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目的:了解我国居民家庭卫生费用支出结构,从微观层面探讨影响居民卫生费用的影响因素,为卫生费用资源优化配置的制度安排提供参考。方法:基于CFPS数据,采用SPSS 17.0软件进行聚类分析、卡方检验和logistic回归分析。结果:年龄、婚姻状况、受教育程度、是否从事农业生产、是否参加新农合、是否住过院以及健康状况,对家庭卫生费用支出比例有影响。结论:我国家庭医疗费用负担总体较重;社会经济是影响居民卫生费用支出结构的宏观背景;健康状况是影响家庭医疗结构的直接原因;婚姻状况中离婚人群的家庭医疗比例较其他人群高;农村居民家庭医疗支出比例普遍偏高。
OBJECTIVE: To understand the expenditure structure of household health expenditure in our country, to explore the influencing factors of residents’ health cost from micro level, and to provide reference for the institutional arrangement of health cost resources allocation. Methods: Based on the CFPS data, using SPSS 17.0 software for cluster analysis, chi-square test and logistic regression analysis. Results: Age, marital status, educational attainment, whether engaged in agricultural production, whether they participated in the NRCMS, whether they lived in a hospital or not, and whether they had health status, had an impact on the proportion of family health expenses. Conclusion: The burden of family medical expenses in our country is generally heavier. The social economy is the macroscopical background that affects the expenditure structure of residents’ health expenses. Health status is the direct reason that affects the family medical structure. The proportion of family medical care of divorced people in marital status is higher than that of other people. The proportion of medical expenses of households is generally high.