Association between hospital visit and self-rated treatment effect among rural stroke patients at high risk of returning to poverty

CUI Niu-niu; ZHANG Lei

doi:10.16462/j.cnki.zhjbkz.2022.04.013

Volume 26 Issue 4

Apr. 2022

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Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2022 > 26(4): 437-441

CUI Niu-niu, ZHANG Lei. Association between hospital visit and self-rated treatment effect among rural stroke patients at high risk of returning to poverty[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(4): 437-441. doi: 10.16462/j.cnki.zhjbkz.2022.04.013

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CUI Niu-niu, ZHANG Lei. Association between hospital visit and self-rated treatment effect among rural stroke patients at high risk of returning to poverty[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(4): 437-441. doi: 10.16462/j.cnki.zhjbkz.2022.04.013

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Association between hospital visit and self-rated treatment effect among rural stroke patients at high risk of returning to poverty

doi: 10.16462/j.cnki.zhjbkz.2022.04.013

CUI Niu-niu,
ZHANG Lei^,

Institute of Population Research, Peking University, Beijing 100871, China

Funds:

National Social Science Foundation Project 16BRK022

National Social Science Foundation Project 19ZDA147

More Information

Corresponding author: ZHANG Lei, E-mail: zhang.lei@pku.edu.cn
Received Date: 2021-07-30
Rev Recd Date: 2021-11-26

Available Online: 2022-04-14

Publish Date: 2022-04-10

Abstract

Abstract

Objective To examine the situation of hospital visits and its association with self-rated treatment effect among rural stroke patients aged ≥40 years at high risk of returning to poverty in China. Methods From the database of national system for dynamic management on rural health poverty alleviation, we extracted the information about 14 614 rural stroke patients aged ≥40 years at high risk of returning to poverty. Descriptive analysis and multivariate Logistic regression analysis were conducted to explore the association between hospital visits and self-rated treatment effect among the participants. Results Of the 14 614 stroke patients, self-rated improvement of stroke after medication were reported by 62.5% of the participants. The proportion of patients who visited primary medical institutions and medical institutions in the county for treatment and hospitalization, and only visited hospital once or twice in five years was high. The median annual medical cost of patients was 4 646.53 Yuan. The results of multivariate Logistic regression analysis showed that patients who visited the primary medical institutions (OR=1.10, 95% CI: 1.02-1.19), were hospitalized (OR=2.01, 95% CI: 1.83-2.21), and had higher annual medical expenditure had better self-rated treatment outcomes. Patients with 3-5 visits (OR=0.77, 95% CI: 0.70-0.84), patients with ≥6 visits (OR=0.59, 95% CI: 0.51-0.67) during 2016-2020 had worse self-rated treatment outcomes than patients with 1-2 visits. Conclusion The self-rated treatment effect is closely related to the situation of hospital visits among stroke patients aged ≥40 years in rural areas at high risk of returning to poverty.
- Rural areas,
- High risk of returning to poverty,
- Stroke,
- Self-rated treatment effect

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References

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