摘要
在人口老龄化进程不断加快,以及疾病谱动态演化的背景下,慢病共病现象日益普遍,对家庭经济负担产生了显著影响。本文基于2020年中国健康与养老追踪调查(CHARLS)数据,运用世界卫生组织推荐的灾难性卫生支出测算方法,实证分析了慢病共病对家庭灾难性卫生支出的影响及其异质性。研究发现,慢病共病显著提升家庭灾难性卫生支出的风险(p<0.01),并且这一影响在城镇地区,以及中低收入家庭中更为突出。此外,年龄增长、非在婚状态、较低教育水平,以及城乡居民医疗保险参保等因素,也会加剧灾难性卫生支出的风险。研究结果表明,慢病共病是导致家庭陷入“疾病—经济困境—健康恶化”恶性循环的重要诱因,需通过优化多层次福祉制度来精准防范因病致贫问题。
With the accelerating process of population aging and the dynamic evolution of disease patterns,the phenomenon of comorbid chronic diseases has become increasingly common,which significantly affects household economic burdens.Based on the 2020 China Health and Retirement Longitudinal Study(CHARLS)data,this paper empirically analyzes the impact of comorbid chronic diseases on households’catastrophic health expenditure and its heterogeneity,using the catastrophic health expenditure measurement method recommended by the World Health Organization.The study finds that comorbid chronic diseases significantly increase the risk of catastrophic health expenditure(p-value),with this impact being more pronounced in urban areas and among low-to-middle-income households.Furthermore,factors such as increasing age,being unmarried,lower educational levels,and participation in the urban and rural resident basic medical insurance also exacerbate the risk of catastrophic health expenditure.The research findings indicate that comorbid chronic diseases are a significant trigger for households to fall into a“disease—economic hardship—worsening health”vicious cycle.To address this,optimizing multi-level welfare systems is essential to effectively prevent poverty caused by illness.
作者
李叶
曲芳琪
王欣雨
陈瑞
LI Ye;QU Fangqi;WANG Xinyu;CHEN Rui
出处
《内蒙古师范大学学报(哲学社会科学版)》
2025年第5期82-92,128,共12页
Journal of Inner Mongolia Normal University:Philosophy and Social Sciences Edition
基金
国家自然科学基金面上项目“后减贫时代医保减贫效应测度研究:时空分异格局、脆弱性识别与协同治理”(72174047)
杭州师范大学资助项目“多模态数智赋能下慢病共病多维风险测度研究:多模网络特征、时空跃迁轨迹与协同治理”(4265C50224204063)。
关键词
慢病共病
灾难性卫生支出
疾病经济负担
comorbid chronic disease
catastrophic health expenditure
disease-related economic burden
