The evaluation of effective healthcare delivery in China using electronic medical records for 10 years in 0.5 million participants in the China Kadoorie Biobank

This project will assess social determinants and equality in hospital care delivery and use in 0.5 million participants who have been followed up for 10 years at the China Kadoorie Biobank. The first goal is to evaluate differences in the annual rates of hospitalisation and hospital admissions per person, and the average length of stay overall and for ten of the most frequent causes of hospitalisation and by region, hospital tier, type of health insurance (HI) package and socioeconomic characteristics. Another goal is to study the variation in hospital care costs in China. The inequalities behind the variation in use and costs of hospital care will be investigated across regions, HI package and socioeconomic characteristics.

These findings will provide reliable quantitative evidence to evaluate operational defects and plan initiatives to improve healthcare delivery in China.