| 引用本文：易红梅,姚晔舟,张林秀.新农合对农民医疗服务利用和医疗支出的影响——基于5省份的面板数据[J].中国卫生政策研究,2013,6(2):25-29 |
|
| 新农合对农民医疗服务利用和医疗支出的影响——基于5省份的面板数据 |
| 投稿时间：2012-12-26 修订日期：2012-01-30 PDF全文浏览 HTML全文浏览 |
| 易红梅1, 姚晔舟2, 张林秀1 |
| 1.中国科学院地理科学与资源研究所;2.科尔比学院 |
| 摘要:目的：评价新型农村合作医疗在不同时期对参合农民医疗服务利用和医疗支出的影响。方法：通过对我国5省25个县（市）2 000户、8 000多人进行长期追踪调查，形成了2004、2007和2011年三期的面板数据，采用描述性统计的分析方法进行数据分析。结果：新农合显著增加了参合农民患病后就诊的可能性和农民的医疗总支出；参合患者年度自付医疗费用比例显著下降，参合住院患者的自付医疗费用在2011年首次低于未参合住院患者；参合住院患者的受益面也逐年上升，2011年已经达到818%。但是，新农合对参合患者的大病保障作用有限，参合住院患者年度自付医疗费用仍然超过农民年人均纯收入。结论：新农合在实现“广覆盖”的目标后，在“深度保障”方面有待于进一步加强。 |
| 关键词:新型农村合作医疗 医疗服务利用 自付医疗费用 |
| 基金项目:国家自然科学基金青年项目（71103171）和重点项目（71033003） |
|
| Impact of New Rural Cooperative Medical Scheme on farmers’ utilization of medical care and medical expenditure: Evidences from panel data in 5 Provinces |
|
|
| Abstract:Objectives: This paper aims to evaluate the impact of the New Rural Cooperative Medical Scheme (NRCMS) on farmers’ healthcare seeking behaviors and medical expenditure. Methods: The data are collected by a national representative follow up survey which was administered to more than 8 000 individuals from 2 000 households in 25 counties. This paper employed descriptive analysis. Results: The NRCMS significantly increases the possibility of farmers to seek medical care when getting sick and their medical expenditure. The share of out of pocket medical payment after reimbursement from NRCMS also significantly declines over years. In 2011, for the first time，the out of pocket medical payment for inpatient services for enrollees is less than that for non enrollees. At the same time, more and more inpatients are benefited from NRCMS and the percentage of beneficiaries of inpatients is up to 81.8% in 2011. But in general, the NRCMS played a very limited role in protecting inpatients from catastrophic medical expenditure. Also, the out of pocket medical payment of inpatients is far more than their per capita annual net income. Conclusion: After achieving the goal of universal coverage, the NRCMS needs to make more effort in protecting farmers from catastrophic medical expenditure. 【Key words】 New Rural Cooperative Medical Scheme; Utilization of medical care; Out of pocket medical payment |
| Key words:New Rural Cooperative Medical Scheme Utilization of medical care Out of pocket medical payment |
| 摘要点击次数: 2564 全文下载次数: 1803 |
|
|
