PDF(Pubmed)
Abstract：
UNASSIGNED: The aging Chinese population is driving up health care costs, with hospitalizational accounting for a large portion of total health care costs. By 2012, hospitalization costs for people over 60 years of age exceeded outpatient costs, marking a change in the allocation of medical resources. Further research is needed on the factors influencing changes in hospitalizational costs and burden. This paper examines the costs and burden of hospitalization for older adults from a micro perspective, providing new evidence to explain how social, medical, family, personal, and geographic factors affect them.
UNASSIGNED: Utilizing data from the 2018 China Health and Retirement Longitudinal Study (CHARLS), a linear regression model was constructed to investigate the impact of various factors on the hospitalization costs and burden among the older adult in China. To ensure the heterogeneity of the results, the sample was divided into subgroups based on different regions for comparative analysis. Additionally, collinearity among the variables was examined.
UNASSIGNED: The average hospitalization costs for the older adult are $1,199.24, with a burden score of 0.5. Residence, type of chronic diseases, region, family size, type of health service facility, received distance, smoke and alcoholic significantly affect the out-of-pocket expenses for older adult hospitalizations. In terms of the burden of hospitalization for the older adult, Residence, health insurance, education, type of chronic diseases, region, family size, ethnic, type of health service facility, received distance, smoke, alcoholic and pension significantly impact the hospitalization burden for the older adult.
UNASSIGNED: This paper provides a new perspective to explain the factors influencing hospitalizational costs and burden in China. The policy recommendations include expanding health insurance coverage and promoting commercial insurance to enhance the accessibility and financial security of healthcare services. Strengthening primary care is suggested to reduce the burden on hospitals and lower the overall cost of hospitalization. Policies aimed at addressing regional healthcare disparities are proposed, along with targeted support for vulnerable groups, including subsidies and culturally sensitive services.
UNASSIGNED: Utilizing data from the 2018 China Health and Retirement Longitudinal Study (CHARLS), a linear regression model was constructed to investigate the impact of various factors on the hospitalization costs and burden among the older adult in China. To ensure the heterogeneity of the results, the sample was divided into subgroups based on different regions for comparative analysis. Additionally, collinearity among the variables was examined.
UNASSIGNED: The average hospitalization costs for the older adult are $1,199.24, with a burden score of 0.5. Residence, type of chronic diseases, region, family size, type of health service facility, received distance, smoke and alcoholic significantly affect the out-of-pocket expenses for older adult hospitalizations. In terms of the burden of hospitalization for the older adult, Residence, health insurance, education, type of chronic diseases, region, family size, ethnic, type of health service facility, received distance, smoke, alcoholic and pension significantly impact the hospitalization burden for the older adult.
UNASSIGNED: This paper provides a new perspective to explain the factors influencing hospitalizational costs and burden in China. The policy recommendations include expanding health insurance coverage and promoting commercial insurance to enhance the accessibility and financial security of healthcare services. Strengthening primary care is suggested to reduce the burden on hospitals and lower the overall cost of hospitalization. Policies aimed at addressing regional healthcare disparities are proposed, along with targeted support for vulnerable groups, including subsidies and culturally sensitive services.
摘要：
■中国人口老龄化正在推高医疗成本，住院占医疗总费用的很大一部分。到2012年，60岁以上人群的住院费用超过了门诊费用，标志着医疗资源配置的变化。需要进一步研究影响住院费用和负担变化的因素。本文从微观角度考察了老年人住院的费用和负担，提供新的证据来解释社会，medical,家庭,个人,地理因素影响着他们。
■利用2018年中国健康与退休纵向研究（CHARLS）的数据，构建线性回归模型,探讨各因素对中国老年人住院费用和负担的影响.为了确保结果的异质性，根据不同地区将样本分为亚组进行比较分析.此外,检查了变量之间的共线性。
■老年人的平均住院费用为$1,199.24，负担评分为0.5。Residence,慢性疾病的类型，区域,家庭大小,卫生服务设施的类型，接收距离,吸烟和酗酒显著影响老年人住院的自付费用。就老年人的住院负担而言，Residence,健康保险,教育,慢性疾病的类型，区域,家庭大小,民族,卫生服务设施的类型，接收距离,烟雾,酗酒和养老金显著影响老年人的住院负担。
■本文为解释中国住院费用和住院费用负担的影响因素提供了一个新的视角。政策建议包括扩大健康保险覆盖面和促进商业保险，以提高医疗服务的可及性和财务安全性。建议加强初级保健，以减轻医院负担，降低住院总费用。提出了旨在解决区域医疗保健差异的政策，以及对弱势群体的有针对性的支持，包括补贴和文化敏感服务。
■利用2018年中国健康与退休纵向研究（CHARLS）的数据，构建线性回归模型,探讨各因素对中国老年人住院费用和负担的影响.为了确保结果的异质性，根据不同地区将样本分为亚组进行比较分析.此外,检查了变量之间的共线性。
■老年人的平均住院费用为$1,199.24，负担评分为0.5。Residence,慢性疾病的类型，区域,家庭大小,卫生服务设施的类型，接收距离,吸烟和酗酒显著影响老年人住院的自付费用。就老年人的住院负担而言，Residence,健康保险,教育,慢性疾病的类型，区域,家庭大小,民族,卫生服务设施的类型，接收距离,烟雾,酗酒和养老金显著影响老年人的住院负担。
■本文为解释中国住院费用和住院费用负担的影响因素提供了一个新的视角。政策建议包括扩大健康保险覆盖面和促进商业保险，以提高医疗服务的可及性和财务安全性。建议加强初级保健，以减轻医院负担，降低住院总费用。提出了旨在解决区域医疗保健差异的政策，以及对弱势群体的有针对性的支持，包括补贴和文化敏感服务。
