Health Status and Burden of Health Care Costs Among Urban Elderly in China

作者：Teng, Haiying; Cao, Zhizhong; Liu, Junlan; Liu, Pei; Hua, Wei; Yang, Yue; Xiong, Linping^*

来源：Asia-Pacific Journal of Public Health, 2015, 27(2): 61S-68S.

DOI：10.1177/1010539515571579

• aging
• chronic diseases
• medical security
• health care demand

This study evaluates health status among elderly residents in urban China and medical insurance schemes for them. A total of 931 urban elderly individuals aged 60 years or above in 3 cities were interviewed. The survey gathered data on individual sociodemographic characteristics, self-reported health status, chronic disease diagnoses, use of and expenditure related to health care services, satisfaction with medical insurance, and so on. The prevalence of chronic disease was 79.1% among the respondents, and medical expenditure on chronic disease per patient was 4656 Yuan in half a year. Over the 2 earlier weeks, 27.4% of respondents had felt sick, and 63.5% of them had had outpatient visits; 29.5% of respondents had been hospitalized in the past year. Among different groups, the inpatient reimbursement rate ranged from 45.5% to 81.2%, and the outpatient reimbursement rate was between 4.1% and 100%. The health care demand had not been met for many elderly individuals because of the lack of general outpatient coverage in the basic medical insurance scheme.

• 出版日期2015-3
• 单位中国人民解放军第二军医大学