| 引用本文：刘俐, 邓晶, 于雪, 陈艾玲, 刘锐, 程配华.相对贫困视域下医疗保障对农村中老年人群因病支出型贫困的减贫效果分析[J].中国卫生政策研究,2021,14(5):59-65 |
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| 相对贫困视域下医疗保障对农村中老年人群因病支出型贫困的减贫效果分析 |
| 投稿时间：2021-04-16 修订日期：2021-05-10 PDF全文浏览 HTML全文浏览 |
| 刘俐, 邓晶, 于雪, 陈艾玲, 刘锐, 程配华 |
| 重庆医科大学公共卫生与管理学院 医学与社会发展研究中心 健康领域社会风险预测治理协同创新中心 重庆 400016 |
| 摘要:目的：对我国东中西部地区农村中老年贫困人口各部分医疗费用导致的因病支出型贫困状况进行分析，模拟医疗保障政策对门诊和住院的减贫效果，为减轻农村贫困人口因病支出型贫困风险提供针对性建议。方法：采用FGT指数对我国东中西部地区农村贫困人口医疗保障补偿前后的因病因病支出型贫困进行测算，模拟医疗保障在不同补偿比例下的减贫效果；采用经济发展水平与贫困状况相结合的方式筛选东中西部地区代表性省份，对贫困人口的医疗保障政策进行分析讨论。结果：各地区趋同化贫困人口倾斜性医保政策水平与地区差异性贫困特征不匹配；各地区自我治疗费用导致的支出型贫困不容忽视；各地区门诊支出型贫困更为严峻，但医保减贫效果较好；医保缓贫效果大于减贫效果。结论：医疗保障政策对改善贫困状况产生了积极作用，且存在地区差异，应结合地区经济情况与贫困状况，完善医保扶贫措施。 |
| 关键词:农村 中老年人群 因病支出型贫困 医疗保障 |
| 基金项目:2020年重庆市社会科学规划项目（2020YBGL97） |
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| Analysis ofthe poverty alleviation effect of medical security on illness-induced poverty among the middle-aged and elderly people in rural areas in the context of relative poverty |
| LIU Li, DENG Jing, YU Xue, CHEN Ai-ling, LIU Rui, CHENG Pei-hua |
| School of Public Health and Management, Chongqing Medical University, Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, Chongqing 400016, China |
| Abstract:Objectives:To analyze the poverty caused by various medical expenses due to illness among the rural middle-aged and elderly population in the eastern, central and western regions of China; to simulate the poverty alleviation effect of medical security policies on outpatient and hospitalization; and due to health risk, to assess the possibilities of poverty alleviation among the target subjects of this research, as well as to provide targeted recommendations for effective implementation of the poverty alleviation policies. Methods:The FGT index was used to measure the expenditure-based poverty of the rural poor people in different regions of China before and after medical security compensation, and the poverty alleviation effects of different medical security levels were further simulated. The method of combining the levels of economic development and poverty was used to screen the representative provinces in the eastern, central and western regions for analysis and discussion of medical security policies of the poor. Results:The level of preferential medical insurance policies for the poor population in various regions does not match with the characteristics of regional differences in poverty. It is obvious that the illness-induced poverty caused by self-treatment expenses in various regions is significant, the out-patient expenditure-based poverty is more severe, and outpatient compensation has a better effect on poverty alleviation. The poverty alleviation effect of medical insurance is greater than that of poverty reduction, and regional differences are obvious. Conclusions:Medical security policies have played a positive role in reducing poverty, and regional differences in poverty reduction and alleviation effects are obvious. It is necessary to improve medical insurance and review the poverty alleviation measures based on region-wise economic status of poor people in the class of middle-age and elderly in order to have a better regional poverty alleviation effect. |
| Key words:Rural Middle-aged and elderly people Illness-induced poverty Medical security |
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