a nonsignificant trendp = 0.09
Conversely, no significant changes were noted in diagnostic costs, which exhibited a nonsignificant trend over time ( p = 0.09) despite the overall increase in total costs observed during the analysis.
Conversely, no significant changes were noted in diagnostic costs, which exhibited a nonsignificant trend over time ( p = 0.09) despite the overall increase in total costs observed during the analysis.
Notably, there was a decreasing trend in insurance coverage over the 5-year period from 34.69% in 2019 to 30.60% in 2023, accompanied by a slight increase in out-of-pocket expenditures from 16.29% in 2019 to 17.32% in 2023.
The average drug expenditure showed an increasing trend, which increased from 128,122.62 CNY (US$ 17,532.31) in 2019 to 178,540.19 CNY (US$ 24,431.46) in 2023, as detailed in Supplementary File 2D.
These shifts demonstrate a clear trend towards urban-oriented insurance schemes, with a corresponding decline in rural-focused programs, reflecting evolving healthcare policies and socioeconomic dynamics.