【摘要】 目的:分析新医改前后陕西省老年慢性病患者家庭灾难性卫生支出发生率及其不平等性的变化。方法:利用陕西省国家卫生调查2008年和2013年数据,研究老年慢性病患者家庭卫生支出情况;利用WHO的标准界定是否发生灾难性卫生支出,采用Probit模型分析其影响因素和不平等程度。结果:2008年城镇和农村老年慢性病患者家庭灾难性卫生支出发生率分别为16.17%和31.44%,2013年分别为29.00%和27.00%;2008年城市和农村家庭灾难性卫生支出的集中指数分别为-0.2654和-0.2119,而2013年分别为-0.3194和-0.3899。结论:新医改之后,陕西省农村老年慢性病患者家庭灾难性卫生支出发生率降低,而城市却出现增长,同时城市和农村的灾难性卫生支出不平等性增加。更多还原

【Abstract】 Objective: To analyze the change of occurrence of Catastrophic Health Expenditure(CHE) and the inequality for households of elderly with chronic diseases in Shaanxi before and after the new medical reform. Methods: Using data from NHSS2008 and NHSS2013, we measured the CHE through the method provided by WHO. Using the methods of Probit model and the concentration index to analyze the influencing factors of CHE and its inequality. Results: In 2008, 16.17% and 31.44% households of elderly with chronic diseases experienced CHE in urban and rural area of Shaanxi while 29.00% and 27.00% households in urban and rural area of Shaanxi in 2013. The CI of CHE in households with chronic elderly members were-0.2654 and-0.2119 in urban and rural area in 2008 while-0.3194 and-0.3899 in urban and rural area in 2013. Conclusion: CHE of households of elderly with chronic diseases in urban area increased while decreased in rural area. There were more inequalities in CHE after the medical reform in Shaanxi.更多还原