Lu Xin-pu, Wu Ming
Department of Health Policy and Management, Peking University School of Public Health, Beijing 100191, China.
Beijing Da Xue Xue Bao Yi Xue Ban. 2010 Oct 18;42(5):565-9.
To explain the household healthcare expenditure among the rural floating population in Beijing and analyze the determinants of a household total healthcare consumption.
The data came from the special investigation about rural floating population in Beijing which is part of The Fourth National Health Service Investigation of China. A total of 4 698-native rural migrants (2,728 families) in Beijing were chosen as subjects and a Tobit model was used to analyze the data. Base on the censored characteristics, we use the censored least absolute deviations (CLAD) method to estimate the parameters.
Compared with the general urban population, the population under investigation has a high proportion of male and unmarried, but low educated group of young people. The average household healthcare expenditure per month was 21.26 Yuan, and about 74% of the households had made no healthcare expenditure 3 months preceding the survey. The household healthcare expenditure was influenced by the household's education level, household's income level, household size, Engel's coefficient, head's choice of medical institutions and so on.
The level of household healthcare expenditure is low with the determinants in the floating population, such as the household's economic circumstances and so on. We should make and develop relevant policies and improve the healthcare utilization of the floating population.
阐述北京市农村流动人口的家庭医疗保健支出情况,并分析家庭总医疗消费的决定因素。
数据来源于中国第四次国家卫生服务调查中北京市农村流动人口专项调查。选取北京市4698名农村户籍流动人口(2728户家庭)作为研究对象,采用Tobit模型进行数据分析。基于删失特征,运用删失最小绝对离差(CLAD)方法估计参数。
与城市常住人口相比,被调查人群中男性、未婚者、低学历年轻人比例较高。家庭每月平均医疗保健支出为21.26元,约74%的家庭在调查前3个月无医疗保健支出。家庭医疗保健支出受家庭受教育程度、家庭收入水平、家庭规模、恩格尔系数、户主对医疗机构的选择等因素影响。
流动人口家庭医疗保健支出水平较低,受家庭经济状况等因素影响。应制定并完善相关政策,提高流动人口医疗服务利用水平。