中国药事
中國藥事
중국약사
Chinese Pharmaceutical Affairs
2015年
10期
1047-1054
,共8页
管晓东%李晗%信枭雄%郭志刚%马莉莉%韩晟%史录文
管曉東%李晗%信梟雄%郭誌剛%馬莉莉%韓晟%史錄文
관효동%리함%신효웅%곽지강%마리리%한성%사록문
糖尿病%药品费用负担%公平性%灾难性支出
糖尿病%藥品費用負擔%公平性%災難性支齣
당뇨병%약품비용부담%공평성%재난성지출
diabetes%medicine expenditure affordability%equity%catastrophic expenditure
目的：评价我国糖尿病患者治疗药品费用负担的公平性和影响因素。方法：对北京、江苏、黑龙江、四川和云南等地的居民进行问卷调查，采用灾难性支出评价法对我国糖尿病患者药品费用负担的公平性进行研究，运用Logistics回归方法分析导致陷入灾难性支出的影响因素。结果与结论：最贫困组陷入灾难性支出人口数量最多，占该组别总体人口数量的91%；最富裕组最少，占31.1%。陷入灾难性支出的影响因素有药品治疗费用、收入水平、教育程度和医保覆盖类型。中国糖尿病患者药品费用负担存在不公平性，需要继续推进医疗保障统一，加大报销力度，减少因病致贫和因病返贫。
目的：評價我國糖尿病患者治療藥品費用負擔的公平性和影響因素。方法：對北京、江囌、黑龍江、四川和雲南等地的居民進行問捲調查，採用災難性支齣評價法對我國糖尿病患者藥品費用負擔的公平性進行研究，運用Logistics迴歸方法分析導緻陷入災難性支齣的影響因素。結果與結論：最貧睏組陷入災難性支齣人口數量最多，佔該組彆總體人口數量的91%；最富裕組最少，佔31.1%。陷入災難性支齣的影響因素有藥品治療費用、收入水平、教育程度和醫保覆蓋類型。中國糖尿病患者藥品費用負擔存在不公平性，需要繼續推進醫療保障統一，加大報銷力度，減少因病緻貧和因病返貧。
목적：평개아국당뇨병환자치료약품비용부담적공평성화영향인소。방법：대북경、강소、흑룡강、사천화운남등지적거민진행문권조사，채용재난성지출평개법대아국당뇨병환자약품비용부담적공평성진행연구，운용Logistics회귀방법분석도치함입재난성지출적영향인소。결과여결론：최빈곤조함입재난성지출인구수량최다，점해조별총체인구수량적91%；최부유조최소，점31.1%。함입재난성지출적영향인소유약품치료비용、수입수평、교육정도화의보복개류형。중국당뇨병환자약품비용부담존재불공평성，수요계속추진의료보장통일，가대보소력도，감소인병치빈화인병반빈。
Objective: To evaluate the equity and inlfuential factors of medicine expenditure affordability for diabetes.Methods: Based on questionnaire conducted in Beijing, Jiangsu, Heilongjiang, Sichuan and Yunnan, logistics regression is used to analyze factors which lead to catastrophic expenditures.Results and Conclusion:The poorest group shares the largest amount of people who are faced with catastrophic expenditures and occupy 91% of this group. The richest group only shares 31.1%. Thus, the factors inlfuencing catastrophic expenditures include medication cost, income level, education level and the type of insurance patients participate. The existence of inequity of diabetes medication affordability in China needs us to promote a united health care system. And authority should reinforce reimbursement to reduce poverty caused by illness.
