家庭灾难性医疗支出:一个多国分析
Ke Xu1, David B Evans, Kei Kawabata
1Evidence and Information for Policy, World Health Organization, 20 Avenue Appia, CH-1211 27, Geneva, Switzerland.
Lancet (London, England)
|July 18, 2003
概括
灾难性的医疗支出影响了全球许多家庭,特别是在较贫穷的国家. 减少自付费和加强金融风险保护是防止因医疗费用而导致贫困的关键.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 全球健康 全球健康
背景情况:
- 政策制定者旨在保护公民免受与健康有关的经济困难和贫困.
- 灾难性医疗支出是一个重大而反复出现的全球性问题.
- 了解这个问题的严重程度对于政策制定至关重要.
研究的目的:
- 调查不同国家的灾难性医疗支出的流行率和决定因素.
- 确定导致家庭面临高医疗费用的因素.
- 为医疗保健中的金融风险保护提供政策干预信息.
主要方法:
- 跨国分析利用来自59个国家的家庭调查数据.
- 回归分析以确定与灾难性卫生支出相关的变量.
- 灾难性支出的定义:家庭医疗支付超过了后生存收入的40%.
主要成果:
- 在全球范围内观察到灾难性医疗支出率的显著变化.
- 在一些转型国家和拉丁美洲国家发现的最高率.
- 确定了关键的先决条件:有偿医疗服务的可用性,支付能力低,以及缺乏预付款/保险.
结论:
- 减少对自付支付的依赖和增加对金融风险的保护可以保护家庭.
- 扩大医疗保健准入是至关重要的,但可能会增加灾难性支出风险.
- 有针对性的风险保护政策是必不可少的,特别是针对弱势群体.
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