引用本文：闫菊娥,郝妮娜,廖胜敏,等.新医改前后农村家庭灾难性卫生支出变化及影响因素
——基于陕西省眉县的抽样调查[J].中国卫生政策研究,2013,6(2):30-33 |
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新医改前后农村家庭灾难性卫生支出变化及影响因素
——基于陕西省眉县的抽样调查 |
| 投稿时间：2012-07-31 修订日期：2013-01-31 PDF全文浏览 HTML全文浏览 |
| 闫菊娥1, 郝妮娜1, 廖胜敏1, 李逸舒1, 石福妹1 |
| 西安交通大学卫生政策与管理研究所 |
| 摘要:目的：通过分析陕西省农村家庭灾难性卫生支出的变化情况及影响因素，评价新农合的实施效果。方法：利用家庭入户调查数据，比较2009年和2011年在不同界定标准下家庭灾难性卫生支出的发生率、平均差距、相对差距和集中指数的变化情况，分析农村居民灾难性卫生支出变化和影响因素。结果：高收入组现金卫生支出下降，低收入组上升，不同界定标准下灾难性卫生支出的发生率、平均差距和相对差距均降低，集中指数上升，灾难性卫生支出中老年人口的影响作用更加明显。结论：继续完善基本医疗保障制度,努力推行全民覆盖；提高收入水平，加大对贫困人口的扶持力度，提高公平性；关注老年人口，提高全民教育水平。 |
| 关键词:灾难性卫生支出 平均差距； 相对差距； 集中指数 |
| 基金项目:教育部人文社科规划基金（08JA790099） |
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| The changes and influencing factors on catastrophic health expenditures before and after new health care reform: Based on the sample survey in Mei County, Shaanxi Province |
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| Abstract:Objective: Evaluating new health care reform policy through analyzing the changes and influencing factors on catastrophic health expenditure in Shaanxi Province. Methods: Using household survey data, this paper compares the incidence of catastrophic health care expenditure, average distance, relative distance and concentration index in 2009 and 2011. It also analyzes the change and influencing factors of catastrophic health expenditure. Results: The out of pocket medical expenditure in high income group has decreased while that in low income group has rised. Under different defined standards, the incidence of catastrophic health care expenditure, average distance and relative distance of health care all have decreased, while the concentration index has increased. The influence of an aging population becomes more significant. Conclusion: The government should continue improving the essential insurance system, promoting universal coverage, improving income level，strengthening the support for the poor population, improving the equity focusing the aging population and improve the education level. |
| Key words:Catastrophic health expenditure Average distance Relative distance Concentration index |
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