北京中老年人的医疗支出。
Medical expenditure for middle-aged and elderly in Beijing.
作者信息
Ma Chenjin, Jiang Yan, Li Yang, Zhang Yuming, Wang Xiaojun, Ma Shuangge, Wang Yu
机构信息
Center for Applied Statistics, Renmin University of China, 59 Zhongguancun Ave., Beijing, 100872, China.
School of Statistics, Renmin University of China, 59 Zhongguancun Ave., Beijing, 100872, China.
出版信息
BMC Health Serv Res. 2019 Jun 7;19(1):360. doi: 10.1186/s12913-019-4190-2.
BACKGROUND
High medical expenditures serve as a major obstacle for many people trying to access healthcare. Our goals are to provide an updated and comprehensive description of each category of medical expenditure in inpatient and outpatient treatment, and to identify factors associated with medical expenditures.
METHODS
A survey of the middle-aged and elderly was conducted in August 2016 in Beijing, China. Data were collected from 808 random samples. Each participant had reported at least one inpatient or outpatient treatment episode and was 45 years old or older, were collected. Chi-squared tests, t-tests, multivariate analysis, and a linear regression were conducted in the data analysis.
RESULTS
A total of 452 and 734 subjects had at least one inpatient and outpatient treatment, respectively. Even though insurance covered a significant amount of the total cost, the remaining out-of-pocket cost was still high, possibly resulting in financial difficulties for a number of the subjects. Demographic and socioeconomic factors were found to be associated with various costs.
CONCLUSIONS
Our findings suggest that the government may need to further adjust health care and health insurance systems to alleviate financial burdens caused by illness and improve the effective utilization of healthcare services.
背景
高额医疗支出成为许多人获取医疗服务的主要障碍。我们的目标是对住院和门诊治疗中各类医疗支出进行更新且全面的描述，并确定与医疗支出相关的因素。
方法
2016年8月在中国北京对中老年人进行了一项调查。从808个随机样本中收集数据。收集了每位报告至少有一次住院或门诊治疗经历且年龄在45岁及以上的参与者的数据。数据分析中进行了卡方检验、t检验、多变量分析和线性回归。
结果
分别有452名和734名受试者至少有一次住院和门诊治疗经历。尽管保险覆盖了总成本的很大一部分，但剩余的自付费用仍然很高，这可能给一些受试者带来经济困难。发现人口统计学和社会经济因素与各类费用相关。
结论
我们的研究结果表明，政府可能需要进一步调整医疗保健和医疗保险系统，以减轻疾病造成的经济负担，并提高医疗服务的有效利用率。
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