摘要
目的:分析山东省农村慢性病家庭灾难性卫生支出的发生情况,探索灾难性卫生支出的主要影响因素。方法:利用发生率、平均差距等指标衡量灾难性卫生支出的发生状况,运用二项Logistic回归分析其影响因素。结果:灾难性卫生支出发生率为31.43%,平均差距为5.31%,家中有无65岁以上老人、人均年收入和家庭人口数是其主要影响因素。结论:农村慢性病家庭更容易发生灾难性卫生支出,因此应进一步完善新农合制度,加大对慢性病患者尤其是65岁以上者的补偿力度,减少灾难性卫生支出的发生。
Objective:To analyze the catastrophic health expenditure(CHE) among rural chronic diseases families in Shandongand explore its main determinants of CHE.Methods:The indicators such as occurrence and average deviation were applied to evalu-ate the catastrophic health expenditure and identify its determinants through Binary Logistic Regression.Results:The CHE incidencerate was 31.43% and the average deviation was 5.31%. Whether the family has people above 65 years old, annual per capita incomeand the number of family member were the main influencing factors.Conclusion:The rural chronic diseases families were more vul-nerable to result catastrophic health expenditure. Therefore, the government should further perfect new rural cooperative medical sys-tem and increase the compensation degree for chronic disease patients, especially for people above 65 years old, so as to decrease theincidence of CHE.
出处
《中国卫生经济》
北大核心
2015年第4期59-60,共2页
Chinese Health Economics
基金
国家自然基金(71373147)
关键词
慢性非传染性疾病
灾难性卫生支出
影响因素
山东
noncommunicable chronic diseases
catastrophic health expenditure
determinants
Shandong
