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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

沙森林 樊智鑫 宋吉玲 张文龙 孙强 阴佳

中国农村卫生事业管理2025,Vol.45Issue(9):647-652,6.
中国农村卫生事业管理2025,Vol.45Issue(9):647-652,6.DOI:10.19955/j.cnki.1005-5916.2025.09.007

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

Identification accuracy of medical aid objects from the perspective of family economy:A study based on CHFS data

沙森林 1樊智鑫 1宋吉玲 2张文龙 3孙强 1阴佳1

作者信息

  • 1. 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
  • 2. 诸城市人民医院
  • 3. 广州中医药大学公共卫生与管理学院
  • 折叠

摘要

Abstract

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.

关键词

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

Key words

Medical aid/Identification precision/ROC test/Rescue target/Family economics/family so-ciology

分类

医药卫生

引用本文复制引用

沙森林,樊智鑫,宋吉玲,张文龙,孙强,阴佳..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[J].中国农村卫生事业管理,2025,45(9):647-652,6.

基金项目

国家重点研发计划项目(2020YFC2006505) (2020YFC2006505)

中国农村卫生事业管理

1005-5916

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