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目的:分析我国西部少数民族地区高血压患者家庭灾难性卫生支出状况。方法:通过收集2011年和2014年家庭入户调查数据,比较不同年度灾难性卫生支出的发生率、平均差距、相对差距和集中指数变化情况。结果:高血压患者家庭灾难性卫生支出发生率和平均差距呈下降趋势,灾难性卫生支出相对差距变化不明显;灾难性卫生支出集中指数下降。结论:当地实施的分级诊疗制度有效降低高血压患者医疗费用,发生灾难性卫生支出的家庭密度和总体影响度减弱;需要进一步调整医保补偿机制调控灾难性卫生支出向低收入高血压患者集中的趋势。
Objective: To analyze the disastrous health expenditures of family members of hypertension in western minority areas in China. Methods: By collecting data from the household survey in 2011 and 2014, we compared the incidence of disastrous health expenditure in different years, the average gap, the relative gap and the change of concentration index. Results: The incidence and average gap of disastrous health expenditure in families with hypertension were on the decline. The relative difference of disastrous health expenditure did not change obviously. The concentration index of disastrous health expenditure declined. Conclusion: Hierarchical diagnosis and treatment system implemented locally effectively reduces the medical expenses of patients with hypertension, and the family density and overall impact of catastrophic health expenditures weakened. The medical insurance compensation mechanism needs to be further adjusted to control the concentration of catastrophic health expenditure to low-income hypertensive patients .