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Improving Access to and Affordability of Healthcare for TB Patients in China

Edited by: Prof. Shenglan Tang

China is the country with the second largest burden of both tuberculosis (TB), and multi-drug resistant tuberculosis (MDR-TB) in the world. China Center for Disease Control and Prevention (CDC), under the auspice of the Chinese National Health and Family Planning Commission and with the support from the Bill and Melinda Gates Foundation, has been developing and implementing an innovative program on TB and MDR-TB care and control in a number of Chinese provinces to improve access to, and affordability for, quality TB care. One major challenge in tackling TB epidemic in China is how TB services can be effectively financed and delivered under the context of the on-going health system reform.

Three project cities (Zhenjiang of Jiangsu Province, Yichang of Hubei Province and Hanzhong of Shaanxi Province were selected to implement interventions related to the application of new diagnosis and treatment approaches and new financial mechanisms for TB care in 2013/14. These papers published in this special issue used the data from the survey carried out in early 2013 to understand current practice in financing TB/MDR-TB care in the three project cities and implications for equity, efficiency and effectiveness in relation to the provision, accessibility and utilization of TB/MDR-TB related services. It was also intended to generate baseline data that can be used to compare TB/MDR-TB care before and after the policy interventions and evaluate their effects/impacts at the end of project completion.

Researchers from three Chinese universities in Nanjing, Xi’an and Wuhan), with the support from Duke University/Duke Kunshan University, and China CDC, have carried out the data collection and analyses. This special issue is the collection of main papers presenting key findings on access to/use of TB care, and particularly financial affordability of healthcare, as well as impacts of the Chinese health insurance schemes on financial protections in care seeking for the TB patients in China.

  1. Opinion

    Drug-resistant tuberculosis control in China: progress and challenges

    China has the second highest caseload of multidrug-resistant tuberculosis (MDR-TB) in the world. In 2009, the Chinese government agreed to draw up a plan for MDR-TB prevention and control in the context of a c...

    Qian Long, Yan Qu and Henry Lucas

    Infectious Diseases of Poverty 2016 5:9

    Published on: 29 January 2016

  2. Research article

    The impact of the new cooperative medical scheme on financial burden of tuberculosis patients: evidence from six counties in China

    Tuberculosis (TB) patients in China encounter heavy financial burdens throughout the course of their treatment and it is unclear how China’s health insurance systems affect the alleviation of this burden under...

    Li Xiang, Yao Pan, Shuangyi Hou, Hongwei Zhang, Kaori D. Sato, Qiang Li, Jing Wang and Shenglan Tang

    Infectious Diseases of Poverty 2016 5:8

    Published on: 28 January 2016

  3. Research Article

    Disparity in reimbursement for tuberculosis care among different health insurance schemes: evidence from three counties in central China

    Health inequity is an important issue all around the world. The Chinese basic medical security system comprises three major insurance schemes, namely the Urban Employee Basic Medical Insurance (UEBMI), the Urb...

    Yao Pan, Shanquan Chen, Manli Chen, Pei Zhang, Qian Long, Li Xiang and Henry Lucas

    Infectious Diseases of Poverty 2016 5:7

    Published on: 27 January 2016

  4. Research Article

    Non-medical financial burden in tuberculosis care: a cross-sectional survey in rural China

    Treatment of tuberculosis (TB) in China is partially covered by national programs and health insurance schemes, though TB patients often face considerable medical expenditures. For some, especially those from ...

    Qiang Li, Weixi Jiang, Quanli Wang, Yuan Shen, Jingyuan Gao, Kaori D. Sato, Qian Long and Henry Lucas

    Infectious Diseases of Poverty 2016 5:5

    Published on: 26 January 2016

  5. Research Article

    Factors that determine catastrophic expenditure for tuberculosis care: a patient survey in China

    Tuberculosis (TB) often causes catastrophic economic effects on both the individual suffering the disease and their households. A number of studies have analyzed patient and household expenditure on TB care, b...

    Chengchao Zhou, Qian Long, Jiaying Chen, Li Xiang, Qiang Li, Shenglan Tang, Fei Huang, Qiang Sun and Henry Lucas

    Infectious Diseases of Poverty 2016 5:6

    Published on: 25 January 2016

  6. Research article

    Implementing a “free” tuberculosis (TB) care policy under the integrated model in Jiangsu, China: practices and costs in the real world

    In the 1990s, China introduced a “free” tuberculosis (TB) care policy under the national TB control program. Recently, as a part of a new TB diagnosis and treatment model, it has been recommended that the inte...

    Xinxin Jia, Jiaying Chen, Siyuan Zhang, Bing Dai, Qian Long and Shenglan Tang

    Infectious Diseases of Poverty 2016 5:1

    Published on: 22 January 2016

  7. Research article

    Use of anti-tuberculosis drugs among newly diagnosed pulmonary tuberculosis inpatients in China: a retrospective study

    China’s national tuberculosis control program (NTP) provides free, first-line anti-tuberculosis (TB) drugs to pulmonary TB patients. This treatment regimen follows the World Health Organization’s (WHO) guideli...

    Fei Huang, Hui Zhang, Qing Lv, Kaori D. Sato, Yan Qu, Shitong Huan, Jun Cheng, Fei Zhao and Lixia Wang

    Infectious Diseases of Poverty 2016 5:2

    Published on: 21 January 2016

  8. Research article

    Factors that associated with TB patient admission rate and TB inpatient service cost: a cross-sectional study in China

    China has recently adopted the “TB designated hospital model” to improve the quality of tuberculosis (TB) treatment and patient management. Considering that inpatient service often results in high patient fina...

    Hongyan Hu, Jiaying Chen, Kaori D. Sato, Yang Zhou, Hui Jiang, Pingbo Wu and Hong Wang

    Infectious Diseases of Poverty 2016 5:4

    Published on: 20 January 2016

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