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目的:分析临近死亡时老龄化与医疗费用支出之间的关系。方法:利用2013年中国健康与养老追踪调查数据,根据退出及死因问卷和普通家庭入户调查问卷设定死亡退出组和存活调查组,探讨不同年龄组人口在死亡前1年以及死亡前1个月在医疗费用支出方面的差异。结果:在未临近死亡时,老年人的医疗费用支出并不会出现大的增加,而实际死亡年龄越高,其平均医疗费用支出反而越低。结论:如果不考虑临近死亡效应,仅仅从年龄角度来讨论人口老龄化与医疗费用的联系,将会高估人口老龄化对于医疗费用的影响。
OBJECTIVE: To analyze the relationship between aging and medical expenses near death. Methods: According to the data of China Health and Elderly Tracing Survey in 2013, the death exit group and survival investigation group were set up according to the questionnaire of exit and cause of death and the questionnaire of ordinary household. The population of different age groups were investigated before death and 1 year before death The difference in monthly medical expenses. Results: In the absence of death, there is no significant increase in the medical expenses of the elderly, but the higher the actual death age, the lower the average medical expenses. CONCLUSION: A discussion of the link between population aging and medical costs from an age perspective alone would overestimate the impact of population aging on health care costs, without regard to the effects of proximity.