新型农村合作医疗对农村居民医疗支出的作用以及农村居民参合的影响因素研究
发布时间：2018-08-11 15:07
【摘要】：我国在上世纪末开始着手建立的基本医疗保障体系的设计旨在减轻居民的医疗负担,2002年建立的新型农村医疗合作保险制度、1998年建立的城镇职工基本医疗保险制度以及2007年建立城镇居民基本医疗保险制度构成了我国基本医疗保障体系的三驾马车,从人口分类上实现了对我国居民基本医疗保险制度的全覆盖,同时卫生部的统计结果表明,我国居民个人医疗支出的占总体医疗支出比例自2002年开始逐年下降,政府医疗支出比例逐年上升,这也证明了我国政府在医疗投入上的快速跟进。然而,从个体的层面来看,基本医疗保险制度是不是真正减少了居民所需要负担的医疗费用,从而改善居民的生活水平,这是一个需要检验的问题。在本文中,我们利用对中国营养与健康数据库(CHNS)面板数据,对各类医疗保险对居民医疗支出的减负效果做了实证分析,发现新型农村合作医疗保险的参合与否对我国农村居民单次医疗支出有显著的负相关性,而城镇居民和城镇职工基本医疗保险与居民单次医疗支出的关系并不显著。进一步的,我们对影响农村居民决定是否参与新型农村合作医疗的因素进行了研究,发现家庭成员数量的多少和家庭总体收入与农村居民选择是否参与新型农村合作医疗保险制度存在显著的相关性,同时我们发现个人教育程度的高低以及结婚与否对新农合的参与也有显著的关系。基于上述的两项实证研究,我们对新型农村合作医疗的效果,作用机制以及影响是否参与新农合的几个显著性因素做了可能的解释,并在此基础上得出了结论和政策建议。
[Abstract]:The design of the basic medical security system started at the end of last century is aimed at lightening the medical burden of the residents, the new rural medical cooperative insurance system established in 2002, and the basic medical insurance system for urban workers established in 1998. And the establishment of the basic medical insurance system for urban residents in 2007 constitutes the troika of the basic medical security system in China. In terms of population classification, the total coverage of the basic medical insurance system of Chinese residents has been realized. At the same time, the results of the statistics of the Ministry of Health show that the proportion of the individual medical expenditure of the residents in the total medical expenditure has decreased year by year since 2002. The proportion of government medical expenditure is increasing year by year, which also proves the rapid follow-up of our government in medical investment. However, from the individual level, whether the basic medical insurance system really reduces the residents' medical expenses and thus improves the living standards of the residents, this is a question that needs to be tested. In this paper, we use the (CHNS) panel data of Chinese nutrition and health database to make an empirical analysis on the effect of various kinds of medical insurance on residents' medical expenditure. It is found that the participation of the new rural cooperative medical insurance has a significant negative correlation with the single medical expenditure of rural residents in China, but the relationship between the basic medical insurance of urban residents and urban workers and the individual medical expenditure of residents is not significant. Further, we have studied the factors that affect rural residents' decision to participate in the new rural cooperative medical system. It is found that there is a significant correlation between the number of family members and the total household income and whether rural residents choose to participate in the new rural cooperative medical insurance system. At the same time, we find that the level of personal education and marriage also have a significant relationship with NCMS participation. Based on the above two empirical studies, we make a possible explanation of the effect, mechanism and significant factors of the new rural cooperative medical system, and draw conclusions and policy recommendations on the basis of the above two empirical studies.
【学位授予单位】：复旦大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R197.1;F842.684;F323.89
[Abstract]:The design of the basic medical security system started at the end of last century is aimed at lightening the medical burden of the residents, the new rural medical cooperative insurance system established in 2002, and the basic medical insurance system for urban workers established in 1998. And the establishment of the basic medical insurance system for urban residents in 2007 constitutes the troika of the basic medical security system in China. In terms of population classification, the total coverage of the basic medical insurance system of Chinese residents has been realized. At the same time, the results of the statistics of the Ministry of Health show that the proportion of the individual medical expenditure of the residents in the total medical expenditure has decreased year by year since 2002. The proportion of government medical expenditure is increasing year by year, which also proves the rapid follow-up of our government in medical investment. However, from the individual level, whether the basic medical insurance system really reduces the residents' medical expenses and thus improves the living standards of the residents, this is a question that needs to be tested. In this paper, we use the (CHNS) panel data of Chinese nutrition and health database to make an empirical analysis on the effect of various kinds of medical insurance on residents' medical expenditure. It is found that the participation of the new rural cooperative medical insurance has a significant negative correlation with the single medical expenditure of rural residents in China, but the relationship between the basic medical insurance of urban residents and urban workers and the individual medical expenditure of residents is not significant. Further, we have studied the factors that affect rural residents' decision to participate in the new rural cooperative medical system. It is found that there is a significant correlation between the number of family members and the total household income and whether rural residents choose to participate in the new rural cooperative medical insurance system. At the same time, we find that the level of personal education and marriage also have a significant relationship with NCMS participation. Based on the above two empirical studies, we make a possible explanation of the effect, mechanism and significant factors of the new rural cooperative medical system, and draw conclusions and policy recommendations on the basis of the above two empirical studies.
【学位授予单位】：复旦大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R197.1;F842.684;F323.89
【参考文献】
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1 马双;张R，
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