关键词: CHE China health poverty income poverty multidimensional health

Mesh : Catastrophic Illness China Health Expenditures Humans Income Poverty

来  源:   DOI:10.3389/fpubh.2021.786325   PDF(Pubmed)

Abstract:
This article defines the concept of \"multidimensional health poverty,\" considering both the monetary aspects and multidimensional health deprivation of health poverty. Moreover, we set up the multidimensional health poverty index (MHPI) to measure health poverty in China by revising the traditional A-F MPI method, specifically we use the Catastrophic Health Expenditure (CHE) as a sufficient condition and income poverty as a necessary condition, and take physical, mental, and social health into account. The measurement result evidences that physical health, monetary dimensions (CHE and income poverty), and mental health contribute most to health poverty in China. In addition, the MHPI is significantly higher in rural areas than urban because of higher out-of-pocket medical payments and health deprivation in more dimensions. Compared with the traditional method, the MHPI is more accurate, stable, and comprehensive, making it more suitable for measuring health poverty.
摘要:
本文定义了“多维健康贫困”的概念,“考虑到健康贫困的货币方面和多维健康剥夺。此外,通过修正传统的A-FMPI方法,建立多维健康贫困指数(MHPI),具体来说,我们将灾难性卫生支出(CHE)作为充分条件,将收入贫困作为必要条件,并采取物理,心理,和社会健康考虑在内。测量结果证明身体健康,货币层面(CHE和收入贫困),在中国,心理健康对健康贫困的贡献最大。此外,农村地区的MHPI明显高于城市地区,因为自付医疗费用较高,而且在更多方面缺乏健康。与传统方法相比,MHPI更准确,稳定,全面,使其更适合衡量健康贫困。
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