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目的:了解城市贫困家庭灾难性卫生支出现状,分析其影响因素,并提出针对性的措施。方法:采用自行设计的问卷,采用系统抽样的方式对样本市的1 100户获得国家最低生活保障的家庭进行了调查。数据分析方法包括统计描述、logistic回归模型等。结果:调查家庭灾难性卫生支出发生率为59.15%;影响调查地区低保人群灾难性卫生支出发生的主要因素包括家庭成员最高文化程度、家庭成员患慢性病和住院服务利用状况、医疗救助知晓和利用情况、家庭经济状况。结论:调查低保家庭的灾难性卫生支出发生率极高;慢性病对调查地区低保家庭灾难性卫生支出的影响较大。因此,应进一步完善医疗救助制度、强化低保人群的慢性病社区管理、改善家庭经济状况以降低低保人群灾难性卫生支出。
Objective: To understand the status quo of disastrous health expenditure of urban poor families, analyze the influencing factors and put forward specific measures. Methods: A self-designed questionnaire was used to survey a sample of 1,100 families in the sample cities who obtained the minimum living allowance of the country. Data analysis methods include statistical description, logistic regression model and so on. Results: The incidence of catastrophic health expenditure was 59.15%. The main factors influencing the catastrophic health expenditure of minimum living population in the survey area included the highest educational level of family members, the chronic diseases and inpatient services of family members, the awareness and utilization of medical aid Situation, family economic status. Conclusion: The incidence of catastrophic health expenditures in the families with minimum living standards is extremely high. Chronic diseases have a great impact on catastrophic health expenditures in subsistence living families in the surveyed areas. Therefore, we should further improve the medical aid system, strengthen the chronic disease community management of low-income people, and improve the family economic conditions so as to reduce the disastrous health expenditure of the lowest-income people.