首页|河北省老年人病死率调查及补充医疗保险的作用研究

河北省老年人病死率调查及补充医疗保险的作用研究

Survey of the elderly mortality and the role of supplementary medical insurance in Hebei Province

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目的 探讨河北省老年人病死率的情况以及补充医疗保险对老年人健康状况的作用,为提高老年人健康水平和制定相关政策提供科学依据.方法 采用分层多阶段整群抽样方法,从河北省 11 个省辖市进行抽样,研究对象为 2020 至 2022 年死亡的老年群体,统计死亡率、是否参加补充医疗保险、医疗服务获得情况、医疗费用支出等.结果 循环系统、肿瘤和消化是老年人死亡的主要原因,三者合计占所有疾病死亡人数的 70.6%,循环系统是老年人死亡的首要原因;老年人死亡率随着年龄的增长而逐渐增加;入院治疗的 70~79 岁的老年人数量最多,但是 60~69 岁的老年人的次均住院费用和自付比例均最高,≥80 岁的老年人的次均自付费用和自付比例均最低;补充医疗保险使老年人死亡率显著降低.结论 补充医疗保险对老年人的健康状况产生积极的作用,可以降低老年人的病死率,并提供额外的医疗保障,减轻老年人的经济负担,从而更容易获得医疗服务和治疗.针对老年人的健康状况、生活习惯、医疗保障状况等方面的调查也有助于制定相关政策,提高老年人的健康水平.
Objective This study aims to survey the elderly mortality and investigate the role of supplementary medical insurance on the elderly health status,thus providing a scientific basis for improving the health level of the elderly and formulating relevant policies in Hebei Province.Methods Using a stratified multi-stage cluster sampling method,died elderly from January 2020 to December 2022 were selected from 11 Municipalities directly under the provincial government in Hebei Province.The mortality,participation in supplementary medical insurance,access to medical care,and medical expenses were analyzed.Results The circulatory system diseases,tumors,and digestive system diseases were the main causes of death in the elderly,accounting for 70.6%of all disease-related deaths.The circulatory system diseases were the primary cause of death in the elderly.The elderly mortality gradually increased with age.The number of elderly people aged 70-79 of years who were admitted for treatment ranked the highest.The highest average hospitalization expenses and self payment ratio were detected among those aged 60-69 of years,and lowest values were detected in those aged≥80 years.Supplementary medical insurance significantly reduced the mortality of the elderly.Conclusion Supplementary medical insurance has a positive effect on the health status of the elderly,which can reduce their mortality and economic burden,provide an additional medical insurance,and make it easier to access medical services and treatment.Surveys on the health status,lifestyle habits,and medical security status of the elderly can also help formulate relevant policies to improve their health level.

elderly mortalitymortality surveysupplementary medical insurance

刘斯文、刘波、张秀菊、李向黎、刘丹凤、底改娟、翟俊霞

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050071 石家庄市,河北省医学情报研究所

老年人病死率 病死率调查 补充医疗保险

河北省社会科学发展研究课题项目河北省医学科学研究课题计划

2022010102520231239

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(9)
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