家庭经济视域下医疗救助对象的识别精度研究:基于CHFS数据OA
Identification accuracy of medical aid objects from the perspective of family economy:A study based on CHFS data
目的 以传统家庭经济因素对医疗救助的识别为基础,探究加入家庭社会学因素对识别效果的影响,为进一步完善认定办法提供参考.方法 数据来自中国家庭金融(CHFS)2019年调查,分别选取4组和5组不同维度的家庭社会学、经济学特征变量.逐步回归选出显著影响"医疗救助"的家庭社会学变量,并结合家庭经济特征进行多因素ROC检验.结果 单变量ROC检验中,家庭医疗支出精度为0.665 8(P<0.001)、其次为家庭年总收入0.616 4(P<0.001);逐步回归得到户主学历户主工作单位类型、家庭残疾家人家、家庭退休人员数、家庭汽车数量、有无空调等6个社会学特征表现显著,结合家庭经济学特征进行多变量ROC检验,结果提升至0.719 1(P<0.001).结论 "家庭负债""户主特征""人数特征"可弥补以"家庭收入"为主要识别条件所带来的偏移;外在的家庭条件过滤富人,然后综合家庭多维度识别穷人可提升精准度.
Objective Based on the recognition of medical aid by traditional family economic factors,this paper explores the influence of adding family sociological factors on the recognition effect,so as to provide refer-ence for further improving the identification guidelines.Methods The data were collected from the 2019 survey of China Household Finance Survey(CHFS),and 4 groups and 5 groups of household sociological and economic characteristic variables from different dimensions were selected.The family sociological variables that significantly affected medical aid were selected by stepwise regression,and the multi-factor ROC test was performed based on the family economic characteristics.Results In the univariate ROC test,the accuracy of family medical expenditure was 0.665 8(P<0.001),followed by the total annual family income 0.6164(P<0.001).Stepwise regression analysis results showed significant performance in 6 sociological characteristics,including the education back-ground of the household head.Multivariate ROC test was conducted based on household economic characteristics,and the result was increased to 0.719 1(P<0.001).Conclusions"Household Debt","Household Head Charac-teristics"and"Population Characteristics"can compensate for the deviation caused by"Household Income"as the main identification condition.External family conditions filter the rich,and then integrate the family multidi-mensional identification of the poor can reduce leakage rates.
沙森林;樊智鑫;宋吉玲;张文龙;孙强;阴佳
山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心,国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学),济南 250012山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心,国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学),济南 250012诸城市人民医院广州中医药大学公共卫生与管理学院山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心,国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学),济南 250012山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心,国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学),济南 250012
医药卫生
医疗救助识别精度ROC检验救助对象家庭经济学家庭社会学
Medical aidIdentification precisionROC testRescue targetFamily economicsfamily so-ciology
《中国农村卫生事业管理》 2025 (9)
647-652,6
国家重点研发计划项目(2020YFC2006505)
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