慢性病共病对城市贫困家庭医疗卫生支出的影响研究  

Studying the Influence of Multimorbidity on Medical and Health Expenditure of Urban Poor Families

作　　者：黄宵 顾雪非 向国春 HUANG Xiao;GU Xue-fei;XIANG Guo-chun(Business School,Macao University of Science and Technology,Macao,999078,China;School of Humanities and Management Science,Southwest Medical Univercity,Luzhou,Sichuan,646000,China;不详)

机构地区：[1]澳门科技大学商学院,中国澳门999078 [2]西南医科大学人文与管理学院,四川泸州646000 [3]国家卫生健康委员会卫生发展研究中心,北京100191 [4]南方医科大学卫生管理学院,广州510515

出　　处：《中国卫生经济》2022年第12期62-66,75,共6页Chinese Health Economics

基　　金：四川省第二批“三全育人”综合改革试点院(系)项目;四川省农村发展研究中心项目(2017CR18);广东省哲学社会科学规划项目(GD19CGL37);广东省卫生总费用核算研究。

摘　　要：目的:评估慢性病共病对贫困家庭医疗卫生相关支出的影响。方法:采用自行设计的问卷,对2 300户获得最低生活保障的贫困家庭进行调查。使用秩和检验、线性回归、分位数回归等分析方法进行评估。结果:有慢性病共病成员家庭的人均慢性治疗支出较有患1种慢性病成员家庭增加了20.95%;在第10、第25、第50、第75、第90分位下,有慢性病共病成员家庭的人均医疗卫生支出较无慢性病成员家庭增加了32.68%、32.65%、30.70%、32.89%、32.72%,家庭医疗卫生支出占总支出比重分别增加了5.12%、7.97%、13.56%、18.94%、21.60%。结论:慢性病共病增加了贫困家庭慢性病治疗支出、医疗卫生支出;加大了家庭医疗卫生支出占总支出比重,挤占了家庭其他支出。因此,应进一步加大慢性病共病门诊保障力度、逐步建立起支出性医疗救助制度、加强贫困家庭慢性病共病的社区管理及贫困家庭的自我健康管理。Objective:To evaluate influences of multimorbidity on health expenditure of urban poor families.Methods:A total of2 300 poor families were surveyed with a self-designed questionnaire.Kruskal-Wallis Test,Linear Regression and Quantile Regression were used to assess the impact.Results:The per capita expenditure on chronic treatment for households with members with chronic co-morbidities increased by 20.95% compared to households with members suffering from 1 chronic disease;at the 10th,25th,50th,75th and 90th percentiles,the per capita expenditure on health care for households with members with chronic co-morbidities increased by 32.68%,32.65%,30.70%,32.89% and 32.72% compared to households without members with chronic diseases,and household health expenditure as a proportion of total expenditure increased by 5.12%,7.97%,13.56%,18.94% and 21.60% respectively.Conclusion:The multimorbidity increases the chronic disease treatment expenditure and health expenditure of poor families.The proportion of family medical and health expenditure in total expenditure has been increased,and other household expenditures have been squeezed out.Therefore,efforts should be made to improve the outpatient security of multimorbidity,establish expenditure based medical assistance system,strength community management and self-management of multimorbidity.

关 键 词：慢性病共病 家庭医疗卫生支出 城市贫困家庭 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R195