照护还是医疗:老年人健康支出的产出效率比较

发布时间：2018-03-22 23:29

本文选题：医疗支出　切入点：照护支出　出处：《统计研究》2016年07期 　论文类型：期刊论文

【摘要】：老龄化尤其是高龄失能老人增多对我国现有的以疾病治疗为核心的健康保障体系提出了挑战。本文基于CLHLS2011年数据采用结构方程模型的估计结果表明,家庭的照料护理支出显著提高了老人的健康自评、健康他评、生活满意度等,并且还降低了老人的小病发病率、患慢性病种类数以及两年内的患重病次数;而家庭的医疗费用支出则显著降低了老人对自身健康水平和生活状况的主观评价,对降低老人患小病、重病和慢性病等也没有贡献。相比医疗支出,照护支出具有更优的健康产出效率,并且通过增进老人的身体功能和生活自理能力、提高老人主观健康评价等途径起到更积极的健康促进作用。最后建议我国应将更多的健康支出用于照料护理,建立基于家庭和社区的老人照护体系。
[Abstract]:The aging, especially the increase of the elderly with disability, poses a challenge to the existing health security system with disease treatment as the core in our country. Based on the annual data of CLHLS2011, the structural equation model is used to estimate the health security system. The expenditure of care and nursing at home has significantly increased the health self-assessment, health evaluation, life satisfaction, etc., and has also reduced the incidence of minor diseases, the number of chronic diseases and the number of serious diseases in two years. On the other hand, family medical expenses significantly reduced the elderly's subjective assessment of their own health and living conditions, and did not contribute to reducing the elderly's suffering from minor illness, serious illness and chronic diseases. Compared with medical expenditure, Care spending has better health productivity and improves the physical function and ability of the elderly to take care of themselves. Finally, it is suggested that more health expenditure should be spent on care and nursing in China, and a care system for the elderly based on family and community should be established.
【作者单位】：中山大学岭南学院;
【基金】：国家社会科学基金“我国养老保险制度调节退休年龄与劳动力供给的机制及政策研究”(14CJY015)和“失独老人的养老保障模式与政策扶持机制研究”(14BSH142)资助
【分类号】：R473

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