中国农村居民参加新型农村合作医疗的影响因素研究
发布时间：2019-06-14 08:50
【摘要】：随着中国改革进程的不断推进，城乡二元结构和人口老龄化问题在我国经济社会发展过程中日益凸显。城乡公共基础服务差距较大，农村的老年居民与城市的老年居民相比，因病致贫或因病返贫现象非常严重。因此依托医疗保险保障农村老年居民的生活水平显得尤为重要。农村医疗保险制度是我国社会保障的一部分，解决好农村居民的医疗保障问题，使广大农民特别是中老年居民享受到农村医疗保险、满足基本医疗需求、有效抵御健康风险是保证是我国经济建设的重要环节之一。建立与完善农民的疾病医疗保障制度能够为我国全面建设小康社会提供丰富政策建议。 本文以中国农村中老年居民为研究对象，基于2011年中国健康与养老追踪调查全国基线调查数据，该调查人群主要是45岁及以上中老年人及其配偶，本文总样本为13369人，其中，，东部地区农村居民4739人，中部4102人，西部4528人，运用Logit二元选择模型实证分析了全国和三大地区（东、中、西部地区）农村中老年居民参加新型农村合作医疗的影响因素。结果表明：从全国看，性别、年龄、受教育年限、家庭人口规模、家庭人均年收入、自评健康状况、是否享受医疗报销、农业生产经营活动对于农村居民选择参加新型农村合作医疗存在不同程度的影响，而婚姻状况、重大疾病罹患率、是否吸烟对其参加新型农村合作医疗决策的影响不显著。从东、中、西部地区看，性别变量、家庭人口规模、自评健康状况、是否享受医疗报销方面在三个地区有差异，受教育年限、农业生产经营活动和家庭人均年收入变量在全国三个地区的估计结果都一致。根据统计结果提出部分政策建议包括在扩大补偿面的同时，也需要尽可能提高补偿水平和扩大受益面。建立灵活多样的筹资机制，保证农村合作医疗保险有充足的资金保障等。
[Abstract]:With the progress of China's reform process, the problem of urban and rural dual-structure and population aging is becoming more and more prominent in the course of economic and social development in China. The urban and rural public basic service gap is large, and the old-age residents in the rural areas are very serious due to illness or illness due to illness compared with the old people in the city. Therefore, it is very important to rely on the medical insurance to guarantee the living standard of the rural elderly residents. The rural medical insurance system is a part of the social security of our country, to solve the problem of the medical security of the rural residents, to make the vast farmers especially the middle-aged and old people enjoy the rural medical insurance, meet the basic medical needs, The effective protection against health risks is one of the important links in our country's economic construction. The establishment and improvement of the farmer's disease medical security system can provide rich policy advice for our country to build a well-off society in an all-round way. This paper, based on the survey data of China's rural middle-aged and old people, is based on the survey data of China's health and old-age support in 2011. The survey population is mainly aged 45 and over and their spouses. The total sample of this paper is 13369, among which, the rural residents in the east are 4739. The influence of the rural and middle-aged and middle-aged people in the whole country and the three regions (East, middle and western regions) in the new rural cooperative medical system was analyzed by using the Logit binary selection model. The results show that, from the whole country, the sex, the age, the age of education, the size of the family, the annual income of the family, the self-assessment health status, whether to enjoy the medical reimbursement, the agricultural production and operation activities have different degrees of reflection on the rural residents' choice to take part in the new rural cooperative medical system The effect of smoking on the decision-making of the new-type rural cooperative medical system is not obvious in response to the occurrence rate of the marital status and the major diseases. in that east, middle and western region, the difference between the sex variable, the size of the household population, the self-assessment health status and the access to medical reimbursement is different in the three areas, and the result of the education, the agricultural production and operation activities and the annual income variable of the household in the three regions of the country is one In addition, some of the policy recommendations based on the statistical results included the expansion of the compensation surface, as well as the need to maximize the level of compensation and the expansion of the benefits The establishment of flexible and diversified funding mechanisms to ensure adequate financial support for rural cooperative health insurance
【学位授予单位】：浙江农林大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R197.1;F842.684;F323.89
[Abstract]:With the progress of China's reform process, the problem of urban and rural dual-structure and population aging is becoming more and more prominent in the course of economic and social development in China. The urban and rural public basic service gap is large, and the old-age residents in the rural areas are very serious due to illness or illness due to illness compared with the old people in the city. Therefore, it is very important to rely on the medical insurance to guarantee the living standard of the rural elderly residents. The rural medical insurance system is a part of the social security of our country, to solve the problem of the medical security of the rural residents, to make the vast farmers especially the middle-aged and old people enjoy the rural medical insurance, meet the basic medical needs, The effective protection against health risks is one of the important links in our country's economic construction. The establishment and improvement of the farmer's disease medical security system can provide rich policy advice for our country to build a well-off society in an all-round way. This paper, based on the survey data of China's rural middle-aged and old people, is based on the survey data of China's health and old-age support in 2011. The survey population is mainly aged 45 and over and their spouses. The total sample of this paper is 13369, among which, the rural residents in the east are 4739. The influence of the rural and middle-aged and middle-aged people in the whole country and the three regions (East, middle and western regions) in the new rural cooperative medical system was analyzed by using the Logit binary selection model. The results show that, from the whole country, the sex, the age, the age of education, the size of the family, the annual income of the family, the self-assessment health status, whether to enjoy the medical reimbursement, the agricultural production and operation activities have different degrees of reflection on the rural residents' choice to take part in the new rural cooperative medical system The effect of smoking on the decision-making of the new-type rural cooperative medical system is not obvious in response to the occurrence rate of the marital status and the major diseases. in that east, middle and western region, the difference between the sex variable, the size of the household population, the self-assessment health status and the access to medical reimbursement is different in the three areas, and the result of the education, the agricultural production and operation activities and the annual income variable of the household in the three regions of the country is one In addition, some of the policy recommendations based on the statistical results included the expansion of the compensation surface, as well as the need to maximize the level of compensation and the expansion of the benefits The establishment of flexible and diversified funding mechanisms to ensure adequate financial support for rural cooperative health insurance
【学位授予单位】：浙江农林大学
【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】
相关期刊论文 前10条
1 庾波;段晓峗;;新型农村合作医疗制度作为农村一种医疗保险的探讨[J];当代医学;2010年14期
2 胡振栋;“中国合作医疗之父”覃祥官的风雨人生[J];湖北档案;2000年07期
3 吴焕;聂丽;;新乡市农民医疗保险行为选择及影响因素分析[J];广东农业科学;2012年04期
4 林晨;;中部地区农民参加农村新型合作医疗的影响因素分析——山西省寿阳县的调查[J];农业经济问题;2007年01期
5 翟Z屛
本文编号：2499266
本文链接：https://www.wllwen.com/jingjilunwen/bxjjlw/2499266.html
