不同收入水平农民健康及其医疗费用支出状况研究

目的:研究农民收入水平与健康、医疗费用支出之间的关系.方法:采用系统抽样方法,对1228户农民家庭进行健康询问调查,将调查家庭按收入高低分为5组,比较其健康及医疗费用支出状况.结果:低收入组患病频率及所患疾病严重的程度较高(P＜0.05);年人均医疗费156.8元,各组之间没有显著差异,但低收入组医疗费用占年人均收入比例较高;在总医疗费支出结构中,低收入组的门诊支出高于住院.结论:低收入水平农民健康状况较差,医疗费用负担较重,农村医疗保障应着重对低收入人群的补偿.

Study on peasant's health and payment related income

Objectives: To study the relationship between peasant's health and payments which related to their income levels. Methods: 1 228 fa milies were selected by system sample and their health statues were inquired. According to annual income all the families were divided into 5 groups among which were compared with their health statues and expenditure. Results: The poor had th e higher rate of prevalence and more severe diseases (P<0.05). The annual payment for health care was average 156.8 yuan per person and there is no difference among 5 groups, but the proportion of payment was higher at low income group. The total expenditure frame showed that the payment of out-patient was higher than that of in-patient at low income group. Conclusion: Country medical safeguard s ystem should pay more attention to low income people with being out of condition and heavy burden on payment for health care.