Identifying Characteristics Associated with the Concentration and Persistence of Medical Expenses among Middle-Aged and Elderly Adults: Findings from the China Health and Retirement Longitudinal Survey
被引:1
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作者:
Jiang, Luyan
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机构:
Nanjing Med Univ, Sch Hlth Policy & Management, Nanjing 211166, Peoples R ChinaNanjing Med Univ, Sch Hlth Policy & Management, Nanjing 211166, Peoples R China
Jiang, Luyan
[1
]
Qiu, Qianqian
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Nanjing Med Univ, Sch Hlth Policy & Management, Nanjing 211166, Peoples R ChinaNanjing Med Univ, Sch Hlth Policy & Management, Nanjing 211166, Peoples R China
Qiu, Qianqian
[1
]
Zhu, Lin
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Nanjing Med Univ, Sch Hlth Policy & Management, Nanjing 211166, Peoples R ChinaNanjing Med Univ, Sch Hlth Policy & Management, Nanjing 211166, Peoples R China
Zhu, Lin
[1
]
Wang, Zhonghua
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机构:
Nanjing Med Univ, Sch Hlth Policy & Management, Nanjing 211166, Peoples R China
Nanjing Med Univ, Publ Hlth Policy & Management Innovat Res Grp, Nanjing 211166, Peoples R China
Nanjing Med Univ, Ctr Global Hlth, Nanjing 211166, Peoples R ChinaNanjing Med Univ, Sch Hlth Policy & Management, Nanjing 211166, Peoples R China
Wang, Zhonghua
[1
,2
,3
]
机构:
[1] Nanjing Med Univ, Sch Hlth Policy & Management, Nanjing 211166, Peoples R China
[2] Nanjing Med Univ, Publ Hlth Policy & Management Innovat Res Grp, Nanjing 211166, Peoples R China
[3] Nanjing Med Univ, Ctr Global Hlth, Nanjing 211166, Peoples R China
medical expenditures;
concentration;
persistence;
vulnerable groups;
China;
HIGH-COST PATIENTS;
CARE COSTS;
SHORT-TERM;
EXPENDITURES;
BENEFICIARIES;
PREVALENCE;
USERS;
D O I:
10.3390/ijerph191912843
中图分类号:
X [环境科学、安全科学];
学科分类号:
08 ;
0830 ;
摘要:
Medical expenses, especially among middle-aged and elderly people, have increased in China over recent decades. However, few studies have analyzed the concentration or persistence of medical expenses among Chinese residents or vulnerable groups with longitudinal survey data. Based on the data of CHARLS (China Health and Retirement Longitudinal Study), this study sought to identify characteristics associated with the concentration and persistence of medical expenses among Chinese middle-aged and elderly adults and to help alleviate medical spending and the operational risk of social medical insurance. Concentration was measured using the cumulative percentages of ranked annual medical expenses and descriptive statistics were used to define the characteristics of individuals with high medical expenses. The persistence of medical expenses and associated factors were estimated using transfer rate calculations and Heckman selection modeling. The results show that total medical expenses were concentrated among a few adults and the concentration increased over time. People in the high medical expense group were more likely to be older, live in urban areas, be less wealthy, have chronic diseases, and attend higher-ranking medical institutions. Lagged medical expenses had a persistent positive effect on current medical expenses and the effect of a one-period lag was strongest. Individuals with chronic diseases during the lagged period had a higher likelihood of experiencing persistent medical expenses. Policy efforts should focus on preventive management, more efficient care systems, improvement of serious illness insurance level, and strengthening the persistent protection effect of social medical insurance to reduce the high medical financial risk and long-term financial healthcare burden in China.
机构:
Xi An Jiao Tong Univ, Dept Hepatobiliary Surg, Affiliated Hosp 1, Xian, Peoples R ChinaXi An Jiao Tong Univ, Dept SICU, Affiliated Hosp 1, Xian, Peoples R China
Liu, Tong
Wu, Yang
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机构:
Xi An Jiao Tong Univ, Dept Hepatobiliary Surg, Affiliated Hosp 1, Xian, Peoples R ChinaXi An Jiao Tong Univ, Dept SICU, Affiliated Hosp 1, Xian, Peoples R China
Wu, Yang
Cao, Xirong
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机构:
Xi An Jiao Tong Univ, Dept Hepatobiliary Surg, Affiliated Hosp 1, Xian, Peoples R ChinaXi An Jiao Tong Univ, Dept SICU, Affiliated Hosp 1, Xian, Peoples R China
Cao, Xirong
Yang, Kun
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机构:
Xi An Jiao Tong Univ, Dept Hepatobiliary Surg, Affiliated Hosp 1, Xian, Peoples R ChinaXi An Jiao Tong Univ, Dept SICU, Affiliated Hosp 1, Xian, Peoples R China
Yang, Kun
Tong, Yingmu
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机构:
Xi An Jiao Tong Univ, Dept Gen Surg, Affiliated Hosp 1, Xian, Peoples R ChinaXi An Jiao Tong Univ, Dept SICU, Affiliated Hosp 1, Xian, Peoples R China
Tong, Yingmu
Zhang, Fengping
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机构:
Xi An Jiao Tong Univ, Dept Hepatobiliary Surg, Affiliated Hosp 1, Xian, Peoples R ChinaXi An Jiao Tong Univ, Dept SICU, Affiliated Hosp 1, Xian, Peoples R China
Zhang, Fengping
Wang, Cong
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机构:
Xi An Jiao Tong Univ, Dept Hepatobiliary Surg, Affiliated Hosp 1, Xian, Peoples R ChinaXi An Jiao Tong Univ, Dept SICU, Affiliated Hosp 1, Xian, Peoples R China
Wang, Cong
Cui, Ruixia
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机构:
Xi An Jiao Tong Univ, Dept Hepatobiliary Surg, Affiliated Hosp 1, Xian, Peoples R ChinaXi An Jiao Tong Univ, Dept SICU, Affiliated Hosp 1, Xian, Peoples R China
Cui, Ruixia
Ren, Jie
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机构:
Xi An Jiao Tong Univ, Dept Hepatobiliary Surg, Affiliated Hosp 1, Xian, Peoples R ChinaXi An Jiao Tong Univ, Dept SICU, Affiliated Hosp 1, Xian, Peoples R China
Ren, Jie
Li, Qinglin
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机构:
Xi An Jiao Tong Univ, Dept Hepatobiliary Surg, Affiliated Hosp 1, Xian, Peoples R ChinaXi An Jiao Tong Univ, Dept SICU, Affiliated Hosp 1, Xian, Peoples R China
Li, Qinglin
Wang, Hai
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机构:
Xi An Jiao Tong Univ, Dept Hepatobiliary Surg, Affiliated Hosp 1, Xian, Peoples R ChinaXi An Jiao Tong Univ, Dept SICU, Affiliated Hosp 1, Xian, Peoples R China
Wang, Hai
Liu, Chang
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机构:
Xi An Jiao Tong Univ, Key Lab Surg Crit Care & Life Support, Minist Educ, Xian, Peoples R ChinaXi An Jiao Tong Univ, Dept SICU, Affiliated Hosp 1, Xian, Peoples R China
Liu, Chang
Zhang, Jingyao
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机构:
Xi An Jiao Tong Univ, Dept SICU, Affiliated Hosp 1, Xian, Peoples R ChinaXi An Jiao Tong Univ, Dept SICU, Affiliated Hosp 1, Xian, Peoples R China
机构:
China Med Univ, Sch Publ Hlth, Dept Biostat & Epidemiol, Shenyang, Liaoning, Peoples R ChinaChina Med Univ, Sch Publ Hlth, Dept Biostat & Epidemiol, Shenyang, Liaoning, Peoples R China
Liu, Yang
Ning, Ning
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机构:
China Med Univ, Sch Publ Hlth, Dept Biostat & Epidemiol, Shenyang, Liaoning, Peoples R ChinaChina Med Univ, Sch Publ Hlth, Dept Biostat & Epidemiol, Shenyang, Liaoning, Peoples R China
Ning, Ning
Sun, Ting
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机构:
Bengbu Med Coll, Sch Nursing, Bengbu, Anhui, Peoples R ChinaChina Med Univ, Sch Publ Hlth, Dept Biostat & Epidemiol, Shenyang, Liaoning, Peoples R China
Sun, Ting
Guan, Hongcai
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机构:
Peking Univ, Sch Publ Hlth, Beijing, Peoples R ChinaChina Med Univ, Sch Publ Hlth, Dept Biostat & Epidemiol, Shenyang, Liaoning, Peoples R China
Guan, Hongcai
Liu, Zuyun
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机构:
Zhejiang Univ, Sch Med, Sch Publ Hlth, Hangzhou, Peoples R China
Zhejiang Univ, Sch Med, Affiliated Hosp 2, Key Lab Intelligent Prevent Med Zhejiang Prov, Hangzhou, Peoples R ChinaChina Med Univ, Sch Publ Hlth, Dept Biostat & Epidemiol, Shenyang, Liaoning, Peoples R China
Liu, Zuyun
Yang, Wanshui
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机构:
Anhui Med Univ, Sch Publ Hlth, Dept Nutr, Hefei, Anhui, Peoples R ChinaChina Med Univ, Sch Publ Hlth, Dept Biostat & Epidemiol, Shenyang, Liaoning, Peoples R China
Yang, Wanshui
Ma, Yanan
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机构:
China Med Univ, Sch Publ Hlth, Dept Biostat & Epidemiol, Shenyang, Liaoning, Peoples R China
China Med Univ, Sch Publ Hlth, Dept Biostat & Epidemiol, 77 Puhe Rd, Shenyang 110122, Liaoning, Peoples R ChinaChina Med Univ, Sch Publ Hlth, Dept Biostat & Epidemiol, Shenyang, Liaoning, Peoples R China
机构:
Chinese Peoples Liberat Army Gen Hosp, Geriatr Neurol Dept, Med Ctr 2, Beijing, Peoples R China
Chinese Peoples Liberat Army Gen Hosp, Natl Clin Res Ctr Geriatr Dis, Beijing, Peoples R China
Beijing Cadre Serv Adm, Beijing, Peoples R ChinaChinese Peoples Liberat Army Gen Hosp, Geriatr Neurol Dept, Med Ctr 2, Beijing, Peoples R China
Li, Tianjiao
Li, Lingxuan
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机构:
Beijing Forestry Univ, Coll Humanities & Social Sci, Dept Psychol, Beijing, Peoples R ChinaChinese Peoples Liberat Army Gen Hosp, Geriatr Neurol Dept, Med Ctr 2, Beijing, Peoples R China
Li, Lingxuan
Xie, Hongyang
论文数: 0引用数: 0
h-index: 0
机构:
Chinese Peoples Liberat Army Gen Hosp, Neurol Dept, Med Ctr 7, Beijing, Peoples R ChinaChinese Peoples Liberat Army Gen Hosp, Geriatr Neurol Dept, Med Ctr 2, Beijing, Peoples R China
Xie, Hongyang
Ping, Rongyu
论文数: 0引用数: 0
h-index: 0
机构:
Chinese Peoples Liberat Army Gen Hosp, Geriatr Neurol Dept, Med Ctr 2, Beijing, Peoples R China
Chinese Peoples Liberat Army Gen Hosp, Natl Clin Res Ctr Geriatr Dis, Beijing, Peoples R China
Beijing Inst Lifeom, Beijing Proteome Res Ctr, Natl Ctr Prot Sci Beijing, State Key Lab Med Prote, Beijing, Peoples R ChinaChinese Peoples Liberat Army Gen Hosp, Geriatr Neurol Dept, Med Ctr 2, Beijing, Peoples R China
Ping, Rongyu
Guo, Yane
论文数: 0引用数: 0
h-index: 0
机构:
Chinese Peoples Liberat Army Gen Hosp, Geriatr Neurol Dept, Med Ctr 2, Beijing, Peoples R China
Chinese Peoples Liberat Army Gen Hosp, Natl Clin Res Ctr Geriatr Dis, Beijing, Peoples R ChinaChinese Peoples Liberat Army Gen Hosp, Geriatr Neurol Dept, Med Ctr 2, Beijing, Peoples R China
Guo, Yane
Li, Dongmei
论文数: 0引用数: 0
h-index: 0
机构:
Chinese Peoples Liberat Army Gen Hosp, Geriatr Neurol Dept, Med Ctr 2, Beijing, Peoples R China
Chinese Peoples Liberat Army Gen Hosp, Natl Clin Res Ctr Geriatr Dis, Beijing, Peoples R ChinaChinese Peoples Liberat Army Gen Hosp, Geriatr Neurol Dept, Med Ctr 2, Beijing, Peoples R China
Li, Dongmei
Zhang, Yuwei
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机构:
19th Cadre Rehabil Ctr, Beijing, Peoples R ChinaChinese Peoples Liberat Army Gen Hosp, Geriatr Neurol Dept, Med Ctr 2, Beijing, Peoples R China
Zhang, Yuwei
Bai, Xiujuan
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机构:
Chinese Peoples Liberat Army Gen Hosp, Geriatr Neurol Dept, Med Ctr 2, Beijing, Peoples R China
Chinese Peoples Liberat Army Gen Hosp, Natl Clin Res Ctr Geriatr Dis, Beijing, Peoples R ChinaChinese Peoples Liberat Army Gen Hosp, Geriatr Neurol Dept, Med Ctr 2, Beijing, Peoples R China
Bai, Xiujuan
Sun, Bo
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h-index: 0
机构:
Chinese Peoples Liberat Army Gen Hosp, Geriatr Neurol Dept, Med Ctr 2, Beijing, Peoples R China
Chinese Peoples Liberat Army Gen Hosp, Natl Clin Res Ctr Geriatr Dis, Beijing, Peoples R ChinaChinese Peoples Liberat Army Gen Hosp, Geriatr Neurol Dept, Med Ctr 2, Beijing, Peoples R China
机构:
Wuhan Univ, Sch Hlth Sci, Wuhan 430071, Peoples R China
Wuhan Univ, Global Hlth Inst, Wuhan 430072, Peoples R ChinaWuhan Univ, Sch Hlth Sci, Wuhan 430071, Peoples R China
Liu, Jianjian
Yang, Ying
论文数: 0引用数: 0
h-index: 0
机构:
Wuhan Univ, Sch Hlth Sci, Wuhan 430071, Peoples R China
Wuhan Univ, Global Hlth Inst, Wuhan 430072, Peoples R ChinaWuhan Univ, Sch Hlth Sci, Wuhan 430071, Peoples R China
Yang, Ying
Zhou, Jiayi
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机构:
Wuhan Univ, Sch Hlth Sci, Wuhan 430071, Peoples R ChinaWuhan Univ, Sch Hlth Sci, Wuhan 430071, Peoples R China
Zhou, Jiayi
Liu, Tianyu
论文数: 0引用数: 0
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机构:
Wuhan Univ, Sch Hlth Sci, Wuhan 430071, Peoples R ChinaWuhan Univ, Sch Hlth Sci, Wuhan 430071, Peoples R China
Liu, Tianyu
Zhang, Wenjie
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机构:
Wuhan Univ, Sch Hlth Sci, Wuhan 430071, Peoples R China
Wuhan Univ, Global Hlth Inst, Wuhan 430072, Peoples R ChinaWuhan Univ, Sch Hlth Sci, Wuhan 430071, Peoples R China
Zhang, Wenjie
Wei, Liuyi
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机构:
Wuhan Univ, Sch Hlth Sci, Wuhan 430071, Peoples R China
Wuhan Univ, Global Hlth Inst, Wuhan 430072, Peoples R ChinaWuhan Univ, Sch Hlth Sci, Wuhan 430071, Peoples R China
Wei, Liuyi
Wu, Shaotang
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机构:
Wuhan Univ, Sch Hlth Sci, Wuhan 430071, Peoples R China
Wuhan Univ, Global Hlth Inst, Wuhan 430072, Peoples R ChinaWuhan Univ, Sch Hlth Sci, Wuhan 430071, Peoples R China