农村贫困慢病老人住院直接经济负担及其影响因素分析

Analyzing the Direct Economic Burden of Hospitalized Elderly Poverty with Chronic Diseases in Rural Areas and Its Influencing Factors

目的:分析农村贫困慢病老人的住院直接经济负担现状及其影响因素,为减轻贫困慢病老人的疾病经济负担、实现健康老龄化目标提出切实可行的建议。方法:采用新农合数据库的医疗费用信息和入户调研数据,共纳入2437个慢病老人样本,依照贫困与否分层,并采用方差分析比较住院直接经济负担的差异,借助对数多元线性回归分析住院直接经济负担的影响因素。结果:贫困慢病老人占42.47%;其住院次数多于非贫困慢病老人,但两者的住院直接经济负担无显著差异;住院次数和住院天数是慢病老人住院直接经济负担的共同影响因素,但贫困慢病老人还受新农合医保和已婚的影响。结论:健康扶贫政策初见成效,但相对公平性仍需完善;扶贫工作要关注贫困老人的特殊性,精准施策,提高脱贫效率。

Objective To analyze the status of the direct economic burden of hospitalized elderly poverty with chronic diseases in rural area and its influencing factors,and put forward suggestions for improving it.Methods Using the medical expenses information of the new rural cooperative database and household survey data,a total of 2437 samples of elderly people with chronic diseases were included.Their direct economic burden of hospitalization was studied with the analysis of variance,and their influencing factors were studied with logarithm multiple linear regression analysis.Results In the sampled elderly people with chronic diseases,42.47%of them were in poor,the number of hospitalizations of which was higher than that of non-poor elderly people.But there had no significant difference in the direct economic burden of hospitalization.The number of hospitalizations and hospitalization days were the common influencing factors to the direct economic burden of the elderly with chronic diseases,but the poor elderly was also affected by the new rural cooperative medical insurance and marital status.Conclusion The health poverty alleviation policy has achieved its goals to a certain extent,but the relative fairness is still insufficient.It is suggested for the poverty alleviation work to pay attention to the peculiarities of the poor elderly,and make precise measures to improve the efficiency of poverty alleviation.