Chinese General Practice ›› 2023, Vol. 26 ›› Issue (22): 2800-2808.DOI: 10.12114/j.issn.1007-9572.2022.0409
• Original Research·Foucus on Hospice Care • Previous Articles Next Articles
Received:
2022-06-08
Revised:
2023-03-21
Published:
2023-08-05
Online:
2023-04-13
Contact:
LI Bei
通讯作者:
李贝
作者简介:
基金资助:
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URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2022.0409
组别 | 例数 | 临终前一年医疗费用( | 死亡年龄( | 女〔n(%)〕 | 有配偶〔n(%)〕 | 居住安排〔n(%)〕 | |||
---|---|---|---|---|---|---|---|---|---|
养老院 | 独居 | 老年夫妇二人家庭 | 与子女或孙子女等其他亲属居住 | ||||||
城市高龄老年人 | 580 | 8.50±1.75 | 94.2±7.9 | 325(56.03) | 129(22.24) | 36(6.21) | 128(22.07) | 400(68.97) | 16(2.76) |
农村高龄老年人 | 819 | 7.81±1.65 | 95.0±7.8 | 472(57.63) | 159(19.41) | 15(1.83) | 205(25.03) | 587(71.67) | 12(1.47) |
检验统计量值 | 7.538b | -1.813b | 0.353c | 1.660c | 22.273c | ||||
P值 | <0.001 | 0.071 | 0.552 | 0.198 | <0.001 | ||||
组别 | 照料模式〔n(%)〕 | 失能〔n(%)〕 | 未参加养老保险〔n(%)〕 | ||||||
配偶照料 | 子女照料 | 孙子女或其他亲戚照料 | 社会照料 | 无人照料 | 无须照料 | ||||
城市高龄老年人 | 60(10.34) | 438(75.52) | 33(5.69) | 37(6.38) | 1(0.17) | 11(1.90) | 497(85.69) | 288(49.66) | |
农村高龄老年人 | 60(7.33) | 685(83.64) | 33(4.03) | 19(2.32) | 4(0.49) | 18(2.20) | 706(86.20) | 545(66.54) | |
检验统计量值 | 23.457c | 0.074c | 40.206c | ||||||
P值 | <0.001 | 0.785 | <0.001 | ||||||
组别 | 死亡地点〔n(%)〕 | 医疗服务是否可及〔n(%)〕 | 卧床〔n(%)〕 | 家庭年人均收入( | |||||
家中 | 医院 | 养老院 | 其他 | 是 | 否 | 没有生过病 | |||
城市高龄老年人 | 477(82.24) | 74(12.76) | 25(4.31) | 4(0.69) | 473(81.55) | 21(3.62) | 86(14.83) | 451(77.76) | 9.52±2.19 |
农村高龄老年人 | 780(95.24) | 26(3.17) | 11(1.34) | 2(0.24) | 672(82.05) | 25(3.05) | 122(14.90) | 656(80.10) | 9.00±2.01 |
检验统计量值 | 62.656d | 0.345c | 1.125c | 4.519b | |||||
P值 | <0.001 | 0.842 | 0.289 | <0.001 |
Table 1 Comparison of general data between Chinese urban and rural oldest-old
组别 | 例数 | 临终前一年医疗费用( | 死亡年龄( | 女〔n(%)〕 | 有配偶〔n(%)〕 | 居住安排〔n(%)〕 | |||
---|---|---|---|---|---|---|---|---|---|
养老院 | 独居 | 老年夫妇二人家庭 | 与子女或孙子女等其他亲属居住 | ||||||
城市高龄老年人 | 580 | 8.50±1.75 | 94.2±7.9 | 325(56.03) | 129(22.24) | 36(6.21) | 128(22.07) | 400(68.97) | 16(2.76) |
农村高龄老年人 | 819 | 7.81±1.65 | 95.0±7.8 | 472(57.63) | 159(19.41) | 15(1.83) | 205(25.03) | 587(71.67) | 12(1.47) |
检验统计量值 | 7.538b | -1.813b | 0.353c | 1.660c | 22.273c | ||||
P值 | <0.001 | 0.071 | 0.552 | 0.198 | <0.001 | ||||
组别 | 照料模式〔n(%)〕 | 失能〔n(%)〕 | 未参加养老保险〔n(%)〕 | ||||||
配偶照料 | 子女照料 | 孙子女或其他亲戚照料 | 社会照料 | 无人照料 | 无须照料 | ||||
城市高龄老年人 | 60(10.34) | 438(75.52) | 33(5.69) | 37(6.38) | 1(0.17) | 11(1.90) | 497(85.69) | 288(49.66) | |
农村高龄老年人 | 60(7.33) | 685(83.64) | 33(4.03) | 19(2.32) | 4(0.49) | 18(2.20) | 706(86.20) | 545(66.54) | |
检验统计量值 | 23.457c | 0.074c | 40.206c | ||||||
P值 | <0.001 | 0.785 | <0.001 | ||||||
组别 | 死亡地点〔n(%)〕 | 医疗服务是否可及〔n(%)〕 | 卧床〔n(%)〕 | 家庭年人均收入( | |||||
家中 | 医院 | 养老院 | 其他 | 是 | 否 | 没有生过病 | |||
城市高龄老年人 | 477(82.24) | 74(12.76) | 25(4.31) | 4(0.69) | 473(81.55) | 21(3.62) | 86(14.83) | 451(77.76) | 9.52±2.19 |
农村高龄老年人 | 780(95.24) | 26(3.17) | 11(1.34) | 2(0.24) | 672(82.05) | 25(3.05) | 122(14.90) | 656(80.10) | 9.00±2.01 |
检验统计量值 | 62.656d | 0.345c | 1.125c | 4.519b | |||||
P值 | <0.001 | 0.842 | 0.289 | <0.001 |
项目 | 全体高龄老年人 | 城市高龄老年人 | 农村高龄老年人 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
例数 | 临终前一年医疗费用a | t(F)值 | P值 | 例数 | 临终前一年医疗费用a | t(F)值 | P值 | 例数 | 临终前一年医疗费用a | t(F)值 | P值 | |
性别 | 5.214 | <0.001 | 3.557 | <0.001 | 3.830 | <0.001 | ||||||
男 | 602 | 8.37±1.75 | 255 | 8.79±1.76 | 347 | 8.06±1.68 | ||||||
女 | 797 | 7.89±1.68 | 325 | 8.27±1.72 | 472 | 7.72±1.60 | ||||||
婚姻状况 | -6.144 | <0.001 | -3.023 | 0.002 | -5.588 | <0.001 | ||||||
无配偶 | 1 111 | 7.95±1.69 | 451 | 8.38±1.73 | 660 | 7.65±1.60 | ||||||
有配偶 | 288 | 8.66±1.75 | 129 | 8.91±1.80 | 159 | 8.45±1.69 | ||||||
居住安排 | 4.542b | 0.004 | 3.356b | 0.019 | 2.650b | 0.048 | ||||||
养老院 | 51 | 7.66±2.50 | 36 | 7.71±2.64 | 15 | 7.52±2.21 | ||||||
独居 | 333 | 8.17±1.79 | 128 | 8.61±1.73 | 205 | 7.89±1.78 | ||||||
老年夫妇二人家庭 | 987 | 8.06±1.64 | 400 | 8.51±1.64 | 587 | 7.76±1.57 | ||||||
与子女或孙子女等其他亲属居住 | 28 | 9.09±1.84 | 16 | 9.15±1.75 | 12 | 9.02±1.93 | ||||||
照料模式 | 4.490b | <0.001 | 0.848b | 0.516 | 4.761b | <0.001 | ||||||
配偶照料 | 120 | 8.62±1.63 | 60 | 8.73±1.47 | 60 | 8.50±1.79 | ||||||
子女照料 | 1 123 | 8.06±1.66 | 438 | 8.50±1.70 | 685 | 7.78±1.58 | ||||||
孙子女或其他亲戚照料 | 66 | 7.96±1.97 | 33 | 8.56±2.01 | 33 | 7.35±1.75 | ||||||
社会照料 | 56 | 8.34±2.39 | 37 | 8.27±2.46 | 19 | 8.47±2.32 | ||||||
无人照料 | 5 | 6.54±1.55 | 1 | 8.29±1.70 | 4 | 6.11±1.38 | ||||||
无须照料 | 29 | 7.36±1.89 | 11 | 7.67±1.71 | 18 | 7.18±2.02 | ||||||
失能情况 | -3.871 | <0.001 | -2.867 | 0.004 | -2.828 | 0.005 | ||||||
未失能 | 196 | 7.65±1.73 | 83 | 7.99±1.86 | 113 | 7.40±1.58 | ||||||
失能 | 1 203 | 8.17±1.72 | 497 | 8.58±1.72 | 706 | 7.87±1.65 | ||||||
有无参加养老保险 | 4.996 | <0.001 | 2.459 | 0.014 | 3.046 | 0.002 | ||||||
有 | 566 | 8.38±1.78 | 292 | 8.68±1.80 | 274 | 8.05±1.70 | ||||||
无 | 833 | 7.90±1.67 | 288 | 8.32±1.69 | 545 | 7.68±1.61 | ||||||
死亡地点 | 27.629b | <0.001 | 20.848b | <0.001 | 3.441b | 0.016 | ||||||
家中 | 1 257 | 7.99±1.65 | 477 | 8.35±1.63 | 780 | 7.77±1.63 | ||||||
医院 | 100 | 9.54±1.77 | 74 | 9.84±1.57 | 26 | 8.69±2.06 | ||||||
养老院 | 36 | 7.63±2.23 | 25 | 7.40±2.43 | 11 | 8.17±1.65 | ||||||
其他 | 6 | 8.75±2.10 | 4 | 8.43±2.60 | 2 | 9.40±0.71 | ||||||
医疗服务是否可及 | 28.720b | <0.001 | 19.456b | <0.001 | 11.932b | <0.001 | ||||||
是 | 1 145 | 8.25±1.71 | 473 | 8.70±1.69 | 672 | 7.94±1.65 | ||||||
否 | 46 | 7.81±1.71 | 21 | 8.28±1.75 | 25 | 7.42±1.62 | ||||||
没有生过病 | 208 | 7.29±1.62 | 86 | 7.46±1.76 | 122 | 7.18±1.51 | ||||||
是否卧床 | -5.537 | <0.001 | -4.815 | <0.001 | -3.524 | <0.001 | ||||||
否 | 292 | 7.60±1.70 | 129 | 7.86±1.82 | 163 | 7.40±1.58 | ||||||
是 | 1 107 | 8.22±1.71 | 451 | 8.68±1.69 | 656 | 7.91±1.65 |
Table 2 Comparison of medical expenses of the oldest-old in urban and rural areas in the year prior to their death by personal characteristics
项目 | 全体高龄老年人 | 城市高龄老年人 | 农村高龄老年人 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
例数 | 临终前一年医疗费用a | t(F)值 | P值 | 例数 | 临终前一年医疗费用a | t(F)值 | P值 | 例数 | 临终前一年医疗费用a | t(F)值 | P值 | |
性别 | 5.214 | <0.001 | 3.557 | <0.001 | 3.830 | <0.001 | ||||||
男 | 602 | 8.37±1.75 | 255 | 8.79±1.76 | 347 | 8.06±1.68 | ||||||
女 | 797 | 7.89±1.68 | 325 | 8.27±1.72 | 472 | 7.72±1.60 | ||||||
婚姻状况 | -6.144 | <0.001 | -3.023 | 0.002 | -5.588 | <0.001 | ||||||
无配偶 | 1 111 | 7.95±1.69 | 451 | 8.38±1.73 | 660 | 7.65±1.60 | ||||||
有配偶 | 288 | 8.66±1.75 | 129 | 8.91±1.80 | 159 | 8.45±1.69 | ||||||
居住安排 | 4.542b | 0.004 | 3.356b | 0.019 | 2.650b | 0.048 | ||||||
养老院 | 51 | 7.66±2.50 | 36 | 7.71±2.64 | 15 | 7.52±2.21 | ||||||
独居 | 333 | 8.17±1.79 | 128 | 8.61±1.73 | 205 | 7.89±1.78 | ||||||
老年夫妇二人家庭 | 987 | 8.06±1.64 | 400 | 8.51±1.64 | 587 | 7.76±1.57 | ||||||
与子女或孙子女等其他亲属居住 | 28 | 9.09±1.84 | 16 | 9.15±1.75 | 12 | 9.02±1.93 | ||||||
照料模式 | 4.490b | <0.001 | 0.848b | 0.516 | 4.761b | <0.001 | ||||||
配偶照料 | 120 | 8.62±1.63 | 60 | 8.73±1.47 | 60 | 8.50±1.79 | ||||||
子女照料 | 1 123 | 8.06±1.66 | 438 | 8.50±1.70 | 685 | 7.78±1.58 | ||||||
孙子女或其他亲戚照料 | 66 | 7.96±1.97 | 33 | 8.56±2.01 | 33 | 7.35±1.75 | ||||||
社会照料 | 56 | 8.34±2.39 | 37 | 8.27±2.46 | 19 | 8.47±2.32 | ||||||
无人照料 | 5 | 6.54±1.55 | 1 | 8.29±1.70 | 4 | 6.11±1.38 | ||||||
无须照料 | 29 | 7.36±1.89 | 11 | 7.67±1.71 | 18 | 7.18±2.02 | ||||||
失能情况 | -3.871 | <0.001 | -2.867 | 0.004 | -2.828 | 0.005 | ||||||
未失能 | 196 | 7.65±1.73 | 83 | 7.99±1.86 | 113 | 7.40±1.58 | ||||||
失能 | 1 203 | 8.17±1.72 | 497 | 8.58±1.72 | 706 | 7.87±1.65 | ||||||
有无参加养老保险 | 4.996 | <0.001 | 2.459 | 0.014 | 3.046 | 0.002 | ||||||
有 | 566 | 8.38±1.78 | 292 | 8.68±1.80 | 274 | 8.05±1.70 | ||||||
无 | 833 | 7.90±1.67 | 288 | 8.32±1.69 | 545 | 7.68±1.61 | ||||||
死亡地点 | 27.629b | <0.001 | 20.848b | <0.001 | 3.441b | 0.016 | ||||||
家中 | 1 257 | 7.99±1.65 | 477 | 8.35±1.63 | 780 | 7.77±1.63 | ||||||
医院 | 100 | 9.54±1.77 | 74 | 9.84±1.57 | 26 | 8.69±2.06 | ||||||
养老院 | 36 | 7.63±2.23 | 25 | 7.40±2.43 | 11 | 8.17±1.65 | ||||||
其他 | 6 | 8.75±2.10 | 4 | 8.43±2.60 | 2 | 9.40±0.71 | ||||||
医疗服务是否可及 | 28.720b | <0.001 | 19.456b | <0.001 | 11.932b | <0.001 | ||||||
是 | 1 145 | 8.25±1.71 | 473 | 8.70±1.69 | 672 | 7.94±1.65 | ||||||
否 | 46 | 7.81±1.71 | 21 | 8.28±1.75 | 25 | 7.42±1.62 | ||||||
没有生过病 | 208 | 7.29±1.62 | 86 | 7.46±1.76 | 122 | 7.18±1.51 | ||||||
是否卧床 | -5.537 | <0.001 | -4.815 | <0.001 | -3.524 | <0.001 | ||||||
否 | 292 | 7.60±1.70 | 129 | 7.86±1.82 | 163 | 7.40±1.58 | ||||||
是 | 1 107 | 8.22±1.71 | 451 | 8.68±1.69 | 656 | 7.91±1.65 |
变量 | 全体高龄老年人 | 城市高龄老年人 | 农村高龄老年人 | ||||||
---|---|---|---|---|---|---|---|---|---|
β(95%CI) | SE | P值 | β(95%CI) | SE | P值 | β(95%CI) | SE | P值 | |
居住地区(以城市为参照) | |||||||||
农村 | -0.426(-0.597,-0.256) | 0.087 | <0.001 | — | — | — | — | — | — |
死亡年龄(原值进入) | -0.034(-0.046,-0.023) | 0.006 | <0.001 | -0.031(-0.049,-0.013) | 0.009 | 0.001 | -0.038(-0.053,-0.023) | 0.007 | <0.001 |
性别(以男为参照) | |||||||||
女 | -0.203(-0.377,-0.029) | 0.089 | 0.022 | -0.285(-0.562,-0.008) | 0.141 | 0.044 | -0.150(-0.375,0.074) | 0.114 | 0.189 |
婚姻状况(以无配偶为参照) | |||||||||
有配偶 | 0.428(0.178,0.678) | 0.127 | 0.001 | 0.325(-0.082,0.732) | 0.207 | 0.117 | 0.575(0.255,0.895) | 0.163 | <0.001 |
居住安排(以养老院为参照) | |||||||||
独居 | 1.099(0.301,1.897) | 0.407 | 0.007 | 0.655(-0.356,1.667) | 0.515 | 0.204 | 2.128(0.753,3.503) | 0.701 | 0.002 |
老年夫妇二人家庭 | 1.139(0.349,1.929) | 0.403 | 0.005 | 0.884(-0.103,1.872) | 0.503 | 0.079 | 2.054(0.684,3.424) | 0.698 | 0.003 |
与子女或孙子女等其他亲属居住 | 1.737(0.793,2.681) | 0.481 | <0.001 | 1.025(-0.171,2.221) | 0.609 | 0.093 | 3.264(1.652,4.876) | 0.821 | <0.001 |
照料模式(以配偶照料为参照) | |||||||||
子女照料 | 0.155(-0.201,0.511) | 0.182 | 0.393 | 0.186(-0.359,0.731) | 0.277 | 0.502 | 0.132(-0.348,0.611) | 0.244 | 0.589 |
孙子女或其他亲戚照料 | 0.034(-0.480,0.547) | 0.262 | 0.897 | 0.164(-0.599,0.928) | 0.389 | 0.672 | -0.116(-0.825,0.592) | 0.361 | 0.747 |
社会照料 | 0.391(-0.238,1.019) | 0.320 | 0.223 | 0.062(-0.798,0.922) | 0.438 | 0.888 | 1.264(0.258,2.270) | 0.512 | 0.014 |
无人照料 | -0.256(-1.652,1.140) | 0.712 | 0.719 | 1.626(-1.552,4.805) | 1.618 | 0.351 | -0.756(-2.336,0.825) | 0.805 | 0.348 |
无须照料 | -0.060(-0.727,0.606) | 0.340 | 0.859 | 0.138(-0.964,1.240) | 0.561 | 0.806 | -0.194(-1.042,0.653) | 0.432 | 0.653 |
失能情况(以未失能为参照) | |||||||||
失能 | 0.325(0.052,0.599) | 0.139 | 0.020 | 0.287(-0.139,0.713) | 0.217 | 0.186 | 0.370(0.010,0.729) | 0.183 | 0.044 |
有无参加养老保险(以有为参照) | |||||||||
无 | -0.227(-0.397,-0.057) | 0.087 | 0.009 | -0.128(-0.391,0.135) | 0.134 | 0.340 | -0.260(-0.486,-0.035) | 0.115 | 0.023 |
死亡地点(以家中为参照) | |||||||||
医院 | 1.163(0.836,1.491) | 0.167 | <0.001 | 1.179(0.781,1.576) | 0.202 | <0.001 | 1.145(0.540,1.750) | 0.308 | <0.001 |
养老院 | 0.424(-0.452,1.300) | 0.446 | 0.342 | -0.252(-1.377,0.873) | 0.573 | 0.660 | 1.768(0.319,3.217) | 0.738 | 0.017 |
其他 | 0.483(-0.859,1.826) | 0.684 | 0.480 | -0.082(-1.872,1.709) | 0.912 | 0.929 | 1.256(-0.869,3.380) | 1.082 | 0.246 |
医疗服务是否可及(以没有生过病为参照) | |||||||||
是 | 0.692(0.462,0.922) | 0.117 | <0.001 | 0.884(0.514,1.253) | 0.188 | <0.001 | 0.545(0.250,0.840) | 0.150 | <0.001 |
否 | 0.267(-0.234,0.768) | 0.255 | 0.296 | 0.291(-0.493,1.074) | 0.399 | 0.467 | 0.301(-0.358,0.959) | 0.335 | 0.371 |
是否卧床(以否为参照) | |||||||||
是 | 0.450(0.220,0.679) | 0.117 | <0.001 | 0.617(0.260,0.974) | 0.182 | 0.001 | 0.277(-0.025,0.579) | 0.154 | 0.072 |
家庭年人均收入(取对数后实际值进入) | 0.174(0.133,0.214) | 0.021 | <0.001 | 0.173(0.112,0.234) | 0.031 | <0.001 | 0.181(0.127,0.236) | 0.028 | <0.001 |
Table 3 Ordinary least squares regression analysis of influencing factors of medical expenditures of the oldest-old in the year prior to their death
变量 | 全体高龄老年人 | 城市高龄老年人 | 农村高龄老年人 | ||||||
---|---|---|---|---|---|---|---|---|---|
β(95%CI) | SE | P值 | β(95%CI) | SE | P值 | β(95%CI) | SE | P值 | |
居住地区(以城市为参照) | |||||||||
农村 | -0.426(-0.597,-0.256) | 0.087 | <0.001 | — | — | — | — | — | — |
死亡年龄(原值进入) | -0.034(-0.046,-0.023) | 0.006 | <0.001 | -0.031(-0.049,-0.013) | 0.009 | 0.001 | -0.038(-0.053,-0.023) | 0.007 | <0.001 |
性别(以男为参照) | |||||||||
女 | -0.203(-0.377,-0.029) | 0.089 | 0.022 | -0.285(-0.562,-0.008) | 0.141 | 0.044 | -0.150(-0.375,0.074) | 0.114 | 0.189 |
婚姻状况(以无配偶为参照) | |||||||||
有配偶 | 0.428(0.178,0.678) | 0.127 | 0.001 | 0.325(-0.082,0.732) | 0.207 | 0.117 | 0.575(0.255,0.895) | 0.163 | <0.001 |
居住安排(以养老院为参照) | |||||||||
独居 | 1.099(0.301,1.897) | 0.407 | 0.007 | 0.655(-0.356,1.667) | 0.515 | 0.204 | 2.128(0.753,3.503) | 0.701 | 0.002 |
老年夫妇二人家庭 | 1.139(0.349,1.929) | 0.403 | 0.005 | 0.884(-0.103,1.872) | 0.503 | 0.079 | 2.054(0.684,3.424) | 0.698 | 0.003 |
与子女或孙子女等其他亲属居住 | 1.737(0.793,2.681) | 0.481 | <0.001 | 1.025(-0.171,2.221) | 0.609 | 0.093 | 3.264(1.652,4.876) | 0.821 | <0.001 |
照料模式(以配偶照料为参照) | |||||||||
子女照料 | 0.155(-0.201,0.511) | 0.182 | 0.393 | 0.186(-0.359,0.731) | 0.277 | 0.502 | 0.132(-0.348,0.611) | 0.244 | 0.589 |
孙子女或其他亲戚照料 | 0.034(-0.480,0.547) | 0.262 | 0.897 | 0.164(-0.599,0.928) | 0.389 | 0.672 | -0.116(-0.825,0.592) | 0.361 | 0.747 |
社会照料 | 0.391(-0.238,1.019) | 0.320 | 0.223 | 0.062(-0.798,0.922) | 0.438 | 0.888 | 1.264(0.258,2.270) | 0.512 | 0.014 |
无人照料 | -0.256(-1.652,1.140) | 0.712 | 0.719 | 1.626(-1.552,4.805) | 1.618 | 0.351 | -0.756(-2.336,0.825) | 0.805 | 0.348 |
无须照料 | -0.060(-0.727,0.606) | 0.340 | 0.859 | 0.138(-0.964,1.240) | 0.561 | 0.806 | -0.194(-1.042,0.653) | 0.432 | 0.653 |
失能情况(以未失能为参照) | |||||||||
失能 | 0.325(0.052,0.599) | 0.139 | 0.020 | 0.287(-0.139,0.713) | 0.217 | 0.186 | 0.370(0.010,0.729) | 0.183 | 0.044 |
有无参加养老保险(以有为参照) | |||||||||
无 | -0.227(-0.397,-0.057) | 0.087 | 0.009 | -0.128(-0.391,0.135) | 0.134 | 0.340 | -0.260(-0.486,-0.035) | 0.115 | 0.023 |
死亡地点(以家中为参照) | |||||||||
医院 | 1.163(0.836,1.491) | 0.167 | <0.001 | 1.179(0.781,1.576) | 0.202 | <0.001 | 1.145(0.540,1.750) | 0.308 | <0.001 |
养老院 | 0.424(-0.452,1.300) | 0.446 | 0.342 | -0.252(-1.377,0.873) | 0.573 | 0.660 | 1.768(0.319,3.217) | 0.738 | 0.017 |
其他 | 0.483(-0.859,1.826) | 0.684 | 0.480 | -0.082(-1.872,1.709) | 0.912 | 0.929 | 1.256(-0.869,3.380) | 1.082 | 0.246 |
医疗服务是否可及(以没有生过病为参照) | |||||||||
是 | 0.692(0.462,0.922) | 0.117 | <0.001 | 0.884(0.514,1.253) | 0.188 | <0.001 | 0.545(0.250,0.840) | 0.150 | <0.001 |
否 | 0.267(-0.234,0.768) | 0.255 | 0.296 | 0.291(-0.493,1.074) | 0.399 | 0.467 | 0.301(-0.358,0.959) | 0.335 | 0.371 |
是否卧床(以否为参照) | |||||||||
是 | 0.450(0.220,0.679) | 0.117 | <0.001 | 0.617(0.260,0.974) | 0.182 | 0.001 | 0.277(-0.025,0.579) | 0.154 | 0.072 |
家庭年人均收入(取对数后实际值进入) | 0.174(0.133,0.214) | 0.021 | <0.001 | 0.173(0.112,0.234) | 0.031 | <0.001 | 0.181(0.127,0.236) | 0.028 | <0.001 |
解释变量 | 可解释占比(%) | β(95%CI) | P值 |
---|---|---|---|
死亡年龄 | 13.39 | 0.030(-0.002,0.062) | 0.066 |
性别 | 1.37 | 0.003(-0.008,0.015) | 0.595 |
婚姻状况 | 5.24 | 0.012(-0.008,0.032) | 0.253 |
居住安排 | -5.01 | -0.011(-0.032,0.009) | 0.286 |
照料模式 | -0.53 | -0.001(-0.006,0.004) | 0.646 |
有无参加养老保险 | 18.70 | 0.042(0.010,0.074) | 0.009 |
失能情况 | 0.11 | 2.420×10-4(-0.011,0.011) | 0.965 |
死亡地点 | 30.18 | 0.068(0.022,0.114) | 0.004 |
医疗服务是否可及 | 0.77 | 0.002(-0.027,0.030) | 0.905 |
是否卧床 | -4.64 | -0.010(-0.033,0.012) | 0.364 |
家庭年人均收入(取对数后) | 40.42 | 0.091(0.042,0.140) | <0.001 |
Table 4 The explainable part of Oaxaca-Blinder decomposition results of the difference in medical expenditures of the oldest-old in urban and rural areas in the year prior to their death
解释变量 | 可解释占比(%) | β(95%CI) | P值 |
---|---|---|---|
死亡年龄 | 13.39 | 0.030(-0.002,0.062) | 0.066 |
性别 | 1.37 | 0.003(-0.008,0.015) | 0.595 |
婚姻状况 | 5.24 | 0.012(-0.008,0.032) | 0.253 |
居住安排 | -5.01 | -0.011(-0.032,0.009) | 0.286 |
照料模式 | -0.53 | -0.001(-0.006,0.004) | 0.646 |
有无参加养老保险 | 18.70 | 0.042(0.010,0.074) | 0.009 |
失能情况 | 0.11 | 2.420×10-4(-0.011,0.011) | 0.965 |
死亡地点 | 30.18 | 0.068(0.022,0.114) | 0.004 |
医疗服务是否可及 | 0.77 | 0.002(-0.027,0.030) | 0.905 |
是否卧床 | -4.64 | -0.010(-0.033,0.012) | 0.364 |
家庭年人均收入(取对数后) | 40.42 | 0.091(0.042,0.140) | <0.001 |
[1] |
|
[2] |
|
[3] |
|
[4] |
|
[5] |
|
[6] |
|
[7] |
|
[8] |
|
[9] |
|
[10] |
|
[11] |
|
[12] |
|
[13] |
|
[14] |
|
[15] |
|
[16] |
|
[17] |
|
[18] |
|
[19] |
|
[20] |
|
[21] |
马超,李植乐,孙转兰,等. 养老金对缓解农村居民医疗负担的作用:为何补贴收入的效果好于补贴医保[J]. 中国工业经济,2021,38(4):43-61. DOI:10.19581/j.cnki.ciejournal.2021.04.009.
|
[22] |
|
[23] |
|
[24] |
|
[25] |
|
[26] |
|
[27] |
|
[28] |
|
[29] |
|
[30] |
景军. 大渐弥留之痛与临终关怀之本[J]. 中央民族大学学报(哲学社会科学版),2021,48(3):121-129.
|
[31] |
|
[32] |
|
[33] |
|
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