中国老龄化医疗经济负担的风险因素：基于广东省的横断面研究。
The Risk Factors for Chinese Medical Economic Burden of Aging: A Cross-Sectional Study Based on Guangdong Province.
机构信息
School of Public Health, Guangdong Medical University, Dongguan 523808, China.
Dongkeng Town Center for Disease Control and Prevention, Dongguan City 523808, China.
出版信息
Biomed Res Int. 2021 Jul 6;2021:6680441. doi: 10.1155/2021/6680441. eCollection 2021.
BACKGROUND
The proportion of aging in China is increasing, which needs more healthcare recourses. To analyze the risk factors of the direct medical economic burden of aging in China and provide the strategies to control the cost of treatment, the information was collected based on Guangdong Province's regular health expenditure accounting data collection plan.
METHODS
The multiple linear regression models were used to explore the risk factors of inpatient expenses of the elderly in Guangdong province.
RESULTS
The results revealed that hospital day, age, male patients, and patients who suffer from malignant tumors are key factors to increase the direct medical economic burden of aging. Moreover, the medical insurance for urban employees can reduce the medical economic burden, comparing with the medical insurance for urban residents.
CONCLUSIONS
The basic medical insurance system and the serious illness insurance system should be improved. While striving to speed up the development of regional economy, the government should pay attention to the construction of basic medical institutions in economically backward areas, increase the allocation of health human resources, and facilitate the masses to seek medical treatment nearby.
背景
中国老龄化比例不断增加，需要更多的医疗保健资源。为分析中国老龄化导致的直接医疗经济负担的风险因素，并提供控制治疗成本的策略，本研究基于广东省定期卫生支出核算数据收集计划收集了相关信息。
方法
采用多元线性回归模型探讨广东省老年患者住院费用的影响因素。
结果
结果表明，住院天数、年龄、男性患者和患有恶性肿瘤的患者是增加老龄化直接医疗经济负担的关键因素。此外，与城镇居民医疗保险相比，城镇职工医疗保险可以降低医疗经济负担。
结论
应完善基本医疗保险制度和大病保险制度。在努力加快区域经济发展的同时，政府应关注经济欠发达地区的基层医疗机构建设，增加卫生人力资源配置，方便群众就近就医。
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