城市慢性病患者现金卫生支出致贫影响与实证研究  

Poverty Impact and Empirical Research on Out-of-pocket Health Payment of Chronic Diseases in Urban Areas

作　　者：程怀志[1] 戴红[1] 郭斌[1] 刘艳瑞[1] 赵翀[1] 田丽娟[1] 

机构地区：[1]哈尔滨医科大学大庆校区,黑龙江大庆163319

出　　处：《中国社会医学杂志》2017年第4期379-382,共4页Chinese Journal of Social Medicine

基　　金：教育部人文社会科学研究青年基金项目(12YJCZH060);黑龙江省卫生和计划生育委员会科研课题(2016-208);哈尔滨医科大学大庆校区导师基金(XQJJ2015001)

摘　　要：目的探究黑龙江省城市慢性病患者现金卫生支出的致贫影响。方法使用全国第五次卫生服务调查黑龙江数据,比较不同贫困界定标准下个人现金卫生支出前后贫困发生率及贫困差距。结果居民个人现金卫生支出加大且加深了城市慢性病患者的贫困程度,尤其对低收入组人群影响较大。结论卫生资源利用不公平,现金卫生支出加深了贫困程度,对贫困人群影响较大,政府应加大投入力度,重点关注贫困人群,实施有效的医疗救助,并健全医疗保障制度。Objectvies To explore the impact of out-of-pocket health payment（OOP）on chronic diseases of urban areas in Heilongjiang Province.Methods Data was collected from National Health Service Survey Database of Heilongjiang,and then we tried to compare the incidence of poverty and gaps under different poverty line.Results OOP had increased and deepened the poverty of urban patients with chronic diseases,especially for low-income groups.Conclusions The utilization of health resources is not fair.OOP has deepened the degree of poverty and has a greater impact on the poor.The government should increase its investment,focus on the poor,implement effectvie medical assistance,and improve the medical security system.

关 键 词：慢性病 现金卫生支出 贫困发生率 贫困差距 

分 类 号：R197.1[医药卫生—卫生事业管理]