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Healthcare Voucher Scheme for Screening of Cardiovascular Risk Factors: A Population-Based Study

Author

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  • Junjie Huang

    (The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong SAR 999077, China)

  • Chun-Ho Ngai

    (The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong SAR 999077, China)

  • Man-Sing Tin

    (The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong SAR 999077, China)

  • Qingjie Sun

    (The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong SAR 999077, China)

  • Pamela Tin

    (Department of Healthcare and Social Development Research, Our Hong Kong Foundation, Hong Kong SAR 999077, China)

  • Eng-Kiong Yeoh

    (The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong SAR 999077, China)

  • Martin C. S. Wong

    (The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong SAR 999077, China
    School of Public Health, The Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China
    Department of Global Health, School of Public Health, Peking University, Beijing 100871, China)

Abstract

The present study aimed to evaluate the factors associated with unwillingness to join a healthcare voucher scheme for screening of cardiovascular risk factors in a Chinese population. We conducted a telephone survey by random selection of 1200 subjects who were aged 45 years or above in Hong Kong. We collected data on their attitude, perception, and perceived feasibility of a healthcare voucher scheme. The overall rates of having received at least one type, two types, and all three types of screening tests are 81.1%, 80.7%, and 79.3%, respectively. Younger individuals (aOR = 0.338, p = 0.004), those of a higher educational level (aOR = 1.825, p = 0.006), being employed (aOR = 3.030, p = 0.037), and lower perception of screening as beneficial (aOR = 0.495, p < 0.001) were significantly associated with no regular screening for at least one medical condition. The overall rate of willingness to join the voucher scheme (among those aged ≥ 45) is 83.7%. Male sex (aOR = 2.049, p = 0.010) and absence of family history of cardiovascular disease (aOR = 0.362, p = 0.002) are independent predictors of unwillingness to join. Our findings highlighted the significance of sex and family history on screening of cardiovascular factors. These constructs and independent predictors identified provide evidence-based formulation and implementation targeted screening strategies that enhance the screening rate of the three cardiovascular risk factors.

Suggested Citation

  • Junjie Huang & Chun-Ho Ngai & Man-Sing Tin & Qingjie Sun & Pamela Tin & Eng-Kiong Yeoh & Martin C. S. Wong, 2021. "Healthcare Voucher Scheme for Screening of Cardiovascular Risk Factors: A Population-Based Study," IJERPH, MDPI, vol. 18(20), pages 1-16, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:20:p:10844-:d:657222
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    References listed on IDEAS

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    1. repec:dau:papers:123456789/14771 is not listed on IDEAS
    2. Wiriya Mahikul & Lisa J White & Kittiyod Poovorawan & Ngamphol Soonthornworasiri & Pataporn Sukontamarn & Phetsavanh Chanthavilay & Wirichada Pan-ngum & Graham F Medley, 2019. "A Population Dynamic Model to Assess the Diabetes Screening and Reporting Programs and Project the Burden of Undiagnosed Diabetes in Thailand," IJERPH, MDPI, vol. 16(12), pages 1-10, June.
    3. Benjamin M Hunter & Sean Harrison & Anayda Portela & Debra Bick, 2017. "The effects of cash transfers and vouchers on the use and quality of maternity care services: A systematic review," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-37, March.
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