哈密地区城市家庭疾病经济风险与灾难性卫生支出及影响因素分析

Analysis on the Economic Risks of Diseases, Catastrophic Expenditure on Health and Its Influence Factors of Urban Families in Hami Area

目的:分析2013年哈密地区城市家庭疾病经济风险与灾难性卫生支出情况及影响因素。方法:利用家庭疾病经济风险程度、灾难性卫生支出分析方法及多因素分析方法。结果:城市家庭处于低度、中度和极度疾病经济风险比例为94.61%、3.88%和1.51%;在15%、25%和40%界定标准下,城市家庭灾难性卫生支出发生率分别为29.42%、16.16%和7.11%,集中指数为-0.085 5、-0.087 1和-0.114 0;住院人次数的影响最为突出,家庭参保人数和户主文化程度为保护性因素;结论:政府外部上应增加经济援助,提高医保覆盖率;针对住院和慢性病患者医疗费用,完善分级诊疗制度;合理控制卫生服务利用公平性;在内部上提高城市居民文化素质及创造能力;内外结合,改善哈密地区城市家庭灾难性卫生支出情况。

Objective:To analyze the family risk(FR), catastrophic health expenditure(CHE) and its influence factors of urban families in Hami area.Methods:The degrees of FR, CHE and multiple analysis methods were applied.Results:The rates of family in low, middle and extreme FR were 94.61%, 3.88% and 1.51%. In the threshold values of 15%, 25% and 40%, the urban CHE incidence rates were 29.42%, 16.16% and 7.11%; the concentration indexes were-0.0855,-0.0871 and-0.1140. The impact of hospitalized number was the most prominent; the number of family insurance and household culture degree were protective factors.Conclusion:On the outside, the government should increase economy aid and improve the medical insurance coverage; promote the compensation mechanism of the expenses for hospitalization and chronic diseases; reasonably control the equity of the medical health service utilization; on the inside, the government should promote culture quality and creation ability of the urban residents; connecting interior with exterior, it needed to improve family catastrophic expenditure on health in Hami urban area.