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• 药物经济学 • 上一篇    

我国老年人医疗卫生费用支出影响因素实证分析

马宁宁,李勇   

  1. 中国药科大学国际医药商学院 江苏,中国药科大学国际医药商学院 江苏
  • 收稿日期:2016-04-07 修回日期:2016-05-30 出版日期:2016-06-25 发布日期:2016-06-25

Empirical Analysis of Influence Factors on Aged Population′s Health Expenditures in China

  1. School of International Pharmaceutical Business,China Pharmaceutical University,Nanjing Jiangsu 211198,
  • Received:2016-04-07 Revised:2016-05-30 Online:2016-06-25 Published:2016-06-25

摘要: [摘 要]目的:分析影响我国老年人医疗卫生费用支出的因素,以期为国家制定医疗政策提供借鉴。方法:在老龄化的背景下,从家庭角度出发,利用中国老年健康影响因素跟踪调查最新2011年数据,采用Heckman 样本选择模型和两部模型,首先分析了老年人就医选择和医疗卫生费用总支出的影响因素,然后从总医疗支出、门诊医疗支出、住院医疗支出3个方面分别探讨影响老年人医疗卫生费用支出的因素。结果与结论:显著影响老年人医疗卫生费用支出的因素有:年龄,婚姻状况,受教育程度,地区,城镇,居住模式,健康自评状况,器具性活动能力(IADL),患慢性病情况,是否体检,收入,生活来源是否够用,医疗保险。并发现老年人医疗卫生费用支出存在着城乡、地区、居住模式的差异。

Abstract: [Abstract]Objective: Empirical analysis of influence factors on aged population′s health expenditures in China, in order to provide reference for making health care policy.Methods: Under the background of aging population, from the family perspective, using data from China Health and Retirement Longitudinal Study in 2011, Heckman model and two-part models,first analyzed the influence factors of healthcare service choice and the total health expenditure, then analysis of specific influence factors from health expenditure, outpatient expenditure, inpatient expenditure.Results & Conclusion: Age, marital status, education, urban and rural, region, living model, self-rated health conditions, IADL, chronic diseases,examination,income,self-rated living standard,medical insurance were the significant factors.There are difference in aged population′s health expenditures between different living model,region,registered residence.