School of Economics and Management, Huzhou University, Huzhou, China.
Research Center for Economy of Upper Reaches of the Yangtse River, Chongqing Technology and Business University, Chongqing, China.
Int J Public Health. 2022 Aug 25;67:1605030. doi: 10.3389/ijph.2022.1605030. eCollection 2022.
Health and health expenditure caused by elderly chronic diseases are a global problem. As China has just lifted itself out of poverty in 2020, the sustainable development of Borderline Poor Families' Wellbeing faces severe challenges. Therefore, it is of great practical significance to explore the impact of elderly chronic diseases on the catastrophic health expenditure of Borderline Poor Families. Based on screening 8086 effective samples from China Health and Retirement Longitudinal Study (CHARLS) database and calculating catastrophic health expenditure, this paper uses two-part model and logit regression to discuss the impact of elderly chronic diseases on the sustainable development of Borderline Poor Families' Wellbeing. The results showed that stroke, cancer, and liver disease caused the most catastrophic health expenditures and had the greatest impact on the Borderline Poor Families' Wellbeing. Therefore, in order to ensure the sustainable development of Borderline Poor Families' Wellbeing, the government should strengthen the publicity of pre-prevention and post-healthcare of chronic diseases such as stroke, and combine pre-prevention policy with post-guarantee policy.
老年人慢性病导致的健康和医疗支出是一个全球性问题。2020 年中国刚刚脱贫，边缘贫困家庭福祉的可持续发展面临严峻挑战。因此，探讨老年人慢性病对边缘贫困家庭灾难性医疗支出的影响具有重要的现实意义。本文基于中国健康与养老追踪调查（CHARLS）数据库筛选出的 8086 个有效样本，计算灾难性医疗支出，采用双栏模型和 Logit 回归，讨论老年人慢性病对边缘贫困家庭福祉可持续发展的影响。结果表明，中风、癌症和肝病导致的灾难性医疗支出最多，对边缘贫困家庭福祉的影响最大。因此，为了保证边缘贫困家庭福祉的可持续发展，政府应该加强对中风等慢性病的预防和后期医疗的宣传，将预防政策与保障政策相结合。
