农村老年慢病家庭经济风险及影响因素分析

Study on Extent and Determinants of Economic Risk in Rural Elderly Households

基于江苏省农村地区健康管理团队实施与老年慢病家庭疾病经济负担的相关调查数据,采用普通最小二乘法和Logistic回归方法,测算江苏省农村地区老年慢病家庭灾难性卫生支出的发生率和发生强度,估计影响家庭直接经济负担、经济风险的相关因素。结果显示,江苏省农村地区老年慢病家庭疾病经济风险较高。相关经济社会因素和慢病患者的就医行为会显著影响家庭现金卫生支出以及灾难性卫生支出的发生率和发生强度。政府应当对农村老年慢病人群提供系统性的经济风险保护,降低疾病的经济负担和风险。

Based on the survey data of health management team and economic burden of the elderly patients with chronic disease in rural area in Jiangsu province, this paper analyzed the extent of catastrophic health expenditures （CHE） in rural elderly households and estimated the determinants of out-of-pocket payment and CHE in rural area in Jiangsu province with ordinary least square and logistic regression modeling. CHE incidence and intensity were relatively high among rural elderly households with chronic disease patients in Jiangsu province. The main determinants of out-of-pocket payment and CHE included some socioeconomic factors and elderly household members demonstrating healthcare-seeking behaviors. Policy efforts should focus on improving financial protection and relieving the economic burden of disease in elderly households.