结核病灾难性卫生支出的研究进展

doi:10.19982/j.issn.1000-6621.20230345

摘要/Abstract

摘要：

我国是全球结核病患者数最多和高负担的国家之一,沉重的灾难性卫生支出给我国患者、家庭及社会带来艰巨的任务和挑战,使得结核病防控措施无法彻底落实。笔者围绕灾难性卫生支出的定义、研究现状及影响因素进行综述,旨在探讨我国本领域研究的不足,为后续研究及制定措施提供建议和参考。

关键词: 结核, 灾难性疾病,经济学, 卫生经费支出, 综述文献(主题)

Abstract:

China is one of the countries with the highest number of tuberculosis cases and high burden in the world, and the heavy catastrophic health expenditure poses a daunting task and challenge to patients, families and society in China, making it impossible to implement tuberculosis prevention and control measures thoroughly. The authors reviewed the definition, research status, and influencing factors of catastrophic health expenditure, aiming to explore the research deficiencies in China, provide suggestions and references for future research and policy-making.

Key words: Tuberculosis, Catastrophic illness, economics, Health expenditures, Review literature as topic

中图分类号:

王佳妮, 席明霞. 结核病灾难性卫生支出的研究进展[J]. 中国防痨杂志, 2024, 46(1): 112-118. doi: 10.19982/j.issn.1000-6621.20230345

Wang Jiani, Xi Mingxia. Progress in catastrophic health expenditures for tuberculosis[J]. Chinese Journal of Antituberculosis, 2024, 46(1): 112-118. doi: 10.19982/j.issn.1000-6621.20230345

图/表 2

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国家/地区	人均GDP (美元)	发生率(%)					强度(%)					平均超支水平(%)
		预算分摊法			可支配收入法		预算分摊法			可支配收入法		预算分摊法			可支配收入法
		10	20	40	25	40	10	20	40	25	40	10	20	40	25	40
国外
埃塞俄比亚^[18]	750.60^a	40.00										6.30
巴基斯坦^[19]	1468.80^a					75.56					53.33					68.57
撒哈拉以南的非洲国家^[20]	1625.80^a	33.00				7.70
国内
重庆市^[21]	6551.90^b	52.80					18.10					34.20
山东省^[22]	8310.58^b		38.40
广东省^[23]	9241.16^b			70.15

类型	影响因素
患者因素	①性别;②年龄;③家庭收入与支出水平;④其他因素:教育水平、体质量指数、居住地、婚姻状况、就业状况等
疾病因素	①诊断延误或延误治疗;②特殊结核病
社会因素	医疗保险覆盖率;②医疗保险类别