Key result
New Cooperative Medical Scheme linked to ~33% higher odds of BP control versus urban employee insurance.
Why the study?
Does enrollment in different health insurance schemes affect hypertension management and blood pressure control in adults with hypertension in Shanghai?
Cross-Sectional (n=7,974)
Does enrollment in different health insurance schemes affect hypertension management and blood pressure control in adults with hypertension in Shanghai?
In Shanghai, patients enrolled in URBMI or NCMS reported better blood pressure control and received more hypertension prevention knowledge compared to those in the UEBMI scheme.
Answers are grounded in this paper and cite their sources.
Insurance differences may influence BP control; cross-sectional data leaves open causality and should not yet guide practice.
BACKGROUND: We aimed to investigate the management of hypertension in Shanghai, China and to examine whether there was any difference of hypertension management among people enrolled in different health insurances. METHODS: In this cross-sectional study, a total of 31,531 residents were selected in Shanghai, using a randomized, stratified, multi-stage sampling method, and were asked to provide their status of hypertension, condition of hypertension management, health insurances and other demographic information. A weighted propensity score model was used to adjust confounders and to analyze the differences on hypertension management among hypertension patients enrolled in different health insurances. RESULTS: In Shanghai, most hypertension patients achieved good management of hypertension. However, patients enrolled in the New Cooperative Medical Scheme or the Urban Resident Basic Medical Insurance scheme were more likely to achieve publicity of precautionary knowledge about hypertension (OR = 2.36 [95 % CI :1.96,2.85] and 1.28 [95 % CI:1.12,1.45], respectively) and had their blood pressure under control (OR = 1.33 [95 % CI :1.09,1.62] and 1.22 [95 % CI:1.05,1.42], respectively) than patients enrolled in the Urban Employee Basic Health Insurance scheme. CONCLUSION: The study provided a comprehensive description of hypertension in Shanghai, China. To support the management of hypertension, publicity of hypertension prevention knowledge should be improved, especially to people enrolled in the Urban Employee Basic Health Insurance scheme.
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Zhang et al. (2016) conducted a cross-sectional in Hypertension (n=7,974). New Cooperative Medical Scheme (NCMS) vs. Urban Employee Basic Health Insurance scheme (UEBMI) was evaluated on Blood pressure under control (OR 1.33, 95% CI 1.09-1.62, p=0.008). Patients enrolled in the New Cooperative Medical Scheme had higher adjusted odds of having their blood pressure under control (OR 1.33) compared to those in the Urban Employee Basic Health Insurance scheme.
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