摘要
基于江苏省淮安市农村地区的实地调研数据,分析了农村地区糖尿病患者家庭灾难性卫生支出风险与相关影响因素,采用集中指数这一指标测算了灾难性卫生支出风险的不平等性。江苏省农村地区糖尿病患者家庭发生灾难性卫生支出风险较大。糖尿病患者家庭的收入越低,灾难性卫生支出的发生率与发生强度越高,表明灾难性卫生支出具有不平等性且低收入家庭更易发生。政府应该进一步完善农村地区的医疗保险制度,为农村地区糖尿病患者家庭提供一定的经济保护,减轻患者的疾病经济负担。
According to the data from the investigation in some rural areas in Huaian, we analyzed the risk and related factors of catastrophic health expenditure of families with diabetic patients in rural areas, and calculated the inequality of catastrophic health expenditure by using concentration index. Families with diabetes in rural areas of Jiangsu Province had a relatively higher risk of catastrophic health expenditure which was more inclined to the low-income families. The lower the income of diabetic families in rural areas of Jiangsu Province, the higher the incidence and intensity of catastrophic health expenditure, which indicated that catastrophic health expenditures was unequal and easy to happen to the poor. Therefore, the government should improve the medical insurance system in rural areas to provide certain economic risk protection for diabetic families in rural areas, and reduce the economic burden of disease.
作者
刘可慧
李安琪
吉慧
徐露露
吴琢
Liu Kehui;Li Anqi;Ji Hui;Xu Lulu;Wu Zhuo(School of Health Policy and Management, Nanjing Medical University, Nanjing 211166, China)
出处
《南京医科大学学报（社会科学版）》
2019年第1期58-61,共4页
Journal of Nanjing Medical University（Social Sciences）
基金
江苏省大学生创新训练计划项目"基本医疗保障制度对城乡老年慢病人群疾病经济风险保护效应研究"(201710312016Z)
关键词
糖尿病
灾难性卫生支出
农村地区
diabetes mellitus
catastrophic health expenditure
rural areas
