Table 3

Associations studied using EORTC-QLQ-C30/EORTC-QLQ-BR23 or FACT-G/FACT-B

First author, year of publicationQoL outcomesDeterminantType of association with QoL outcomes
Studies using the EORTC-QLQ-C30 questionnaire
Cross-sectional (n=5)
Noh, 200872*Global health status and social functioningInvolved in decision makingPositive
Reflection of own value to decision
Global health status, physical functioning, role functioning, emotional functioning, cognitive functioning and social functioningExperience of treatment toxicityNegative
Global health status, physical functioning, role functioning and social functioningHospitalisation with treatment toxicityNegative
Global health status, role functioning, emotional functioning, cognitive functioning and social functioningProblem obtaining surgeryNegative
Having regular follow-up
Akechi, 201070Global health statusHigher scores in the domains of SCNS: psychological, physical and daily living, sexuality, health system and information, care and supportNegative
Edib, 201648Global health statusTime since diagnosis (<2, 2–5 and >5 years)Positive
Ethnicity (Malay vs Chinese vs Indian)
Higher household income (<RM2000, RM2000–RM4000 and >RM4000)
Breast-conserving surgery versus mastectomy
Immune therapy (yes vs no)
Unmarried (Un) versus married (M) versus widowed/divorced (WD)W/D<M < Un
Older age (≤40, 40–49 and ≥50)Negative
Employed versus retired versus housewife
Higher stage (0, 1, 2, 3 and 4)
Radiotherapy (yes vs no)
Chemotherapy (yes vs no)
Hormone therapy (yes vs no)
Higher scores in SCNS – physical needs
Higher scores in SCNS – psychological needs
Higher scores in SCNS – care and support needs
SCNS – sexuality needs
SCNS – health system and information needs
Kim, 201291*Role functioningHigher bone densityPositive
Huang, 201750Global health statusTime since diagnosis (2–3, 3–5 and ≥5 years)Positive
Higher household income (≤US$1000, US$1001–US$2000 and ≥US$2001)
Tumour stage
Comorbidities (0, 1, 2 and ≥3)Negative
Treatment (combinations of surgery (S), chemotherapy (C), radiotherapy (R), hormone therapy (H), targeted therapy (T))C>S+C+H>S+C+R+H+T>S+C>others>
S+R+ hour>S+C+R+ hour>S+C+R>S+H
Illness duration (ref: 2–3, 3–5 and ≥5 years)3–5 years>2–3 years
Recurrence or metastasisation
Liang, 201654Global health statusYear of diagnosisNegative
Symptom distress
Global health statusSymptom management self-efficacyPositive
Longitudinal (n=2)
Jang, 201292Presence of religion
Higher religious activity (at 5 days and 1 year postsurgery)
Higher intrinsic religiosity at 5 days postsurgery
Global health statusHigher intrinsic religiosity at 1 year postsurgeryPositive
Wani, 201239 Global health status, physical functioning, role functioning, emotional functioning, cognitive functioning and social functioningTime at first chemotherapy treatment, 6, 12 and 24 months after first visitPositive
Fatigue, nausea and vomiting, pain, dyspnoea, insomnia, appetite loss, constipation, diarrhoea and financial difficultyNegative
Studies using the EORTC-QLQ-C30 and EORTC-QLQ-BR23 questionnaire
Cross-sectional (n=13)
Yusuf et al 201353 Nausea and vomiting, dyspnoea, constipation and breast symptomsMalay versus ChinesePositive
Kim et al, 201561 Role functioning, social functioning, body image and fatigueBreast-conserving surgery versus mastectomyPositive
Pain, insomnia and arm symptomsNegative
Body image and fatigueBreast-conserving surgery versus mastectomy with reconstructionPositive
Global health status, physical functioning, role functioning, emotional functioning, cognitive functioning, social functioning, body image, sexual functioning, sexual enjoyment and future perspectiveBetter subjectively measured cosmesisPositive
Fatigue, nausea and vomiting, pain, dyspnoea, insomnia, appetite loss, constipation, diarrhoea, systemic therapy side effects, breast symptoms, arm symptoms and hair lossNegative
Body imageObjectively measured cosmesis (good vs poor)Positive
Body image and diarrhoeaPanel score for cosmesis (good vs poor)Positive
Chui et al, 201521 Age (30–39, 40–49, 50–59 and ≥60)‡
Global health statusEthnicity (Malay vs Indian)‡Positive
Ethnicity (Chinese vs Indian)‡
Education (tertiary vs primary/lower)‡
Education (secondary vs primary/lower)‡
Household income (≤RM3000 vs >RM3000)‡
Single versus ever married‡
Chemotherapy (postponed vs on schedule)‡
Stage (early vs late)‡
Chemotherapy cycles (2/3/4 vs 5/6)‡
Complementary and complementary medicine (MBP vs MBP-NP vs MBP-NP-TMed)‡
Financial difficulty, sexual enjoyment, systemic therapy side effects and breast symptomsComplementary and complementary medicine (users vs non-users)Positive
Emotional functioning and cognitive functioningComplementary and complementary medicine (single (S), dual (D), triple (T) modality)S<T<D
Body image and future perspectiveS<D<T
Upset by hair lossD<T<S
Systemic therapy side effectsT<D<S
Lee, 200767§Global health statusPresence of religionNegative
Presence of one or more comorbidity
Incomplete versus completed treatment
Problems before surgery
Involved in decision makingPositive
Better perceived overall medical care
Time since diagnosis (≥5 years vs <5 years)
Global health status, physical functioning, role functioning, social functioning and sexual enjoymentTreatment status: post versus ongoing versus nonPost > (Ongoing = Non)
Fatigue, pain, insomnia, appetite loss and body imageNegative
Sun, 201462 Emotional functioning, social functioning and body imageBreast-conserving surgery versus mastectomy versus mastectomy with reconstructionPositive
Nausea and vomiting, financial difficulty, arm symptoms (score for mastectomy with reconstruction was lower than for those with breast-conserving surgery)Negative
Okamura, 200593 Emotional functioning, body image and future perspectivePresence of psychiatric disorderNegative
Fatigue, nausea and vomiting, appetite loss and diarrhoeaPositive
Huang, 201060 DyspnoeaOlder agePositive
Role functioningMarried (yes vs no)Negative
Breast symptomsPositive
Global health status and role functioningBreast-conserving surgery versus mastectomyNegative
Fatigue, pain, dyspnoea, insomnia, appetite loss, breast symptoms and arm symptomsPositive
Insomnia, breast symptoms and arm symptomsAdjuvant therapy (yes vs no)Positive
InsomniaHormone therapy (yes vs no)Positive
Kang, 201222 Arm symptomsUse of complementary and complementary medicinePositive
Park, 201258 Sexual functioning and sexual enjoymentOlder ageNegative
Tumour size
Lymph nodes involvement
Global health statusMetastatic diseaseNegative
Physical functioning and role functioningPositive
Postsurgery versus presurgery
Axillary clearance
PainChemotherapy (yes vs no)Negative
Appetite loss, sexual enjoymentRadiotherapy (yes vs no)Negative
Future perspectiveHormone therapy (yes vs no)Positive
Self-massage
Lymphoedema duration
Tang, 201673 Global health status, physical functioning, role functioning, emotional functioning, body image and future perspectiveDiabetes mellitus (yes vs no)Negative
Fatigue, nausea and vomiting, pain, dyspnoea, insomnia, constipation, diarrhoea, financial difficulty, systematic therapy side effects, breast symptoms, arm symptoms and upset with hair lossPositive
Global health status, cognitive functioning, emotional functioning and constipationType 1 diabetes mellitus versus no diabetes mellitusNegative
Fatigue, nausea and vomiting, dyspnoea, insomnia, diarrhoea, systematic therapy side effects and breast symptomsPositive
Global health status, physical functioning, role functioning, sexual functioning, sexual enjoyment, future perspective, fatigue and constipationType 2 diabetes mellitus versus no diabetes mellitusNegative
Body image, pain, dyspnoea, insomnia, appetite loss, financial difficulty, systematic therapy side effects, breast symptoms, arm symptoms and upset with hair lossPositive
Kang, 201794 Global health status, physical functioning, cognitive functioning, emotional functioning, role functioning, body image and future perspectiveHappiness status (Subjective Happiness Scale)Positive
Fatigue, nausea and vomiting, pain, insomnia, appetite loss, constipation, financial difficulties, systemic therapy side effects, arm symptoms and upset with hair lossNegative
Dubashi, 201059 Global health status, sexual functioning and sexual enjoymentBreast-conserving surgery versus mastectomyNegative
Arm symptomsPositive
Sexual functioning and sexual enjoymentHaving had ovarian ablationNegative
 Shin, 201795 Fatigue and painHigher levels of physical activity (metabolic equivalent-hours per week) (tertiles)Negative
Sexual functioningPositive
Physical functioning (only among stage I)Positive
Chang, 201449Global health statusEducation (more than high school vs less than middle school)Positive
Married versus single/divorced/separated/widowed
Body imageHousehold income (>$3000 vs <$3000)Positive
Employed versus unemployedNegative
Stage (1, 2, 3 and unknown)
Being on active treatment
Body imageBreast-conserving surgery versus mastectomyPositive
Sharma, 201796 Time of radiotherapy (every day for 5 days)
Longitudinal (n=7)
Kao, 201546**Global health status, emotional functioning, body image, sexual functioning, sexual enjoyment and future perspectiveOlder age (years)Negative
Global health status, physical functioning, role functioning, emotional functioning, cognitive functioning, social functioning, body image, sexual functioning, sexual enjoyment and future perspectiveLonger time since diagnosis
(at 6 months/1 year/2 years vs at time of diagnosis)
Positive
Global health status, physical functioning, role functioning, emotional functioning, cognitive functioning, social functioning, body image, sexual functioning, sexual enjoyment and future perspectiveCharlson comorbidity indexNegative
Global health status, physical functioning, role functioning, emotional functioning, cognitive functioning, body image, sexual functioning, sexual enjoyment and future perspectiveTumour stage (3/4 vs 0/1)Negative
Cognitive functioning and body imageTumour stage (2 vs 0/1)Negative
Role functioning, emotional functioning, cognitive functioning and body imageBreast-conserving surgery versus mastectomyPositive
Physical functioning, emotional functioning, body image, sexual functioning and sexual enjoymentBreast-conserving surgery versus mastectomy with reconstructionNegative
Global health status, physical functioning, emotional functioning, body image and future perspectiveChemotherapy (yes vs no)Negative
Global health status, emotional functioning, body image and future perspectiveRadiotherapy (yes vs no)Positive
Global health status, body image and future perspectiveHormone therapy (yes vs no)Positive
Physical functioning, role functioning, emotional functioning, cognitive functioning, body image, sexual functioning and sexual enjoymentLonger postoperative length of stayNegative
Munshi, 201038 Social functioning and arm symptomBreast-conserving surgery versus mastectomy prior to radiotherapyNegative
Sexual enjoyment and future perspectivePositive
Lee, 201178 DiarrhoeaLonger time since diagnosis (1 year postdiagnosis vs at diagnosis)Negative
Shi, 201147 Global health status, physical functioning, role functioning, emotional functioning, cognitive functioning, social functioning, body image, sexual functioning, sexual enjoyment and future perspectiveLonger time since diagnosis (2 vs 1 year)Positive
Role functioning, emotional functioning, cognitive functioning and body imageBreast-conserving surgery versus mastectomyPositive
Physical functioning, emotional functioning, sexual functioning and sexual enjoymentBreast-conserving surgery versus mastectomy with reconstructionNegative
Body imagePositive
Global health statusOlder ageNegative
Body image, sexual functioning and sexual enjoymentPositive
Global health status, physical functioning, emotional functioning, body image and future perspectiveChemotherapy (yes vs no)Negative
Global health status, emotional functioning, body image and future perspectiveRadiotherapy (yes vs no)Positive
Global health status and body imageHormone therapy (yes vs no)Positive
Global health status, physical functioning, role functioning, emotional functioning, cognitive functioning, social functioning, body image, sexual functioning, sexual enjoyment and future perspectivePreoperative quality of life scorePositive
Ng, 201541††Emotional functioningAt 6 months postdiagnosis versus at time of diagnosisPositive
Physical functioningNegative
Global health status, emotional functioning and social functioningAt 12 months postdiagnosis versus at time of diagnosisPositive
Munshi, 201297 Radiotherapy using cobalt machine versus linear accelerator at completion of radiotherapy
Damodar, 201337 Physical functioning, role functioning and future perspectiveAt ≥5 versus ≤2 cycles of chemotherapyNegative
Fatigue, insomnia, arm symptoms and upset with hair lossPositive
Sultan, 201740 Global health status, physical functioning, role functioning, emotional functioning, cognitive functioning, social functioning, sexual functioning, arm symptoms and breast symptomsChemotherapy (cycle ref: 1, 3, 6)Negative
Fatigue, pain, dyspnoea, appetite loss, diarrhoea, sexual enjoyment and upset with hair lossPositive
Studies using the FACT-G questionnaire
Cross-sectional (n=1)
So, 201451Age (years)
Time since diagnosis (months)
Comorbidity (yes vs no)
Education (no formal/primary vs secondary or higher)
Employed versus unemployed/retired/homemaker
Household income (≤HK$10 000, HK$10 001–HK$30000 and >HK$30 000)
Married/cohabitation versus single/divorced/widowed
Living alone (yes vs no)
Family history (yes vs no)
Stage (≤2 vs ≥3)
Cancer is under control versus progression (yes vs no/unsure)
Number of treatment received (one vs ≥2)
Overall well-beingHormone therapy (yes vs no)Positive
Longer time needed to travel from home to hospital (minutes)Negative
Higher scores in the domains of SCNS – psychological, physical and daily living, sexuality, health system and information, care and support
Longitudinal (n=1)
Wong, 200756‡‡Overall well-being, physical well-being and functional well-beingLonger time since diagnosisPositive
Overall well-being and physical well-beingPositive moodPositive
Overall well-being and functional well-beingHigher levels of boredomNegative
Studies using the FACT-B questionnaire
Cross-sectional (n=15)
Yan, 201643 Overall well-being, social well-being and functional well-beingAge (≤44, 45–54, 55–64 and ≥65 years)Negative
Breast cancer subscalePositive
Overall well-being, social well-being, emotional well-being and functional well-beingPrimary school or less (L) versus middle/high school (M) versus college or more (C)L<M<C
Physical well-beingM<L<C
Social well-beingMarried (Ma) versus single (S) versus widowed (W) versus divorced (D)D<S<W<Ma
Breast cancer subscaleMa<D<W<S
Overall well-being, physical well-being, emotional well-being and functional well-beingWorking in the public sector (G) versus private sector (P) versus farmers/unemployed (U)U<P<G
Social well-beingP<U<G
Breast cancer subscaleU<G<P
Overall well-being, social well-being, emotional well-being and functional well-beingHousehold income (<1000, 1001–3000, 3001–5000, >5000 RMB)Positive
Physical well-beingGenerally positive
Overall well-being, physical well-being, functional well-being and breast cancer subscaleURBMI/NRCMS (UR) versus UEBMI health insurance (UE) versus undefined (Un)UR<Un<UE
Emotional well-beingUR<UE<Un
Stage (0/1, 2, 3, 4, unknown)
Breast-conserving surgery versus mastectomy
Overall well-being, physical well-being, emotional well-being and breast cancer subscaleChemotherapy (yes vs no)Negative
Overall well-being, physical well-being, social well-being, emotional well-being, functional well-being and breast cancer subscaleTraditional Chinese medication (yes vs no)Positive
Overall well-being, emotional well-being and breast cancer subscaleTime since diagnosis (<11.9 (A), 12–23.9 (B), ≥24 (C) months)A<C<B
Physical well-being, social well-being and functional well-beingA<B<C
Overall well-being, physical well-being, social well-being, emotional well-being, functional well-being and breast cancer subscaleFamily harmony status (good vs not so good)Positive
Interaction with friends/neighbours (never, sometimes and frequent)
Overall well-being, social well-being, emotional well-being and functional well-beingParticipation in healing club (yes vs no)Positive
Breast cancer subscaleNegative
Overall well-being, social well-being, emotional well-being and functional well-beingParticipation in peer-patient activities and communicationPositive
Overall well-being, physical well-being, social well-being, emotional well-being and functional well-beingScore on Perceived Social Support Scale (<50, 50–69 and ≥70)Positive
Ohsumi, 200944 Overall well-being and social well-beingOlder age (>60 vs ≤60 years)Negative
Time since surgery (≥85 vs <85 months)
Social well-beingEducation (≥10 vs <10 years)Positive
Employed versus unemployed
Household income (>10, 5–10 and ≤5 million yen)
Married versus others
Comorbidity (yes vs no)
Lymph node status
Breast cancer subscaleBreast-conserving surgery versus mastectomyPositive
Chemotherapy (yes vs no)
Hormone therapy (yes vs no)
Park, 201142 Overall well-being, physical well-being, social well-being, functional well-being and breast cancer subscaleOlder age (≥50 vs <50 years)Negative
 Park, 201271Age (≥50 vs <50 years)
Education
Employment
Economic status
Single versus married
Performance status
Score in the domains of SCNS – health system and information, care and support
Overall well-beingHigher score in the domains of SCNS – psychological, physical and daily livingNegative
Higher score in the domains of SCNS – sexualityPositive
Thanarpan, 201598 Functional well-beingBetter subjectively measured cosmesisNegative
Objectively measured cosmesis
Self-rated breast symmetry
He, 201263 Social well-beingBreast-conserving surgery versus mastectomyPositive
Overall well-being, physical well-being, emotional well-being and functional well-beingSatisfaction with treatmentNot specified
Chen, 201355 Emotional well-beingOlder age (≥40 versus <40 years)Positive
Overall well-being, physical well-being, emotional well-being and breast cancer subscaleTime since treatment (1, 2 and 5 years)Positive
Social well-beingCan read and write versus illiteratePositive
Employed versus unemployed
Physical well-being, emotional well-being and breast cancer subscaleHigher stageNegative
Breast-conserving surgery versus mastectomy versus mastectomy with reconstruction
Chemotherapy (yes vs no)
Radiotherapy (yes vs no)
Hormone therapy (yes vs no)
Chang, 200799§§
Kim, 2013100 Functional well-beingOestrogen receptor status positivePositive
So, 2013101 Social well-being and functional well-beingHaving social supportPositive
Breast cancer subscaleNegative
Zou, 201475††Overall well-beingHigher optimismPositive
Affront copping mode versus give-in coping mode
Appraisal of illness (higher scores indicate more stress)Negative
Having distress symptoms
Jiao-Mei, 201574 Age (years)
Time since diagnosis (months)
Stage
Overall well-being, physical well-being, social well-being, emotional well-being and functional well-beingPost-traumatic growth (low, moderate and high)Positive
Overall well-being and social well-beingAdverse childhood event (0, 1 and ≥2)Negative
Qiu, 2016102 BRCA 1/2 carriers versus non-carriers
 Shin, 201757 Age (≤39, 40–49, 50–59 and ≥60)
Overall well-beingEducation (middle school vs high school vs university)Positive
Employment (yes vs no)Positive
Marital status (single vs married)
Religion (yes vs no)
Time since diagnosis (≤1, 1–5 and ≥5)
Overall well-beingRecurrence (yes vs no)Negative
Breast-conserving surgery versus mastectomy
Breast-conserving surgery versus mastectomy with reconstruction
Overall well-beingEmpowermentPositive
Self-help group (yes versus no)
So et al, 201145 Overall well-being, physical well-being, emotional well-being and breast cancer subscaleAge (≥60 vs <60 years)Positive
Park, 201352 Age (≤39 vs 40 – 49 vs 50–59 years)‡‡
Overall well-beingHousehold income (<2, 2–4, >4 million KRW/month)‡‡Positive
Stage (1, 2, 3/4, unknown)‡‡Negative
Length of chemotherapy (<6, 6–12 and ≥12 months)‡‡
Overall well-beingSatisfaction with family support (unsatisfied, moderate and satisfied)‡‡Positive
Frequency of sexual activity (none within 6 months, ≤3 in 6 months, 2–3 per month and ≥1 per week)
Overall well-being, social well-being, emotional well-being, functional well-being and breast cancer subscaleSexual functionPositive
Overall well-being, physical well-being, social well-being, emotional well-being, functional well-being and breast cancer subscaleExperienced menopausal symptomsNegative
Pahlevan Sharif, 201776 Overall well-being, social well-being, functional well-being and breast cancer subscaleHigher external locus of controlNegative
Overall well-being and functional well-beingHigher internal locus of controlPositive
Sharif, 201777 Overall well-being, social well-being, emotional well-being, functional well-being and breast cancer subscaleHigher score on powerful othersNegative
Overall well-being, social well-being and breast cancer subscaleHigher score on chanceNegative
Breast cancer subscaleAvoidant emotional copingNegative
Overall well-being, social well-being and functional well-beingActive emotional copingPositive
Social well-being and functional well-beingProblem focused copingPositive
So, 2009103
Pandey, 2005104
Longitudinal (n=3)
Cao, 2016105 Emotional well-being and social well-beingAge (>60 vs ≤60 years)Positive
Longer time since enrolment (for most comparison between 6/12/18/24 months vs time since enrolment)
Mastectomy (yes vs no)
Prior chemotherapy (yes vs no)
Emotional well-being and social well-beingAxillary lymph node dissection (yes vs no)Negative
Pandey, 200668 Overall well-being, physical well-being, functional well-being and breast cancer subscalePostsurgery versus presurgeryNegative
Taira, 201264¶¶Concomitant disease (compared at 6, 12 and 24 months)
Nodal involvement (compared at 6, 12 and 24 months)
Breast-conserving surgery versus mastectomy (compared at 6, 12 and 24 months)
Intercostobrachial nerve perseverance (compared at 6, 12 and 24 months)
Overall well-being and breast cancer subscaleChemotherapy (yes vs no) (compared at 6 months)Negative
Breast cancer subscaleChemotherapy (yes vs no) (compared at 12 and 24 months)Negative
Hormone therapy (compared at 6, 12 and 24 months)
Study using both the EORTC-QLQ-C30 and FACT-G questionnaire
Cross-sectional (n=1)
Gong, 201769 Global health status, physical functioning, role functioning, emotional functioning, social functioning, overall well-being, physical well-being, social well-being, emotional well-being and functional well-beingExercisers versus non-exercisersPositive
Nausea and vomiting, pain, dyspnoea and appetite lossNegative
Global health status, role functioning, cognitive functioning, emotional functioning, overall well-being, physical well-being and functional well-beingFrequency of exercise among exercisers (<5 vs ≥5 times a week)Positive
Fatigue, nausea and vomiting, dyspnoea, appetite loss and diarrhoeaNegative
Global health status, physical functioning, role functioning, cognitive functioning, emotional functioning, social functioning, overall well-being, social well-being and functional well-beingVegetable intake (≤250 vs >250 g/day)Positive
Fatigue, nausea and vomiting, dyspnoea, appetite loss, constipation and financial difficultyNegative
Global health status, physical functioning, cognitive functioning, emotional functioning, overall well-being, physical well-being, social well-being, emotional well-being and functional well-beingDaily fruit intake (yes vs no)Positive
Dyspnoea, appetite loss and constipationNegative
Global health status, physical functioning, role functioning, cognitive functioning, emotional functioning, social functioning, overall well-being, physical well-being, social well-being, emotional well-being and functional well-beingHealthy behaviour (ref: 1 vs 0 vs 2 vs 3)Positive
Fatigue, nausea and vomiting, pain, dyspnoea, insomnia, appetite loss, constipation and financial difficultyNegative
  • Positive association implies an increase in measured score based on the respective scoring manual of each questionnaire. Global health status and functioning status of EORTC-QLQ-C30/-BR23: positive association implies better quality of life and functioning. Symptoms scales of EORTC-QLQ-C30/EORTC-QLQ-BR23: positive association implies higher level of symptoms. All scales of FACT-G/-B: positive association implies better well-being

  • *Domains studied: global health status, physical functioning, role functioning, emotional functioning, cognitive functioning and social functioning.

  • †Domains studied: global health status.

  • ‡Domains studied: overall well-being.

  • §Apart from determinant ‘treatment status’, domain studied: global health status.

  • ¶Domains studied: global health status and body image.

  • **Domains studied: global health status, physical functioning, role functioning, emotional functioning, social functioning, body image, sexual functioning, sexual enjoyment and future perspective.

  • ††Domains studied: global health status, physical functioning, role functioning, emotional functioning, social functioning, body image, breast symptoms and arm symptoms.

  • ‡‡Domains studied: overall well-being, physical well-being, social well-being, functional well-being.

  • §§Significance not mentioned (JT Chang).

  • ¶¶Domains studied: overall well-being and breast cancer subscale.

  • MBP, mind–body practices; NP, natural products; NRCMS, New Rural Cooperative Medical Scheme health insurance; SCNS, the short-form Supportive Care Needs Survey questionnaire; TMed, traditional medicine; UEBMI, Urban Employee Basic Medical Insurance; URBMI, Urban Resident Basic Medical Insurance.