灾难性和贫困性医疗支出的测度与比较——基于CFPS数据的实证分析.pdfVIP

[疾病经济负担1

卫生经济研究2023年10月第40卷第10期总第438期

灾难性和贫困性医疗支出的测度与比较

基于CFPS数据的实证分析

王超1,李正2

[摘要】目的：利用2018年中国家庭追踪调查（CFPS)数据,测度我国灾难性和贫困性医疗支出风险。方法：运

用一种方法同时测度灾难性医疗支出和贫困性医疗支出的发生率,并与传统方法进行对比分析,探究与之相关的社

会经济因素。结果：我国约有8%的家庭面临灾难性支出,略低于2%的家庭发生了贫困性支出;灾难性和贫困性医疗

支出主要集中在农村地区家庭和低收入家庭；传统的灾难性医疗支出测度方法会因计算方法与阈值的不同而有所

差异，有序概率模型回归分析显示，家庭收人越高，发生灾难性和贫困性医疗支出的可能性越小。结论：建议加强农

村家庭、低收入家庭、老年人等重点人群的医疗保障，优化医疗资源配置，降低其因病致贫返贫风险。

[关键词]自付医疗费用;灾难性医疗支出；贫困性医疗支出;因病致贫返贫

中图分类号：R19文献标识码：A

StudyontheMeasurementandComparisonofCatastrophicandImpoverishingMedicalExpenses

EmpiricalAnalysisbasedonCFPsData

WANGChao,LIZheng

Abstract:ObjectiveTomeasuretheriskofcatastrophicandimpoverishingmedicalexpensesbyusingthedataof2018ChinaFamily

PanelStudies.MethodsTheincidenceratesofcatastrophicandimpoverishingmedicalexpensesweremeasuredusingthesamemethod.

Themeasurementresultswerecomparedandanalyzedwiththeresultsoftraditionalmethods.Therelevantsocio-economicfactorswereex-

plored.ResultsAbout8%ofhouseholdsinChinafacedcatastrophicexpenditures,whileslightlylessthan2%ofhouseholdsexperienced

impoverishingexpenditures.Catastrophicandimpoverishingmedicalexpensesweremainlyconcentratedinruralhouseholdsandlow-in-

comefamilies.Thecatastrophicmedicalexpensesoftraditionalmeasurementmethodsmayvarydependingonthecalculationmethodand

threshold.Throughorderedprobabilitymodelregressionanalysis,itwasshownthatthehigherthehouseholdincome,thelesslikelyitwas

toincurcatastrophicandimpoverishingmedicalexpenses.ConclusionItisrecommendedtostrengthenmedicalsecurityforhigh-risk

groupssuchasruralfamilies,low-incomefamilies,andtheelderly,optimizethea