期刊论文

Definition methods and standards on medical assistance objects of catastrophic diseases systems based on catastrophic health expenditure perspective

中文

中华医院管理杂志

1000-6672

2017

33

3

185-189

10.3760/cma.j.issn.1000-6672.2017.03.009

教育部人文社会科学研究青年基金项目（16YJCZH137） 民政部低收人家庭认定指导中心资助项目（2015AAC021） 武汉大学自主科研项目（人文社会科学）（413000003）

本校为其他机构

目的探索我国灾难性卫生支出的测量方法及其标准,提高其在因病致贫对象界定中的可操作性。方法对随机抽取的湖北省M市3个乡镇12个村共600户住院家庭进行入户调查,同时采用文献研究法与专家咨询法,测算和讨论确定M市灾难性卫生支出(catastrophic health expenditure,CHE)的阈值标准,并通过分组加以改进。结果同一标准下,收入法和支出法相对于非生存性支出法和WHO方法,其CHE发生率较低,因此从理论角度验证了前者的设定标准应该低于后者。同时,收入法和支出法在我国呈现出不同的特征,不同的测量方法,其设定标准应该不同,最终应保持同一地区的灾难性卫生支出水平相近。对于收入法和支出法,推荐基准参...

Objective To explore the methods and standards of catastrophic health expenditure for China, and improve the operability in defining those impoverished due to diseases. Methods 600 households with inpatients were randomly sampled from 12 villages of three townships in City M in Hubei province for household survey. Literature review and expert consultation methods were used to measure and determine the threshold of catastrophic health expenditure (CHE) of City M, with improvements made by grouping. Results In a uniform standard, the CHE occurrence of the income method and expenditure method is ...