| 引用本文：陈李娜, 魏伟, 王静, 张亮.新农合贫困和低收入居民灾难性卫生支出研究——基于三省份的抽样调查[J].中国卫生政策研究,2014,7(4):32-37 |
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| 新农合贫困和低收入居民灾难性卫生支出研究——基于三省份的抽样调查 |
| 投稿时间：2013-12-25 修订日期：2014-03-24 PDF全文浏览 HTML全文浏览 |
| 陈李娜1, 魏伟1, 王静1,2, 张亮1 |
1. 华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030;
2. 湖北省人文社科重点研究基地——农村健康服务研究中心 湖北武汉 430030 |
| 摘要:目的：分析农村居民灾难性卫生支出情况以及新农合缓解灾难性卫生支出的能力。方法：2011年分别选取浙江、湖北、重庆作为样本地区，通过现场调查获取问卷1 661份，计算参合家庭的年自付医疗卫生费用、灾难性卫生支出发生率、平均差距和相对差距和集中指数。结果：补偿前后，贫困家庭的灾难性卫生支出发生率、平均差距、相对差距均最高，低收入组次之。补偿后，集中指数降低，灾难性卫生支出进一步向经济困难家庭集中。结论：通过推进农村大病医疗保险、完善医疗救助制度、实施支付方式改革和完善新农合配套措施等方式，帮助农村贫困和低收入居民抵御灾难性卫生支出。 |
| 关键词:新型农村合作医疗 灾难性卫生支出 贫困人口 低收入人口 |
| 基金项目:国家自然科学基金（70903023）；CMB项目（11-096）；中央高校基本科研业务费资助华中科技大学自主创新研究基金（2014AA038） |
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| Catastrophic health expenditure for poor and low-income rural residents under New Rural Cooperative Medical Scheme |
| CHEN Li-na1, WEI Wei1, WANG Jing1,2, ZHANG Liang1 |
1. School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Hubei Wuhan 430030, China;
2. Center for Health Service Research in Rural Areas, Key Research Institute of Humanities & Social Sciences at Universities in Hubei Province, Hubei Wuhan 430030, Cina |
| Abstract:Objective: To evaluate the catastrophic health expenditure for poor and lower-income rural residents and the ability of New Rural Cooperative Medical Scheme(NRCMS) to alleviate poverty. Methods: We selected Zhejiang, Hubei, and Chongqing provinces as sample areas and obtained 1661 questionnaires through a field survey. We calculated the out-of-pocket expenditure per year, incidence, average gap, relative gap, and concentration index of catastrophic health expenditure for participating households. Results: Both before and after compensation, incidence, average gap, and relative gap of catastrophic health payment for poverty group were the highest, followed by low-income group. After compensation, the concentration index decreased. This means that catastrophic health expenditure tends to be focused more on families with financial difficulties. Conclusion: To protect poor and low-income rural residents from catastrophic health expenditure, we should promote critical illness insurance, improve the medical assistance system, implement payment reform, and improve the NRCMS. |
| Key words:New Rural Cooperative Medical Scheme Catastrophic health expenditure Poor people Low-income people |
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