福建省基本医疗保障制度对农村老年人疾病经济负担影响分析
|
摘要
目的:分析福建省2009-2016年基本医疗保障制度对农村老年人疾病经济负担的影响,为提高农村老年人医疗保障的受益水平和加强农村老年人的医疗保障能力提供科学依据。方法:运用描述性统计学方法对2009-2016年基本医疗保障制度数据、福建统计年鉴(2010-2017)进行分析,研究基本医疗保障制度对老年人疾病经济负担降低情况。结果:2009-2016年福建基本医疗保障制度中农村老年患者人均补偿费用增长率高于人均住院医疗费用增长率;人均住院自付费用占人均纯收入近一半,占家庭年收入比仍超10%;政策范围内自付部分费用占自付总费用平均占比56.78%;范围外费用中药品费的占比最高(38.6%)。结论:基本医疗保障制度对老年人的保障程度越来越高,但疾病经济负担仍然较大,主要来源于政策范围内自付部分费用以及政策范围外药品费。
Objective To analyze the impact of basic medical insurance system on medical economic burden of the rural elderly in Fujian Province from 2009 to 2016,and to provide scientific basis for improving the benefit level of the rural elderly medical insurance and strengthening the medical support capability of the rural elderly.Methods The descriptive statistical method was used to analyze the data of the basic medical insurance system from 2009 to 2016 and the Statistical Yearbook of Fujian(2010-2017)for the study of the reduction in medical economic burden of elderly patients.Results The average growth rate of per capita compensation expenses of the rural elderly patients was higher than that of the per capita hospitalization expenses during 2009-2016.The per capita out-of-pocket hospitalization expenditure accounted for nearly half of the per capita net income,and over 10% of the household annual income.The out-of-pocket expenditures of drugs embodied in the list in accordance with policies accounted for 56.78% of the total cost.And the out-of-pocket expenditures of traditional Chinese drugs accounted for the highest proportion of costs for all the drugs which should be paid all by the patients themselves(38.6%).Conclusions The basic medical insurance system provides more and more benefits for the elderly patients,but the economic burden on the patients is still relatively heavy,which is mainly due to the out-of-pocket costs for drugs.
Objective To analyze the impact of basic medical insurance system on medical economic burden of the rural elderly in Fujian Province from 2009 to 2016,and to provide scientific basis for improving the benefit level of the rural elderly medical insurance and strengthening the medical support capability of the rural elderly.Methods The descriptive statistical method was used to analyze the data of the basic medical insurance system from 2009 to 2016 and the Statistical Yearbook of Fujian(2010-2017)for the study of the reduction in medical economic burden of elderly patients.Results The average growth rate of per capita compensation expenses of the rural elderly patients was higher than that of the per capita hospitalization expenses during 2009-2016.The per capita out-of-pocket hospitalization expenditure accounted for nearly half of the per capita net income,and over 10% of the household annual income.The out-of-pocket expenditures of drugs embodied in the list in accordance with policies accounted for 56.78% of the total cost.And the out-of-pocket expenditures of traditional Chinese drugs accounted for the highest proportion of costs for all the drugs which should be paid all by the patients themselves(38.6%).Conclusions The basic medical insurance system provides more and more benefits for the elderly patients,but the economic burden on the patients is still relatively heavy,which is mainly due to the out-of-pocket costs for drugs.
引文
[1]福建省统计局.福建统计年鉴—2017[M].北京:中国统计出版社,2017:9-10.
[2]毛京沭,周建芳,舒星宇.中国东、中、西部地区农村老人健康状况及健康影响因素分析[J].中国公共卫生,2018,34(3):342-345.
[3]杜鹏.中国老年人口健康状况分析[J].人口与经济,2013(6):3-9.
[4]王新军,郑超.医疗保险对老年人医疗支出与健康的影响[J].财经研究,2014,40(12):65-75.
[5]中国新闻网.调查:中国老年人经济状况改善农村收入增长快于城镇[EB/OL].2016-10-09.http://www.chinanews.com/gn/2016/10-09/8025536.shtml.
[6]全国老龄工作委员会办公室.农村养老调查:超六成老人担心“基本生活来源”[EB/OL].2013-11-13.http://www.cncaprc.gov.cn/contents/785/161965.html.
[7]福建省统计局.福建统计年鉴—2014[M].北京:中国统计出版社,2014:7-8.
[8]周绿林.卫生经济学[M].镇江:江苏大学出版社,2014:91.
[9]姜向群,郑研辉.中国老年人的主要生活来源及其经济保障问题分析[J].人口学刊,2013(2):42-48.
[10]于洗河,李涛,王沫迪.疾病直接经济负担视角下吉林省65岁以上老年人治疗费用研究[J].中国卫生经济,2017,36(8):49-52.
[11]梁琳.我国基本医疗保险对老年人医疗服务需求保障探讨——基于老年人年龄、城乡、性别差异的角度[EB/OL].岭南学刊,2017-09-11.http://kns.cnki.net/kcms/detail/44.1005.C.20170911.1501.014.html.
[12]福建省卫生和计划生育委员会.福建省卫生计生委、福建省财政厅关于做2014年新农合工作的指导意见[EB/OL].2014-03-12/2014-03-14.http://www.fjhfpc.gov.cn/ztzl/xxnchzyl/201403/t20140314_103297.htm.
[13]秦江梅,张艳春,张丽芳,等.典型城市居民慢性病患病率及患者疾病负担分析[J].中国公共卫生,2014,30(1):5-7.
[2]毛京沭,周建芳,舒星宇.中国东、中、西部地区农村老人健康状况及健康影响因素分析[J].中国公共卫生,2018,34(3):342-345.
[3]杜鹏.中国老年人口健康状况分析[J].人口与经济,2013(6):3-9.
[4]王新军,郑超.医疗保险对老年人医疗支出与健康的影响[J].财经研究,2014,40(12):65-75.
[5]中国新闻网.调查:中国老年人经济状况改善农村收入增长快于城镇[EB/OL].2016-10-09.http://www.chinanews.com/gn/2016/10-09/8025536.shtml.
[6]全国老龄工作委员会办公室.农村养老调查:超六成老人担心“基本生活来源”[EB/OL].2013-11-13.http://www.cncaprc.gov.cn/contents/785/161965.html.
[7]福建省统计局.福建统计年鉴—2014[M].北京:中国统计出版社,2014:7-8.
[8]周绿林.卫生经济学[M].镇江:江苏大学出版社,2014:91.
[9]姜向群,郑研辉.中国老年人的主要生活来源及其经济保障问题分析[J].人口学刊,2013(2):42-48.
[10]于洗河,李涛,王沫迪.疾病直接经济负担视角下吉林省65岁以上老年人治疗费用研究[J].中国卫生经济,2017,36(8):49-52.
[11]梁琳.我国基本医疗保险对老年人医疗服务需求保障探讨——基于老年人年龄、城乡、性别差异的角度[EB/OL].岭南学刊,2017-09-11.http://kns.cnki.net/kcms/detail/44.1005.C.20170911.1501.014.html.
[12]福建省卫生和计划生育委员会.福建省卫生计生委、福建省财政厅关于做2014年新农合工作的指导意见[EB/OL].2014-03-12/2014-03-14.http://www.fjhfpc.gov.cn/ztzl/xxnchzyl/201403/t20140314_103297.htm.
[13]秦江梅,张艳春,张丽芳,等.典型城市居民慢性病患病率及患者疾病负担分析[J].中国公共卫生,2014,30(1):5-7.