[1]王雪峰,辛艳姣,蒋俊男,等.中西部地区农村住院患者家庭聚集性及经济负担分析[J].卫生经济研究,2019,(01):22-25.
　WANG Xue-feng,XIN Yan-jiao,JIANG Jun-nan,et al.Analysis of Family Aggregation and Economic Burden of Rural Inpatients in Central and Western China[J].Journal Press of Health Economics Research,2019,(01):22-25.
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中西部地区农村住院患者家庭聚集性及经济负担分析
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
期数:
2019年01期
页码:
22-25
栏目:
成本与费用
出版日期:
2019-01-04

文章信息/Info

Title:
Analysis of Family Aggregation and Economic Burden of Rural Inpatients in Central and Western China
作者:
王雪峰1; 辛艳姣1; 蒋俊男1; 项 莉1
1.华中科技大学同济医学院医药卫生管理学院 ，湖北 武汉 430040
Author(s):
WANG Xue-feng; XIN Yan-jiao; JIANG Jun-nan; XIANG Li
School of Medicine and Health Management，Tongji Medical College，Huazhong University of Science and Technology，Wuhan Hubei 430040，China
关键词:
大病保险; 住院患者; 家庭聚集性; 家庭累计医疗支出
Keywords:
major illness insurance; inpatients; family aggregation; family cumulative medical expenditure
分类号:
R19
文献标志码:
B
摘要:
目的：分析中西部地区农村住院患者家庭医疗支出情况，为优化大病保险制度设计提供依据。方法：收集湖北省A市和贵州省B县2016年参合患者年度住院信息，以患者家庭为单位分析住院患者家庭聚集情况及经济负担状况。结果：农村住院患者家庭聚集情况较为普遍，25%左右的大病患者家庭有多名患者住院，大病保险补偿后家庭经济负担仍较重。结论：优化大病保险制度设计，提高多人患大病家庭中大病患者的保障水平，同时考虑逐步将累计自负费用较高的多患者家庭纳入大病保险范围。
Abstract:
Objective To analyze the family medical expenditure of rural inpatients in the central and western China，and to provide evidence for optimizing the design of the major illness insurance system. Methods The annual hospitalization information of the participating patients in the A city of Hubei Province and the B county of Guizhou Province was collected. And the family gathering situation and economic burden of the inpatients were analyzed taking family as a unit. Results The prevalence of family gathering was common among rural inpatients. About 25% of families reporting members with major illness had more than one patient in the hospital. The family financial burden was still heavy after the compensation from major illness insurance. Conclusion The design of the major illness insurance system should be optimized to improve the protection level of the families with more than one patients with major illnesses. At the same time，it should gradually take families with more than one patients high self-financing costs into the scope of major illness insurance.

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更新日期/Last Update: 2019-01-04