The association between basic medical insurance and the management of chronic obstructive pulmonary disease in China: a cross-sectional study based on the national “Happy Breathing” Programme
We found that insurance status was not significantly associated with each step of the COPD care cascade, except for a modest association with a higher proportion diagnosed. Our study underscores the need for optimizing the current medical insurance design, integrating public health interventions and clinical care delivery with insurance coverage, and harmonizing regional policies to enhance the effectiveness and equity of COPD care cascade outcomes.
Authors
- Till Bärnighausen (ORCID: https://orcid.org/0000-0002-4182-4212)
- Zhong Cao (ORCID: https://orcid.org/0000-0002-2243-5705)
- Yiwen Yu (ORCID: https://orcid.org/0000-0002-3935-846X)
- Cunbo Jia (ORCID: https://orcid.org/0009-0001-0782-610X)
- Ping He (ORCID: https://orcid.org/0000-0001-5040-5012)
- Zhuang Hao (ORCID: https://orcid.org/0000-0001-5027-3574)
- Ting Yang (ORCID: https://orcid.org/0000-0002-7027-5179)
- Xingyao Tang (ORCID: https://orcid.org/0009-0003-6947-5661)
- Simiao Chen (ORCID: https://orcid.org/0000-0003-0555-2157)
- Ke Huang (ORCID: https://orcid.org/0000-0001-8933-387X)
- Chen Wang (ORCID: https://orcid.org/0000-0001-7857-5435)
- Fang Fang (ORCID: https://orcid.org/0000-0002-3310-6456)
- Yong Li (ORCID: https://orcid.org/0000-0002-2999-8164)
- Qiushi Chen (ORCID: https://orcid.org/0000-0003-4031-2669)
- Zixuan Feng
- Jun Pan
Institutions
- Pennsylvania State University (US)
- Harvard University (US)
- Capital Medical University (CN)
- Chinese Academy of Medical Sciences & Peking Union Medical College (CN)
- Peking University (CN)
- Heidelberg University (DE)
- China-Japan Friendship Hospital (CN)
- Peking Union Medical College Hospital (CN)
- University Hospital Heidelberg (DE)
- National Clinical Research Center for Digestive Diseases (CN)
- Beihang University (CN)
Publication Details
- Journal
- BMC Medicine
- Published
- 2025-11-07
- DOI
- https://doi.org/10.1186/s12916-025-04422-2
- Primary Topic
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- China Medical Board
- National Science and Technology Major Project
- HORIZON EUROPE Framework Programme