我国城市贫困家庭的灾难性卫生支出研究

A Study on Catastrophic Health Expenditure of Urban Poor Families

本文用社会分层、社会风险理论探讨了灾难性卫生支出新的测量方法,通过对四城市800户属于当地贫困人口医疗救助制度救助对象的家庭进行问卷调查,了解他们的医药费用负担情况,从中发现卫生支出加深了调研家庭的贫困程度。多元回归表明影响灾难性卫生支出发生的因素有医疗保障、家庭收入、人口、家庭健康状况及是否有成员住院。在调研结果的基础上,对如何通过完善医疗救助减少灾难性卫生支出提出了政策建议。

In the article,a new estimate method of catastrophic health expenditure was developed using the theory of social stratification and social risk. To investigate the financial burden of disease of urban poor families, stratified quota random sampling was adopted to select 800 families of four cities covered by local Medical Assistance scheme using questionnaires. The financial burden of disease was found to have aggravated the poverty extent of surveyed families. And the main affecting factors for catastrophic health expenditure include household income, household size, whether covered by medical insurance, family health status and whether any hospitalized family member. We provided some policy suggestions to prevent the catastrophic health expenditure based on the findings of this survey.