人口老龄化背景下吉林省门诊医疗费用影响因素研究  

Analysis on Influencing Factors of Outpatient Health Expenses by the Population Aging in Jilin Province

作　　者：李卉[1] 韩烁 于洗河[1] Li Hui(School of Public health,Jilin University,Changchun,130021)

机构地区：[1]吉林大学公共卫生学院,长春130021 [2]吉林大学东北亚研究院,长春130012

出　　处：《医学与社会》2019年第11期23-26,共4页Medicine and Society

摘　　要：目的:在老龄化进程持续加剧的背景下,研究影响吉林省门诊医疗卫生费用的因素。方法:依据Grossman健康与医疗卫生服务理论,采取随机效应回归模型进行影响因素分析。结果:吉林省2010-2016年60岁以上人口占比、人均医保基金支出、医疗卫生机构数量与次均门诊医疗费用呈正相关,且有统计学意义(P<0.001),实际R&D经费内部支出与次均门诊医疗费用为负相关(P=0.0020)。结论:人口老龄化提高了吉林省门诊医疗费用的需求,人均医保基金支出影响门诊医疗服务的利用,医疗技术的推行与实施有利于控制门诊医疗费用,医疗服务机构数量的增加加重了老年人门诊费用负担。Objective:To analyze the influencing factors which affect the outpatient medical and health expenses in Jilin Province in the context of the population aging in China.Methods:According to Grossman′s Health and Demand Theory,this study selected random effect regression model for data analysis.Results:The proportion of population over 60 years old,the expenditure of medical insurance funds per capita,as well as the number of medical and health institutions was positively correlated to the average outpatient medical expenses from 2010 to 2016 in Jilin province,which was statistically significant(P<0.001),while the average R&D funds were negatively correlated(P=0.0020).Conclusion:The aging population has accelerated the demand of outpatient medical expenses in Jilin Province,the utilization of outpatient medical services is affected by the per capita medical insurance fund expenditure,the implementation of medical technology is conducive to the control of outpatient medical expenses.And the increasing number of medical service institutions has increased the outpatient cost for the elderly.

关 键 词：门诊费用 影响因素 人口老龄化 GROSSMAN模型 吉林 

分 类 号：R197[医药卫生—卫生事业管理]