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Impacts of the “transport subsidy initiative on poor TB patients” in Rural China: A Patient-Cohort Based Longitudinal Study in Rural China

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  • Qi Zhao
  • Lixia Wang
  • Tao Tao
  • Biao Xu

Abstract

Objective: To describe the financial burden on TB patients for transportation during treatment, and to evaluate the impacts of the “transportation subsidy initiative on poor TB patients” in rural China for improving poor patients’ access to TB treatment. Methods: A Case-cohort of 429 TB patients was investigated through questionnaire interviews in four counties of two provinces in China. Information on the financial burden for transportation during TB diagnosis and treatment was collected. Qualitative in-depth interviews with 26 TB patients were carried out to understand their perceptions of transportation subsidy initiative. Results: The mean transportation cost of TB medical care was 97 CNY (70 CNY in median), varying from 0 to 700 CNY. About 51% of the patients spent more than 10 CNY per round trip to the TB dispensary. Of the 429 TB patients investigated, 139 had received transportation subsidies after getting TB diagnosis; 15/139 (10.9%) showed dissatisfaction, mainly because the subsidy amount being insufficient. The income of patients receiving transportation subsidies was significantly lower than those not receiving the subsidies (p

Suggested Citation

  • Qi Zhao & Lixia Wang & Tao Tao & Biao Xu, 2013. "Impacts of the “transport subsidy initiative on poor TB patients” in Rural China: A Patient-Cohort Based Longitudinal Study in Rural China," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-1, November.
    • Handle: RePEc:plo:pone00:0082503
    DOI: 10.1371/journal.pone.0082503
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    References listed on IDEAS

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    1. Alexandra Beith & Rena Eichler & Diana Weil, 2007. "Performance-Based Incentives for Health: A Way to Improve Tuberculosis Detection and Treatment Completion?," Working Papers 122, Center for Global Development.
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    Cited by:

    1. Yixiang Huang & Jianying Huang & Xiaoting Su & Liang Chen & Jianwei Guo & Weiqing Chen & Lingling Zhang, 2020. "Analysis of the economic burden of diagnosis and treatment on patients with tuberculosis in Bao’an district of Shenzhen City, China," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-15, August.
    2. Quan-Hoang Vuong & Ha Nguyen, 2016. "Patients’ contributions as a quid pro quo for community’s supports? Evidence from Vietnamese co-location clusters," Working Papers CEB 16-028, ULB -- Universite Libre de Bruxelles.

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