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Table 1 Four cost indicators

From: Health care utilization for patients with stroke: a 3-year cross-sectional study of China’s two urban health insurance schemes across four cities

Indicators

Comment

Total medical costs

All medical costs generated in one visit, including cost of drugs, medical checks and treatment.

Within- insurance OOP expenses

The proportion of total medical costs specified in the directory, but not reimbursed by the health insurance scheme, including drugs, medical checks and treatment expenses. (paid by patients)

Outside-insurance OOP expenses

Health care expenses not listed in the directory and not compensated by the health insurance scheme, including drugs, medical checks and treatment expenses. (paid by patients)

Reimbursement rate

Proportion of compensation fee (share of total expenses paid by insurance scheme) in total medical cost.