| 引用本文：王怡欢, 张楚.农村贫困家庭灾难性卫生支出风险及影响因素研究——基于2018年CHARLS数据[J].中国卫生政策研究,2021,14(1):44-49 |
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| 农村贫困家庭灾难性卫生支出风险及影响因素研究——基于2018年CHARLS数据 |
| 投稿时间：2020-09-28 修订日期：2020-12-31 PDF全文浏览 HTML全文浏览 |
| 王怡欢, 张楚 |
| 中国人民大学公共管理学院 健康保障研究中心 北京 100872 |
| 摘要:灾难性卫生支出是衡量健康公平性的重要指标。本文基于2018年中国健康与养老追踪调查数据（CHARLS），采用Logit、Tobit模型分别对农村贫困家庭的灾难性卫生支出发生率、发生强度进行分析。研究结果表明：我国农村贫困家庭灾难性卫生支出发生率为28.20%，平均强度为0.076，因病致贫率为32.40%。家庭规模较小、有65岁以上老人、被访者无工作、有慢性病患者、残疾人的农村贫困家庭灾难性卫生支出风险显著更高；而家庭人均收入、是否有5岁以下儿童，被访者的受教育水平、居民医保的人均保障水平对贫困家庭的灾难性卫生支出无显著影响。因此，本文建议以灾难性卫生支出风险为标准建立医疗费用支出型救助制度，帮助农村贫困家庭摆脱因病致贫、因病返贫的困境。 |
| 关键词:灾难性卫生支出 农村贫困家庭 因病致贫 因病返贫 健康扶贫 |
| 基金项目:中国人民大学科学研究基金（中央高校基本科研业务费专项资金资助）（21XNH028） |
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| A study on the risks and influencing factors of catastrophic health expenditure of rural poor families: Based on the 2018 CHARLS data |
| WANG Yi-huan, ZHANG Chu |
| Health Security Research Center, School of Public Administration, Renmin University of China, Beijing 100872, China |
| Abstract:Catastrophic health expenditure (CHE) is an important indicator for measuring health equity. Based on the 2018 data from the China Health and Retirement Longitudinal Study (CHARLS), this paper used Logit and Tobit models to analyze the incidence and intensity of catastrophic health expenditure of rural poor families in China. The results showed that:the incidence of catastrophic health expenditure of rural poor families in China was 28.20%; the average intensity was 0.076; and the rate of poverty caused by illness was 32.40%. The risk of catastrophic health expenditure was significantly higher in rural poor families with smaller family size, elderly family members aged at or over 60, respondents out of work, chronic disease patients or disabled people; however, the per-capita income of a rural poor family, whether a family has any children aged below 5, the educational level of respondents and the per-capita security level of medical insurance coverage of residents, all these factors have no significant impact on the risk of catastrophic health expenditure of a rural poor family. Therefore, this paper put forward some policy suggestions, such as taking CHE risk as standard to establish a medical expenditure-based assistance system, in order to help rural poor families in China get out of the plight of poverty caused by illness and/or return to poverty due to illness. |
| Key words:Catastrophic health expenditure Rural poor families Poverty caused by illness Return to poverty due to illness Poverty alleviation through health policies |
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