| 引用本文: |
陈鸣声,钱东福,冯占春.我国西部少数民族地区高血压患者家庭灾难性卫生支出研究[J].中国卫生经济,2016,(12):73-75.[点击复制] |
.Study on the catastrophic health expenditure on the patients with hypertension in the minority-inhabited areas in western China[J].CHINESE HEALTH ECONOMICS,2016,(12):73-75.[点击复制] |
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| 摘要: |
| 目的：分析我国西部少数民族地区高血压患者家庭灾难性卫生支出状况。方法：通过收集2011年和2014年家庭入户调查数据，比较不同年度灾难性卫生支出的发生率、平均差距、相对差距和集中指数变化情况。结果：高血压患者家庭灾难性卫生支出发生率和平均差距呈下降趋势，灾难性卫生支出相对差距变化不明显；灾难性卫生支出集中指数下降。结论：当地实施的分级诊疗制度有效降低高血压患者医疗费用，发生灾难性卫生支出的家庭密度和总体影响度减弱；需要进一步调整医保补偿机制调控灾难性卫生支出向低收入高血压患者集中的趋势。 |
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| Study on the catastrophic health expenditure on the patients with hypertension in the minority-inhabited areas in western China |
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| Abstract: |
| Objective: This paper aims to analyze the catastrophic health expenditure on patients with hypertension in the minority-inhabited areas in western China. Methods: The incidence and intensity of catastrophic payment for health care were estimated from two rounds of household survey in 2011 and 2014, respectively. Concentration index were also estimated over the same period. Results: The incidence, average distance and concentration index of catastrophic health expenditure were reduced, but relative distance was not changed. Conclusion: The intensity and impact of catastrophic health expenditure was reduced due to two-way referral system. Adjustment of health insurance compensation is needed to control the trend of pro-rich distribution of catastrophic health expenditure. |
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