我国老年人医疗卫生支出影响因素研究

 
投稿时间: 2015-05-25  最后修改时间: 2015-06-15  摘要点击次数: 2712  全文下载次数: 1455
 
引用本文:马爱霞, 许扬扬.我国老年人医疗卫生支出影响因素研究[J].中国卫生政策研究,2015,8(7):68-73
马爱霞, 许扬扬
中国药科大学国际医药商学院 江苏南京 211198
 
 摘要:目的:为完善老年人医疗保障体系提供政策建议。方法:基于Andersen医疗服务利用行为模型框架,利用中国健康与养老追踪调查2011年数据,建立我国老年人医疗卫生支出影响因素的Tobit模型。结果:需要因素中的自评健康状况与是否患有慢性病,能力因素中的医疗保险、养老保险与自评生活水平,以及倾向因素中的年龄、性别、婚姻状况和城乡身份显著影响我国老年人的医疗卫生支出。结论:建议按照“堵疏结合,区别对待”的原则,构建我国老年人医疗保障体系。 
  关键词:老龄化  医疗卫生支出  医疗保障体系  影响因素
 
Determinants on aged population's health expenditures in China
MA Ai-xia, XU Yang-yang
School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing Jiangsu 211198, China
 
 Abstract:Objective: To provide references for policy-making on the establishment of a sound healthcare system for China's aged population. Methods: Based on the framework of The Behavioral Model of Health Services Use and data from China Health and Retirement Longitudinal Study in 2011, the Tobit model of aged population's health expenditures is built. Results: Self-rated health conditions, chronic disease, medical insurance, endowment insurance, self-rated living standard, age, gender, marital status and urban-rural character are the significant determinants. Conclusions: The healthcare system for China's aged population should be built through simultaneously applying disease prevention and access facilitation policies and the characteristic differences of different groups of aged population should be taken into consideration. 
 keywords:Aged population  Health expenditure  Health insurance system  Determinants