaction score of township hospital	0.0011	−0.3386^b	0.6382^c	0.6767^c	−0.0004	0.0007	0.0007	0.55	1.22	0.86
Residual					−0.0501	0.0326	0.0412	68.63	56.70	50.74
Total					−0.073	0.0575	0.0811	100	100	100

Notes:Estimation sample was 1403, ^a, ^b, and ^c indicate statistical significance at the 10,5, and 1%

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