在中国的老年人住院费用和负担研究 - - 来自CHARLS数据2018年的分析
Shanheng He1,2,3, Ying Bian1,2,3
1Institute of Chinese Medical Sciences, University of Macau, Macau, China.
Frontiers in public health
|August 9, 2024
概括
住所,医疗保险和慢性疾病等因素对中国老年人的住院费用和负担产生重大影响. 政策建议包括扩大保险和加强初级保健,以减少医疗保健费用.
科学领域:
- 老年学和健康经济学
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 中国人口老龄化正在增加医疗保健支出,住院治疗成为主要的成本驱动因素.
- 到2012年,60岁以上的患者的住院费用超过了门诊费用,这表明了资源分配的转变.
- 了解影响住院费用和老年人负担的因素对于有效的医疗保健规划至关重要.
研究的目的:
- 检查影响中国老年人住院费用和负担的微观因素.
- 提供关于社会,医疗,家庭,个人和地理因素对医疗保健利用和开支的影响的经验证据.
- 为政策制定提供信息,以管理人口老龄化中的医疗保健成本.
主要方法:
- 利用了2018年中国健康与退休长度研究 (CHARLS) 的数据.
- 采用线性回归模型分析影响住院费用和负担的因素.
- 根据区域进行子组分析,以考虑异质性,并检查对线性.
主要成果:
- 平均住院费用为1,199.24美元,负担得分为0.5.5.
- 影响住院费用的关键因素包括居住地,慢性疾病,地区,家庭规模,医疗服务设施类型,距离,吸烟和酒精消费.
- 住院负担受到居住地,医疗保险,教育,慢性疾病,地区,家庭规模,种族,医疗服务设施类型,距离,吸烟,酒精消费和养老金状况的影响.
结论:
- 确定了影响中国老年成人住院费用和负担的关键因素.
- 推政策干预措施,如扩大医疗保险,促进商业保险和加强初级保健.
- 建议解决区域医疗保健差异,为弱势群体提供有针对性的支持,以改善医疗保健的可访问性和财务安全.
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