Impact of increased economic burden due to human echinococcosis in an underdeveloped rural community of the People's Republic of China.
BACKGROUND: Ningxia is located in western People's Republic of China, which is hyperendemic for human cystic echinococcosis (CE) throughout the entire area with alveolar echinococcosis (AE) hyperendemic in the south. This is in part due to its underdeveloped economy. Despite the recent rapid gr...
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ftdoajarticles:oai:doaj.org/article:da2593547cfb455397e4b1a88ffac2d1 2023-05-15T15:12:58+02:00 Impact of increased economic burden due to human echinococcosis in an underdeveloped rural community of the People's Republic of China. Yu Rong Yang Gail M Williams Philip S Craig Donald P McManus 2010-01-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0000801 https://doaj.org/article/da2593547cfb455397e4b1a88ffac2d1 EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC2939032?pdf=render https://doaj.org/toc/1935-2735 1935-2735 doi:10.1371/journal.pntd.0000801 https://doaj.org/article/da2593547cfb455397e4b1a88ffac2d1 PLoS Neglected Tropical Diseases, Vol 4, Iss 9, p e1000888 (2010) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2010 ftdoajarticles https://doi.org/10.1371/journal.pntd.0000801 2022-12-31T00:08:49Z BACKGROUND: Ningxia is located in western People's Republic of China, which is hyperendemic for human cystic echinococcosis (CE) throughout the entire area with alveolar echinococcosis (AE) hyperendemic in the south. This is in part due to its underdeveloped economy. Despite the recent rapid growth in P.R. China's economy, medical expenditure for hospitalization of echinococcosis cases has become one of the major poverty generators in rural Ningxia, resulting in a significant social problem. METHODOLOGY/PRINCIPAL FINDINGS: We reviewed the 2000 inpatient records with liver CE in surgical departments of hospitals from north, central and south Ningxia for the period 1996-2002. We carried out an analysis of health care expenditure of inpatient treatment in public hospitals, and examined the financial inequalities relating to human echinococcosis and the variation in per capita income between various socioeconomic groups with different levels of gross domestic product for different years. Hospital charges for Yinchuan, NHAR's capital city in the north, increased approximately 35-fold more than the annual income of rural farmers with the result that they preferred to seek health care in local county hospitals, despite higher quality and more efficient treatment and diagnosis available in the city. Household income levels thus strongly influenced the choice of health care provider and the additional expense impeded access of poor people to better quality treatment. CONCLUSIONS/SIGNIFICANCE: Information on socioeconomic problems arising from echinococcosis, which adds considerably to the burden on patient families and communities, needs to be collected as a prerequisite for developing policies to tackle the disease in rural Ningxia. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLoS Neglected Tropical Diseases 4 9 e801 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Yu Rong Yang Gail M Williams Philip S Craig Donald P McManus Impact of increased economic burden due to human echinococcosis in an underdeveloped rural community of the People's Republic of China. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
BACKGROUND: Ningxia is located in western People's Republic of China, which is hyperendemic for human cystic echinococcosis (CE) throughout the entire area with alveolar echinococcosis (AE) hyperendemic in the south. This is in part due to its underdeveloped economy. Despite the recent rapid growth in P.R. China's economy, medical expenditure for hospitalization of echinococcosis cases has become one of the major poverty generators in rural Ningxia, resulting in a significant social problem. METHODOLOGY/PRINCIPAL FINDINGS: We reviewed the 2000 inpatient records with liver CE in surgical departments of hospitals from north, central and south Ningxia for the period 1996-2002. We carried out an analysis of health care expenditure of inpatient treatment in public hospitals, and examined the financial inequalities relating to human echinococcosis and the variation in per capita income between various socioeconomic groups with different levels of gross domestic product for different years. Hospital charges for Yinchuan, NHAR's capital city in the north, increased approximately 35-fold more than the annual income of rural farmers with the result that they preferred to seek health care in local county hospitals, despite higher quality and more efficient treatment and diagnosis available in the city. Household income levels thus strongly influenced the choice of health care provider and the additional expense impeded access of poor people to better quality treatment. CONCLUSIONS/SIGNIFICANCE: Information on socioeconomic problems arising from echinococcosis, which adds considerably to the burden on patient families and communities, needs to be collected as a prerequisite for developing policies to tackle the disease in rural Ningxia. |
format |
Article in Journal/Newspaper |
author |
Yu Rong Yang Gail M Williams Philip S Craig Donald P McManus |
author_facet |
Yu Rong Yang Gail M Williams Philip S Craig Donald P McManus |
author_sort |
Yu Rong Yang |
title |
Impact of increased economic burden due to human echinococcosis in an underdeveloped rural community of the People's Republic of China. |
title_short |
Impact of increased economic burden due to human echinococcosis in an underdeveloped rural community of the People's Republic of China. |
title_full |
Impact of increased economic burden due to human echinococcosis in an underdeveloped rural community of the People's Republic of China. |
title_fullStr |
Impact of increased economic burden due to human echinococcosis in an underdeveloped rural community of the People's Republic of China. |
title_full_unstemmed |
Impact of increased economic burden due to human echinococcosis in an underdeveloped rural community of the People's Republic of China. |
title_sort |
impact of increased economic burden due to human echinococcosis in an underdeveloped rural community of the people's republic of china. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2010 |
url |
https://doi.org/10.1371/journal.pntd.0000801 https://doaj.org/article/da2593547cfb455397e4b1a88ffac2d1 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 4, Iss 9, p e1000888 (2010) |
op_relation |
http://europepmc.org/articles/PMC2939032?pdf=render https://doaj.org/toc/1935-2735 1935-2735 doi:10.1371/journal.pntd.0000801 https://doaj.org/article/da2593547cfb455397e4b1a88ffac2d1 |
op_doi |
https://doi.org/10.1371/journal.pntd.0000801 |
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PLoS Neglected Tropical Diseases |
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9 |
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e801 |
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