我国高龄老人家庭灾难性卫生支出及其不平等研究——基于CFPS数据的实证分析  

Study on catastrophic health expenditure and its inequality among elderly household in China:Empirical analysis based on CFPS data

作　　者：邱杨 王瓅珠 李思涵 王中华[1] QIU Yang;WANG Li-zhu;LI Si-han;WANG Zhong-hua(School of Medicine and Administration,Nanjing Medical University,Nanjing Jiansu 211166,China)

机构地区：[1]南京医科大学医政学院,江苏南京211166

出　　处：《中国卫生政策研究》2024年第5期41-49,共9页Chinese Journal of Health Policy

摘　　要：目的:测算我国高龄老人家庭灾难性卫生支出发生现状,分析灾难性卫生支出不平等趋势及贡献因素。方法:基于中国家庭追踪调查2012—2020年数据,测算高龄老人家庭灾难性卫生支出发生率和发生强度,利用Logit回归、多元线性回归、集中指数及其分解方法估计灾难性卫生支出的影响因素、不平等及相关因素贡献度。结果:中国高龄老人家庭灾难性卫生支出发生风险较高、强度较大,存在倾向于低收入家庭的不平等。家庭存款、家庭人均收入、家庭净资产、老人身体健康程度、老人拥有组织成员身份是灾难性卫生支出不平等的主要正向贡献因素,伴侣健在对灾难性卫生支出的不平等有一定负向贡献。结论:政策制定应考虑相关影响因素,为高龄老人群体提供相应的经济风险保护。Objective:This study aims to assess the status of catastrophic health expenditure(CHE)among elderly households in China,analyze the evolving inequality trends of CHE,and identify the contributing factors.Methods:Utilizing data from the China Family Panel Studies(2012—2020),we employed Logit regression and multiple linear regression to estimate the factors influencing CHE,Furthermore,we utilized the concentration index and its decomposition method to examine the disparities in CHE and the respective impacts of associated factors.Results:The findings reveal a heightened vulnerability among elderly households,with discernible income-related inequalities and a rising trend.Economic factors.Household savings,per capita income,and net worth,as well as the health status of the elderly and their membership in elderly-oriented organizations,positively contribute to the inequality in catastrophic health expenditure.Conversely,the presence of a partner exhibits a negative influence.Conclusion:These results underscore the need for policy interventions that address these contributing factors and effectively provide economic risk mitigation for the elderly population.

关 键 词：高龄老人 灾难性卫生支出 集中指数 

分 类 号：R197[医药卫生—卫生事业管理]