我国大城市15岁及以上居民门诊费用及其影响因素分析

The Clinical Expenditures and its Changes in Big Cities of China

目的 分析我国大城市 15岁及以上居民就诊费用及其变化趋势 ,探讨影响居民门诊费用的因素 ,为卫生改革和控制医药费用进一步上涨提供参考依据。方法 利用 1993年和 1998年二次国家卫生服务调查 15岁及以上患者两周就诊情况的资料 ,采用描述性分析和建立对数线性回归模型的方法。结果 地区、年龄、性别、文化程度、收入水平、医疗保障制度、疾病别的次均就诊费用存在差异。结论 性别、疾病种类、医疗保障制度、收入、恩格尔系数、病人自身对所患疾病严重程度的认识是影响 15岁及以上居民就诊费用的主要因素。

Objective Through analyzing the clinical expenditures and its changing trends for the population at age 15 and above in big cities of China, to find out the affecting factors for the population clinical expenditures, and to provide policy evidences for health reform and health expenditure control in China. Methods The clinical visiting data of population at age 15 and above from 1993 and 1998 National Health Services Survey in big cities were used. Some descriptive methods and log linear regression model were applied in this study. Results There are statistical significant differences in average population clinical expenditures between regions, age groups, gender, education levels, income levels, health insurance situations and type of illness. Conclusion The major affecting factors of clinical expenditures in the population at age 15 and above in urban areas of China are gender, type of illness, health insurance situation, income, Enger index, and the self consideration for the seriousness of diseases by patients.