富顺县农村家庭灾难性卫生支出影响因素分析  

Research on the Influencing Factors of Rural Family Catastrophic Health Expenditure in Fushun County

作　　者：张熠佳 黄雅莲[1] 李娟 李德 ZHANG Yijia;HUANG Yalian;LI Juan;LI De(Chengdu Medical College,Chengdu 610500,Sichuan Province,China;Sheng′an Middle School,Chengdu 610500,Sichuan Province,China)

机构地区：[1]成都医学院,成都610500 [2]成都市新都区升庵中学,成都610500

出　　处：《预防医学情报杂志》2021年第10期1405-1411,共7页Journal of Preventive Medicine Information

基　　金：四川省社会科学重点研究基地四川应用心理学研究中心面上项目(项目编号:CSXL-202A18);四川省科技计划项目(项目编号:2020YFS0319)。

摘　　要：目的降低农村居民疾病经济负担是农村医疗的主要目标。因此,分别于2012年和2015年对四川省富顺县进行了入户调查,旨在了解农村居民灾难性卫生支出的发生情况,并进一步探讨农村居民灾难性卫生支出的影响因素。方法采用随机多阶段抽样的方法,分别于2013年和2016年在四川省富顺县抽取2400户和1200户家庭。采用倾向得分匹配方法来平衡2012年和2015年数据。采用发生率、平均差距和相对差距、集中指数和集中曲线来测量灾难性卫生支出。采用多元Logistic回归分析灾难性卫生支出的影响因素。检验水准α=0.05。结果本次研究共匹配1006对家庭。灾难性卫生支出的发生率分别为12.52%(2012年)和15.90%(2015年)。灾难性卫生支出的集中指数分别为-0.2009(2012年)和-0.1907(2015年)。灾难性卫生支出的影响因素包括:经济状况,家庭是否有60岁及以上的老年人,家庭人口数量,家庭是否有门诊患者,家庭是否有住院患者。结论农村家庭的灾难性卫生支出发生率较低但并未呈现出下降的趋势,需要更加综合有效的改革策略来降低农村居民的疾病经济负担。Objective Reducing the economic burden of diseases of rural residents is the main goal of rural medical care.Therefore,the study conducted household surveys in Fushun County,Sichuan Province in 2012 and 2015 respectively,aiming to understand the occurrence of catastrophic health expenditures of rural residents and further explore the influencing factors of catastrophic health expenditures of rural residents.Methods A random multi-stage sampling method was used to selected 2400 and 1200 households in Fushun County,Sichuan Province in 2013 and 2016,respectively.Propensity score matching method was performed to balance the 2012 and 2015 data.Incidence rate,average gap and relative gap,concentration index and concentration curve were used to measure the catastrophic health expenditure.Multivariate Logistic regression was conducted to analyze the influencing factors of catastrophic health expenditure.The test level wasα=0.05.Results A total of 1006 pairs of families were matched in this study.The incidence of catastrophic health expenditure was 12.52%in 2012 and 15.90%in 2015.The concentration index of catastrophic health expenditure was-0.2009 in 2012 and-0.1907 in 2015.The influencing factors of catastrophic health expenditure included economic status,whether the family has elderly people aged60 and above,the number of family population,whether the family has outpatients,and whether the family has inpatients.Conclusion The incidence of catastrophic health expenditures in rural households is relatively low,but does not show a downward trend.More comprehensive and effective reform strategies are needed to reduce the economic burden of diseases of rural residents.

关 键 词：农村家庭 灾难性卫生支出 影响因素 

分 类 号：R195[医药卫生—卫生统计学]