滕州市农村居民灾难性卫生支出影响因素研究  

Research of Catastrophic Health Expenditure Determinants among Rural Inhabitants in Tengzhou City

作　　者：陈仁友[1] 尹爱田[1] 赵文静[1] 韩志琰[1] 王文华[1] 许利刚[1] 井珊珊[1] 马东平[1] 徐厚丽[1] 侯珺[1] 

机构地区：[1]山东大学卫生管理与政策研究中心卫生部卫生经济与政策研究重点实验室,济南250012

出　　处：《中国卫生经济》2012年第3期19-21,共3页Chinese Health Economics

基　　金：济南市科技发展计划项目资助(项目编号201004009)

摘　　要：目的:研究滕州市农村居民灾难性卫生支出的密度和强度,分析灾难性卫生支出重要影响因素。方法:多阶段整群抽样调查181户家庭,二分类Logistic回归模型用来分析家庭灾难性卫生的影响因素。结果:在卫生支出占家庭支付能力40%时,滕州市农村家庭灾难性卫生发生率26.51%,家庭年纯收入、家庭内是否有慢性病患者、家庭是否负债是不同标准灾难性卫生支出的影响因素。结论:贫困人群灾难性卫生支出率发生较高,需要进一步完善新农合医疗保障制度和加大中央财政转移支付力度,减少农村家庭灾难性卫生支出的发生。Objective： To research tile density and extent of catastrophic health expenditure （CHE） and determine the factors responsible for it in Tengzhou City, Shandong Province. Methods： An investigation of 181 househohis was made by muhi-stratified sample in 2011. The determinants of household CHE were identified by Dichotomies classification logistic regression method. Results： Under the standard over 40% CHE, the proportion of households with CHE was 26.51%. The key determinants of CHE were economic status, chronic disease and debt in households. Conclusion： Results indicated that more people incurred CItE in impoverished households, so specific strategies, such as perfecting the new type of rural cooperative medical care system and increasing central financial transfer payment degree, can reduce vulnerability.

关 键 词：农村居民 灾难性卫生支出 影响因素 滕州 

分 类 号：R197.1[医药卫生—卫生事业管理]