摘要
目的:分析我国中老年慢性非传染性疾病(以下简称慢性病)患者疾病直接经济负担变化和特点。方法:利用CHARLS2011基线和2013年、2015年跟踪数据计算并分析中老年慢性病患者医保补偿前后自我医疗、门诊、住院以及总体经济负担。结果:2011、2013、2015年补偿前疾病负担分别为1 475、2 288、2 534元,补偿后为1 052、1 626、1 719元,补偿比为28.68%、28.93%、32.16%;期间,自我医疗利用率最高;住院负担增幅最大;补偿后门诊负担占比最高。结论:中老年慢性病患者疾病负担面临长期增长压力,迫切需要完善慢病防治措施。
Objective: To evaluate changes of direct economic burden among middle-aged and older patients with chronic diseases in China. Methods: The baseline data(2011) and follow-up data (2013&2015) of CHARLS(China Health and Retirement Lngitudinal Study) were used to calculate the sei ^treatment, outpatient care, hospitalization and overall economic burden before and after reimbursement for a comparative analysis. Results: The expectancy of disease burden in 2011, 2013 and 2015 was 1 475, 2 288 and 2 534 yuan before reimbursement, 1 052, 1 626 and 1 719 yuan after reimbursement respectively;the corresponding reimbursement ratio was 28.7%, 28.9% and 32.2%;self-treatment was the widest utilized;the hospitalization burden grew fastest;the outpatient care burden after reimbursement accounted for the highest proportion. Conclusion: The economic burden among middle-aged and elderly patients was facing long-term growth pressure. It was urgent to improve the prevention and treatment measures for chronic diseases.
作者
杨俭
李远庆
陈晓禹
高俊良
冯占春
YANG Jian;LI Yuan-qing;CHEN Xiao-yu(School of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan, 430030, China)
出处
《中国卫生经济》
北大核心
2019年第5期71-73,共3页
Chinese Health Economics
基金
国家自然科学基金项目(71673098)
关键词
中老年人
慢性疾病
疾病直接经济负担
middle-aged and older
chronic diseases
direct economic disease burden
