[1]赵钦风,李佳婧,焦 晨,等.慢性病患者家庭发生灾难性卫生支出研究[J].卫生经济研究,2021,38(2):7-10.
　ZHAO Qin-feng,LI Jia-jing,JIAO Chen,et al.Study on Catastrophic Health Expenditure in Families of Chronic Diseases Patients[J].Journal Press of Health Economics Research,2021,38(2):7-10.
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慢性病患者家庭发生灾难性卫生支出研究
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
38
期数:
2021年2期
页码:
7-10
栏目:
理论视野
出版日期:
2021-01-20

文章信息/Info

Title:
Study on Catastrophic Health Expenditure in Families of Chronic Diseases Patients
作者:
赵钦风1; 李佳婧1; 焦 晨1; 常精华2
1.国家卫生健康委员会卫生经济与政策研究重点实验室，山东大 学齐鲁医学院，山东 济南 250012
Author(s):
ZHAO Qin-feng; LI Jia-jing; JIAO Chen; CHANG Jing-hua
Centre for Health Management and Policy Research, School of Public Health，Cheeloo College of Medicine, Shandong University； NHC Key Lab of Health Economics and Policy Research (Shandong University), Jinan Shandong 250012, China
关键词:
慢性病; 灾难性卫生支出; 基本医疗保险
Keywords:
chronic disease;  catastrophic health expenditure;  basic medical insurance
分类号:
R195
文献标志码:
A
摘要:
目的：分析慢性病患者家庭发生灾难性卫生支出的情况。方法：利用2015年中国家庭金融调查数据，分析慢性病患者家庭与无慢性病患者家庭灾难性卫生支出的发生率、平均差距和相对差距。结果：慢性病患者家庭灾难性卫生支出发生率为9.57%，是无慢性病患者家庭的4倍；高收入水平对缓解无慢性病患者家庭发生灾难性卫生支出的效果优于慢性病患者家庭；基本医疗保险对缓解家庭发生灾难性卫生支出的公平性效果不佳。结论：慢性病加剧了家庭发生灾难性卫生支出的负面影响，应做好慢性病预防工作，完善慢性病诊断相关分组的医保报销政策，减轻慢性病带来的经济负担。
Abstract:
Objective Analysis of catastrophic health expenditure in families of chronic diseases patients.Methods Using the data of Chinese household finance survey in 2015,this paper analyzes the incidence,average and relative gap of catastrophic health expenditure between families with chronic diseases and families without chronic diseases.Results The incidence of catastrophic health expenditure in families with chronic diseases is 9.57%，which is 4 times higher than that in families without chronic diseases; the effect of high income level on alleviating catastrophic health expenditure in families without chronic diseases is better than that in families with chronic diseases; basic medical insurance is not effective in alleviating the fairness of catastrophic health expenditure in families.Conclusion Chronic diseases aggravate the negative impact of catastrophic health expenditure on families.We should do a good job in the prevention of chronic diseases, improve the medical insurance reimbursement policy of groups related to the diagnosis of chronic diseases,and reduce the economic burden caused by chronic diseases.

参考文献/References:

[1] 汤少梁，许可塑.贫困慢性病患者疾病负担与健康精准扶贫政策研究[J].中国卫生政策研究，2017，10（6）：64-67.
[2] Li Y,Wu Q,Xu L,et al.Factors affecting catastrophic health expenditure and impoverishment from medical expenses in China:policy implications of universal health insurance[J].Bulletin of the World Health Organization,2012,90(9):664-671.
[3] 王阳，邱培媛，田帆，等.四川省富顺县农村家庭灾难性卫生支出现状及其影响因素[J].中国公共卫生，2019，35（2）：152-156.
[4] 黄术生，尹爱田.山东省农村家庭灾难性卫生支出及其影响因素[J].中国公共卫生，2018，34（9）：1221-1223.
[5] 高梦婷，杨娟，燕虹，等.湖北省农村家庭灾难性卫生支出及其影响因素[J].中国卫生统计，2016，33（6）：1008-1009.
[6] 侯静姝，王晓杰，曹净植.黑龙江省国有林区职工家庭灾难性卫生支出及其影响因素分析[J].中国卫生经济，2018，37（2）：48-50.
[7] 许建强，郑娟，李佳佳，等.全民健康覆盖下城乡家庭灾难性卫生支出测量及差异分析[J].卫生经济研究，2019，36（3）：35-38.
[8] 黄宵，向国春，李婷婷，等.医疗保障对降低城市贫困家庭慢性病经济风险的效果研究[J].卫生经济研究，2017（8）：51-53.
[9] 丁继红，游丽.基本医疗保险对老年人灾难性卫生支出的影响研究[J].保险研究，2019（12）：98-107.
[10] 王龙安，李鑫，李长乐，等.基本医疗保险制度对改善家庭灾难性卫生支出的效果研究[J].经济师，2020（4）：58-59.

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更新日期/Last Update: 2021-01-27