新型农村合作医疗大病保险的实施效果评估:基于CFPS的数据分析
发布时间:2018-01-21 18:44
本文关键词: 新型农村合作医疗 大病保险 地区效应 两部分模型 出处:《中国卫生经济》2017年03期 论文类型:期刊论文
【摘要】:目的:从大病支出的发生概率和经济负担两个方面评估新型农村合作医疗大病保险的实施效果。方法:基于2014年中国家庭追踪调查(CFPS)的农户数据,运用两部分模型分析大病保险推行后大病支出的发生概率和经济负担的变化情况。结果:新型农村合作医疗大病保险没有降低大病支出的发生概率,但显著地减轻了中部和东部地区患病农民的经济负担。结论:新型农村合作医疗大病保险在中部和东部地区取得了较好的实施效果,而在西部地区的效果较差;新型农村合作医疗应建立预防保健体系,同时需进一步完善大病保险在西部地区的补偿政策。
[Abstract]:Objective: to evaluate the effectiveness of the new rural cooperative medical insurance system in terms of the incidence probability and economic burden of serious illness expenditure. Methods: based on the 2014 Chinese Family tracking Survey (CFPSS). Of farmers. Using the two-part model to analyze the occurrence probability and economic burden of the serious illness after the implementation of the serious illness insurance. Results: the new rural cooperative medical insurance did not reduce the incidence of serious illness expenditure probability. Conclusion: the new rural cooperative medical insurance has achieved a good effect in the central and eastern areas, but the effect is poor in the western region. The new rural cooperative medical system should be established and the compensation policy of the insurance for serious illness in the western region should be further improved.
【作者单位】: 华中科技大学经济学院;
【分类号】:R197.1;F842.684;F323.89
【正文快照】: 为了减轻低收入群体的就医经济负担,解决农民因病致贫问题,部分省份从2012年开始逐步试点利用新农合基金购买大病保险的工作,到2014年7月,大病保险在全国各地推进。至于大病保险的实施效果,韩文等[1]以广西地区为例,指出城镇居民大病保险效果比较显著,有效地减轻了医保病人的,
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