| 引用本文：王海漪, 杜婷.风险理论视角下健康贫困治理模式与路径探索——基于山西省“三区”项目的案例分析[J].中国卫生政策研究,2021,14(1):2-9 |
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| 风险理论视角下健康贫困治理模式与路径探索——基于山西省“三区”项目的案例分析 |
| 投稿时间：2020-09-17 修订日期：2020-12-25 PDF全文浏览 HTML全文浏览 |
| 王海漪1, 杜婷2 |
1. 中国人民大学中国社会保障研究中心 北京 100872;
2. 山西医科大学人文与社会科学学院 山西太原 030001 |
| 摘要:目的：探讨风险认知和风险偏好异质性对农村居民健康行为的影响机制，据此提出健康贫困治理模式与路径。方法：对山西省“三区”项目进行案例分析，运用风险理论框架，描绘因病致贫、因病返贫逻辑图，发现健康贫困治理框架。结果：在风险认知层面识别出健康风险认知有偏和无偏两类，在风险偏好层面识别出风险爱好者、风险中立者和风险厌恶者三类。进而根据健康风险认知和风险偏好两种模式，分别提出干预路径。讨论：基于风险认知和风险偏好理论，从意识和行为两个层面提出“模式—路径—策略”的健康贫困治理框架，并揭示出该治理框架的适用情景。 |
| 关键词:健康风险 健康贫困 风险认知 风险偏好 贫困治理 |
| 基金项目:山西省社会科学联合会年度重点课题研究项目（SSKLZDKT2017063） |
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| Exploration on the mode and path of health poverty governance under the perspective of risk theory: A case study of “Three-Districts” project in Shanxi Province |
| WANG Hai-yi1, DU Ting2 |
1. China Social Security Research Center, Renmin University of China, Beijing 100872, China;
2. School of Humanities and Social Sciences, Shanxi Medical University, Taiyuan Shanxi 030001, China |
| Abstract:Objective:To explore the mechanism of impact from risk perception and risk preference heterogeneity on health behaviors of rural residents, and propose the model and path of health poverty governance. Method:A case study was conducted for the "Three-Districts" project in Shanxi Province. Based on the framework of risk theory, the logic diagram of internal cause for poverty and return to poverty due to disease was drawn, and the framework of health poverty governance was found. Results:From the perspective of risk perception, individuals were identified as biased and unbiased in health risk perception. From the perspective of risk preference, they were identified as risk lovers, risk neuters and risk averters. Then, according to the two modes of health risk perception and risk preference, the intervention paths therefor were proposed respectively. Discussion:According to the theory of risk perception and risk preference, the health poverty governance framework based on "mode-path-strategy" is proposed from two levels of consciousness and behavior, and the applicable situations of the poverty governance framework was revealed. |
| Key words:Health Risk Health poverty alleviation Risk perception Risk preference Poverty governance |
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