论文部分内容阅读
目的:分析医改前后农村老年家庭灾难性卫生支出情况。方法:通过入户调查分别收集2008年和2013年的家庭收入和支出情况、慢性病患病状况、卫生服务利用数据分析灾难性卫生支出发生率以及平局差距。结果:农村老年家庭灾难性卫生发生率和平均差距随着阈值和收入的升高而下降。与2008年相比,2013年农村老年家庭灾难性卫生发生率和平均差距上升,其中低收入和有住院发生的家庭上升明显,而高收入和无住院发生的家庭的略有下降。结论:医改缓解农村老年家庭灾难性卫生支出的作用有限,缺乏公平性。
Objective: To analyze the disastrous health expenditures of rural elderly before and after medical reform. Methods: Household income and expenditure in 2008 and 2013, prevalence of chronic diseases and utilization of health services were collected through household survey to analyze the incidence of disastrous health expenditure and the gap between the two. Results: The incidence and average disparity in catastrophic health among rural elderly declined as the threshold and income increased. Compared with 2008, the incidence and average disparity in catastrophic health among rural elderly families increased in 2013, with a significant increase in low-income and in-hospital families, with a slight decrease in high-income and non-hospitalized families. Conclusion: The effect of medical reform on alleviating disastrous health expenditure of the elderly in rural areas is limited and lacks fairness.