贫困和临界贫困居民的疾病经济风险分析  

Analysis of Disease Economic Risk of Poverty and Near Poor Residents

作　　者：张小娟[1,2] 刘阳 彭博 叶媛 ZHANG Xiao-juan;LIU Yang;PENG Bo;YE Yuan(Institute of Medical Information,Chinese Academy of Medical Sciences,Beijing 100020,China)

机构地区：[1]中国医学科学院医学信息研究所,北京100020 [2]中国人民大学公共管理学院,北京100872

出　　处：《卫生经济研究》2021年第10期14-17,共4页

基　　金：国家自然科学基金“基于系统思考理论的乡村医生激励机制研究”(573276)。

摘　　要：基于CFPS数据,利用灾难性卫生支出和放弃医疗服务利用两个指标,分析贫困和临界贫困居民的疾病经济风险。结果显示,2012—2018年我国贫困和临界贫困人口数量明显减少,但疾病经济风险并未明显改善;相对于贫困且获得救助人员,临界贫困且获得救助人员的住院服务利用更多,而贫困和临界贫困未救助人员的住院服务利用更少;贫困和临界贫困居民有放弃医疗服务利用的可能,灾难性卫生支出指标不足以反映疾病经济风险。建议医疗救助对象的认定从收入贫困型扩展到支出贫困型,完善医疗救助方式,提高医疗救助水平,切实兜住底线,为贫困和临界贫困居民提供疾病经济风险保护。Based on the CFPS data,this paper analyzes the disease economic risks of poverty and near poor residents by using the two indicators of catastrophic health expenditure and abandonment of medical service utilization.The results showed that the number of poverty and critical poverty population in China decreased significantly in 2012-2018,but the economic risk of disease did not improve significantly.Compared with the poverty and rescued persons,the critical poverty and rescued persons use more inpatient services,while the poverty and the critical poverty without assistance use less.Poverty and near poor residents have the potential to abandon the use of medical services and catastrophic health expenditure indicators are insufficient to reflect the disease economic risk.It is suggested that the identification of medical assistance recipients be extended from income poverty to expenditure poverty,improve medical assistance methods,raise the level of medical assistance,and hold the bottom line,so as to provide economic risk protection for poverty and near poor residents.

关 键 词：贫困 临界贫困 灾难性卫生支出 疾病经济风险 

分 类 号：R197[医药卫生—卫生事业管理]