基于灰色关联度分析方法的江苏省个人卫生支出影响因素研究

Study on the Factors of Out of Pocket in Jiangsu Province Based on the Grey Correlation Analysis

目的:研究2009—2017年江苏省个人卫生支出与各影响因素的相关程度并进行排序,旨在完善江苏省医疗卫生工作。方法:采用灰色关联分析方法,数据来源于中国卫生和计划生育统计年鉴以及江苏省统计年鉴。结果:与江苏省个人卫生支出相关的指标包括:平均每诊疗人次医疗费(元)、平均每出院者住院医疗费(元)、卫生机构数(个)、卫生工作人员(人)、医疗机构门诊诊疗人次(万人次)、病床使用率(%)、入院人数(万人)、人均GDP(元)和65岁以上人口比率(%)。结论:江苏省人均GDP与个人卫生支出相关度最高,65岁以上人口比率与个人卫生支出相关度最低。江苏省可以考虑持续管控医疗价格,减轻个人卫生支出负担;均衡卫生资源,提高居民健康认知;完善医保政策,提高政府卫生支出。

Objective:To study and rank the correlation between personal health expenditure and various factors of Jiangsu Province from 2009 to 2017,aiming to improve the medical and health work in Jiangsu Province.Methods:The gray correlation analysis method was used,and the data was derived from the China Health and Family Planning Statistical Yearbook and the Jiangsu Statistical Yearbook.Results:Indicators related to out of pocket in Jiangsu Province included the average medical cost per patient,the average hospitalization medical expenses per patient,the number of health institutions,health staff,outpatient visits,bed utilization rate,hospital admissions,per capita GDP,and ratio of the population over 65 years.Conclusion:Jiangsu Province’s per capita GDP had the highest correlation with personal health expenditure,and the ratio of the population over 65 years old had the lowest correlation with personal health expenditure.Jiangsu Province might consider continuously controlling medical prices and reducing the burden of personal health expenditures;balancing health resources and improving residents’health awareness;improving medical insurance policies and increasing government health expenditures.