| 摘要: |
| 目的：对比分析新医改实施前后，个人现金卫生支出的变化情况及其影响因素。方法：利用2000—2015年个人现金支出费用占卫生总费用比率的时间序列数据纵向比较不同年份变化，采用横截面数据横向比较中国与其他国家个人现金卫生支出状况。采用主成分分析的方法对影响个人现金卫生支出比率变化的各因素贡献率进行研究。结果：纵向比较发现个人现金卫生支出比率呈现稳定下降趋势，横向比较发现中国与中高收入国家的个人现金支出比率仍有较大差距。人均GDP、5岁以下儿童的死亡率、65岁以上老年人口的比率是影响个人现金卫生支出的显著因素。结论：个人现金卫生支出比率有待继续降低，应采取加快经济增长、健全医疗保障制度、加大公共卫生投入等措施，降低居民医疗经济负担。 |
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| The Study on the Out of Pocket Expenditure as % of Total Expenditure on Health in the Principal Component Analysis |
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| Abstract: |
| Objective: To compare the change of out of pocket (OOP) expenditure before and after the new medical reform, and analyze the cause of leading to OOP reduction. Methods: 2000-2015 time series data was used to compare the changes of OOP, and compared the Chinese OPP with other country use the cross series data, analyzed the cause of leading to OOP reduction in the principal component analysis. Result: In time series the OOP as % of total expenditure on health (TEH) decreased significantly, but in cross series the OOP as % of TEH in China was higher than the upper middle income countries. Per GDP, under five mortality , proportion over 65 years were significant effective with the OOP as % of TEH. Conclusion: The OOP as % of TEH needs to further decrease. Reduce the residents’medical burden by the measures of accelerating the economic growth, strengthen the medical security system, increasing the investment of public health. |
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