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Studies on the Situation and the Influence Factors of Direct Expenses of the Aged in Ningbo City

Author: XuJianWei
Tutor: WangHongMei
School: Zhejiang University
Course: Public Health
Keywords: Health Services Survey Direct medical costs Direct non- medical costs Influencing factors Logistic regression model
CLC: R195
Type: Master's thesis
Year: 2010
Downloads: 59
Quote: 0
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Abstract


Objective: older Ningbo treatment direct costs of investigation analysis, understanding older Ningbo treatment direct medical costs and direct non-medical costs of the current situation; explore the impact of factors affecting older Ningbo treatment direct costs, to reduce the city elders' health care costs and health care reform to provide suggestions and comments. Methods: Ningbo Fourth National Health Services Survey data, about the Ningbo elderly two weeks outpatient and inpatient secondary direct medical costs and direct non-medical costs of the status; using t test and variance analysis Ningbo elderly medical expenses univariate analysis; Logistic regression model for multivariate analysis. The results: older Ningbo week outpatient times the direct medical costs of $ 100, direct non-medical costs of $ 10, lower than the residents door emergency meeting all treatment costs 341.52 yuan. Times are hospitalized in direct medical costs 6,000 yuan, direct non-medical costs of $ 500, lower than the urban and rural residents in times of hospitalization expenses 9466.32 yuan. Univariate analysis using analysis of variance and t-test results show that: the the Ningbo urban and rural elderly two weeks outpatient times are the direct medical costs of influencing factors as gender, employment status and treatment of medical institutions, urban elderly as a career type, rural elderly sex, marriage, education level, employment status, Engel coefficient and treatment medical institutions; urban and rural elderly, direct non-medical costs influencing factors are suffering from chronic diseases, as the per capita annual income of rural elderly, the Engel coefficient and are suffering from chronic diseases; urban and rural elderly the times were hospitalized directly The influencing factors of medical expenses for urban and rural areas, employment status, annual per capita income, health insurance type, ambulatory care facilities, rural elderly employment status, type of occupation, per capita income, nearest medical institutions, distance and inpatient medical institutions; urban and rural elderly direct non-medical costs influencing factors for urban and rural areas as a career type, employment status, annual per capita income, health insurance type and inpatient medical institutions, urban elderly, rural elderly hospitalized medical institutions. Univariate analysis significant factors further analyzed using a logistic regression model, the results show that the factors affect the two weeks of Ningbo elderly outpatient times the direct medical costs of gender and treatment medical institutions; rural elderly sex marriage two weeks outpatient times the Engel coefficient; impact rural elderly non-medical factors in the cost of the Engel coefficient; impact factors the elderly times are hospitalized direct medical costs for the employment status; the rural elderly nearest distance medical institutions. Conclusion: Ningbo medical expenses for the elderly is low compared with the general population. Factors affect older Ningbo week outpatient times are in direct medical costs for gender and treatment medical institutions; the urban elderly vocational type; rural elderly sex, marriage, and the Engel coefficient; non-medical expenses are directly affecting the elderly week outpatient times factors that are suffering from chronic diseases, the elderly in rural areas for the Engel coefficient; impact the elderly times are hospitalized direct medical costs factors as employment status; rural elderly the nearest distance medical institutions; affect urban elderly times are hospitalized direct non-medical costs factors level for the type of occupation, rural elderly hospitalized medical institutions. Proposed improvement of the medical security system, improve the level of medical care of residents; implementation of the regional health planning, rational distribution of health care resources; promote community health services to improve the quality of the health of the elderly; vigorously developing the economy, increase the income of the elderly, Ningbo elderly fully use of health services, and to improve health quality.

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CLC: > Medicine, health > Preventive Medicine,Health > Health care organizations and career ( Health Management ) > Health Survey and Statistics
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