| 引用本文：郜凯华,钱军程,张拓红.中国老年人医疗服务需要和利用——基于1998—2008年的国家卫生服务调查数据[J].中国卫生政策研究,2014,7(6):47-52 |
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| 中国老年人医疗服务需要和利用——基于1998—2008年的国家卫生服务调查数据 |
| 投稿时间：2014-05-21 修订日期：2014-06-11 PDF全文浏览 HTML全文浏览 |
| 郜凯华1, 钱军程2, 张拓红1 |
| 1.北京大学公共卫生学院 北京 100191;2.国家卫生和计划生育委员会统计信息中心 北京 100044 |
| 摘要:目的：分析我国60岁及以上老年人口医疗服务需要和利用的变化趋势，以更好地应对人口老龄化，为完善老年人医疗服务体系提供科学依据。方法：利用1998、2003和2008年三次国家卫生服务调查的资料和分析报告，对老年人患病、就诊、住院及费用情况进行时间趋势与增长率变化分析。结果：1998—2008年，老年人的两周患病率从29.0%上升到43.2%，慢性病患病率从50.2%上升到59.5%，两周就诊率从31.7%略降至28.3%，住院率从7.9%增加到13.8%，因经济困难应住院未住院的比例仍然较高。结论：慢性病已经成为危害老年人健康的主要问题，经济负担能力仍大大制约老年人口卫生服务利用，对人口老龄化做出快速反应的卫生体系建设迫在眉睫。 |
| 关键词:人口老龄化 医疗服务 影响因素 |
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| Health care need and utilization among China’s aged population：Data from the National Health Services Survey 1998 to 2008 |
| GAO Kai-hua1, QIAN Jun-cheng2, ZHANG Tuo-hong1 |
| 1.School of Public Health, Peking University, Beijing 100191, China;2.Center for Health Statistics, National Health and Family Planning Commission, Beijing 100044, China |
| Abstract:Objective: To explore trends in health care need and utilization among China's aged population and provide a reference for policy-making on medical service provision for the aging population. Methods: The paper analyzes prevalence, outpatient utilization, hospitalization, and medical expenses of the aging population using large comparable sample data from National Health Services Survey in 1998, 2003 and 2008. Results: From 1998 to 2008, the two-week prevalence rate ranged from 29.0% to 43.2%; the prevalence rate of chronic diseases ranged from 50.2% to 59.5%; the two-week visiting rate ranged from 31.7% to 28.3%; and the hospitalization rate ranged from 7.9% to 13.8%. Conclusion: Chronic diseases have been the major health issues of the aging population. The financial burden greatly reduces the utilization of medical care among the aged population. A health system that can respond to the aged population quickly is much needed. |
| Key words:Aging population Medical service Factors |
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