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目的探讨苏北某市2009-2013年人均医疗费的状况与影响因素,为控制人均医疗费的过快增长提供参考依据。方法利用面板数据分析方法,对苏北某市2009-2013年人均医疗费相关数据(主要包括医疗资源相关数据、卫生服务利用相关数据、经济发展和政府卫生投入相关数据)构建随机效应模型并进行多元线性回归分析,数据来自苏北某市《卫生资料汇编》与《统计年鉴》。结果苏北某市2009-2013年人均医疗费年平均增长率为30.64%。人均可支配收入、医疗卫生支出占财政支出的比例与人均医疗费正相关;人口密度、农业人口比例、恩格尔系数与人均医疗费负相关。模型的决定系数是0.774(F=21.490,P<0.001)。结论大力发展经济,完善社会保障制度,加大政府对医疗卫生领域的投入,推进城市化进程,提高服务效率,提高人均卫生筹资水平是实现居民健康水平提高、合理控制人均医疗费用的有效路径。
Objective To explore the status and influencing factors of per capita medical expenses in a certain city in northern Jiangsu from 2009 to 2013, and to provide a reference for controlling the excessive growth of per capita medical expenses. Methods The panel data analysis method was used to construct the random effects model for per capita medical costs data in 2009-2013 in a certain city in northern Jiangsu province (mainly including data on medical resources, data on health service utilization, data on economic development and government investment in health) Multiple linear regression analysis, data from a city in northern Jiangsu “Health Materials Compilation” and “Statistical Yearbook.” Results The average annual growth rate of per capita medical expenses from 2009 to 2013 in a certain city in northern Jiangsu was 30.64%. Per capita disposable income, health expenditure as a percentage of financial expenditure positively correlated with per capita medical expenditure; population density, proportion of agricultural population, Engel coefficient and per capita medical expenses were negatively correlated. The model’s coefficient of determination is 0.774 (F = 21.490, P <0.001). Conclusions Vigorously developing the economy, perfecting the social security system, increasing government investment in the field of health care, promoting urbanization, improving service efficiency and raising the level of per capita health fund raising are effective paths for improving the residents’ health level and rationally controlling per capita medical expenses.