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了解中国卫生系统中的金融风险保护:使用多项国家家庭调查数据进行描述性分析
Yuanyuan Li1, Hongcai Guan1, Hongqiao Fu2
1School of Public Health, Peking University Health Science Center, Beijing, China.
BMC public health
|September 19, 2023
概括
中国中国中国中国.
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
- 医疗保健的融资 医疗保健的融资
背景情况:
- 金融风险保护是卫生系统的核心功能之一.
- 灾难性医疗支出 (CHE) 和医疗贫困 (MI) 评估了金融风险保护.
- 中国的卫生系统改革需要了解金融风险保护方面的进展.
研究的目的:
- 分析中国CHE和MI的水平和特征.
- 用CHE和MI的各种定义来评估中国的金融风险保护.
- 确定影响CHE和MI发病率和不平等的因素.
主要方法:
- 利用了来自四个国家家庭调查 (2016-2017) 的数据.
- 应用了多个常规值来定义和测量CHE和MI.
- 使用Probit回归来分析影响CHE和MI的因素.
主要成果:
- 在所有调查中观察到一致的CHE (14.95%-17.73%) 和MI (2.01%-5.63%) 发病率.
- 农村居民,低收入群体和小型家庭面临更高的财务风险.
- 尽管有进展,但与其他国家相比,中国的CHE和MI率不成比例.
结论:
- 在中国的金融风险保护方面,还有很大的改进空间.
- 解决不平等问题,特别是对低收入农村人口来说,至关重要.
- 需要有针对性的干预措施来加强中国医疗保健系统的财务保护.
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