中国农村的灾难性卫生支出及其不平等:基于2013年至2018年的纵向数据
Weile Zhang1, Min Su2, Dongxu Li3
1School of Public Administration, Inner Mongolia University, Zhaojun Road, Yuquan District, Hohhot, Inner Mongolia, 010070, China.
BMC public health
|September 26, 2023
概括
中国农村的灾难性卫生支出 (CHE) 从2013年至2018年增加,不成比例地影响了低收入家庭. 经济地位,年龄和慢性疾病推动了这种不平等,需要有针对性的卫生政策.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 农村卫生 农村卫生
背景情况:
- 灾难性医疗支出 (CHE) 是健康不平等的一个关键指标.
- 中国农村面临着经济和卫生资源方面的挑战.
- 以前的研究经常忽视使用纵向数据的更广泛的脆弱区域.
研究的目的:
- 分析中国农村家庭中CHE的发病率和不平等情况.
- 通过使用纵向调查数据,研究CHE的趋势.
- 确定导致CHE不平等的因素.
主要方法:
- 利用了中国健康与退休长度研究 (CHARLS) 三波 (2013年,2015年,2018年) 的数据.
- 在分析中包括了2575个农村家庭.
- 定义CHE为超过非食品支出40%的卫生支出,并使用度曲线和指数测量不平等,并进行分解分析.
主要成果:
- 在中国农村的CHE发病率为23.41% (2013年),21.36% (2015年) 和28.97% (2018年).
- 一个负的度指数 (2013年为-0.1528,2015年为-0.1010,2018年为-0.0819) 表示支持低经济不平等.
- 经济地位,年龄和慢性疾病是CHE不平等的主要驱动因素.
结论:
- 中国农村地区的CHE发病率显示出整体上升趋势 (2013-2018).
- 在CHE仍然存在明显的低经济不平等.
- 政策干预应侧重于改善资源配置,医疗服务的可访问性和可负担性,特别是对于老年人和患有慢性疾病的人来说.
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