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Determinants of Out-of-pocket Health Expenditure in China : Analysis Using China Health and Nutrition Survey Data
https://doi.org/10.15083/00002446
https://doi.org/10.15083/000024468f10d2af-ec08-4318-952b-ca92831fc45d
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h21_yu.pdf (560.6 kB)
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h21_yu_a.pdf (24.2 kB)
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| Item type | 学位論文 / Thesis or Dissertation(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2012-03-01 | |||||
| タイトル | ||||||
| タイトル | Determinants of Out-of-pocket Health Expenditure in China : Analysis Using China Health and Nutrition Survey Data | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Determinants | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Out-of-pocket health expenditure | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Sample selection bias | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | China | |||||
| 資源タイプ | ||||||
| 資源 | http://purl.org/coar/resource_type/c_46ec | |||||
| タイプ | thesis | |||||
| ID登録 | ||||||
| ID登録 | 10.15083/00002446 | |||||
| ID登録タイプ | JaLC | |||||
| その他のタイトル | ||||||
| その他のタイトル | 中国における医療費個人支出の決定要因 ： China Health and Nutrition Survey のデータ分析 | |||||
| 著者 |
You, Xuedan
× You, Xuedan |
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| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 6735 | |||||
| 姓名 | 尤, 雪丹 | |||||
| 著者所属 | ||||||
| 著者所属 | 大学院医学系研究科 社会医学専攻 | |||||
| 著者所属 | ||||||
| 著者所属 | Department of Public Health, Graduate School of Medicine, the University of Tokyo | |||||
| Abstract | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Background: Out-of-pocket health expenditure has become the primary source of health financingin China. Its share in the total health expenditure increased to 49 percent from 20 percent with apeak at 60 percent since 1978 to 2006. To estimate the determinants of individual out-of-pockethealth expenditure in China, we conducted this study.//Methods: We used a sub-sample of adults aged eighteen and over from 2004 China Health andNutrition Survey data. Heckman selection model was conducted to control for potential sampleselection bias.//Results: 24.6 percent of the sampled population (n=9,860) reported recent health problems; amongthem, 80.7 percent utilized health care. The median out-of-pocket health expenditure was 55Renminbi (7 Renminbi = US$ 1). Poor health status, perceived quite serious illness and age over 65have the highest coefficients at 3.345, 2.024 and 1.172, respectively. Income elasticity is positive at0.18. Urban residents and individuals with chronic diseases, with health insurance, from a highereducated-head household, or reside in the middle or eastern region pay more for health care.//Conclusion: Need, predisposing and enabling factors work together to determine out-of-pockethealth expenditure. Appropriate medical relief policies focusing on the population with highfinancial burden need to be considered | |||||
| 書誌情報 | 発行日 2010-03-24 | |||||
| 日本十進分類法 | ||||||
| 主題Scheme | NDC | |||||
| 主題 | 490 | |||||
| 学位名 | ||||||
| 学位名 | 博士(医学) | |||||
| 学位 | ||||||
| 値 | doctoral | |||||
| 学位分野 | ||||||
| Medical Science (医学) | ||||||
| 学位授与機関 | ||||||
| 学位授与機関名 | University of Tokyo (東京大学) | |||||
| 研究科・専攻 | ||||||
| Department of Social Medicine, Graduate School of Medical Sciences (医学系研究科社会医学専攻) | ||||||
| 学位授与年月日 | ||||||
| 学位授与年月日 | 2010-03-24 | |||||
| 学位授与番号 | ||||||
| 学位授与番号 | 甲第25956号 | |||||
| 学位記番号 | ||||||
| 博医第3435号 | ||||||
