农村居民对新农合的参与和支付意愿研究

发布时间：2018-07-05 00:36

本文选题：农村居民 + 新农合　；参考：《南开经济研究》2017年03期

【摘要】：自2009年开始,中国进入后新农合时代,新农合在增进农村医疗服务质量,提高农村居民健康素养方面效果突出,但面临的阻力不断增大。本文运用Heckman双阶段模型和一手调研数据研究农村居民对新农合参与的影响因素、满意度、支付意愿等重要问题。当前参合居民对新农合满意度较高,可接受的最大参合费用均值为185.55元·人/年。防大病、节省医药开支是农村居民继续参合的主要原因,参合费用太高则成为参合者中断参与新农合的首要因素,而医院诊疗费用增幅过大、参合费用上涨太快、大病报销比例偏低、政策宣传不够等则是参合者的主要担忧。个人特征变量对个体参与意愿与支付意愿选择的影响比较微弱,家庭特征变量(家庭年收入、是否有欠款、是否通村公路、医疗距离、是否开通有限电视)和参与特征变量(参合时长、新农合满意度、门诊报销是否超出补偿上限、是否报销过住院(手术)费)等是决定参合者参与意愿与支付意愿的关键变量。本文最后给出了相关政策建议。
[Abstract]:Since 2009, China has entered the post-new era of rural cooperation, the new rural cooperation in improving the quality of rural medical services, improve the health literacy of rural residents outstanding effect, but the resistance is increasing. This paper uses Heckman two-stage model and primary survey data to study the factors influencing rural residents' participation in NCMS, satisfaction, willingness to pay and other important issues. At present, the satisfaction of participating residents to NCMS is higher, the average of maximum acceptable participation cost is 185.55 yuan per year. The main reason for rural residents to continue to participate in rural areas is to prevent serious illness and save medical expenses. The participation cost is too high and becomes the primary factor for participants to interrupt their participation in the New Rural Cooperative Cooperation (NCMS). However, the cost of hospital consultation and treatment has increased too much, and the participation cost has risen too quickly. Serious illness reimbursement rate is low, policy propaganda is insufficient is the main concern of participants. The influence of individual characteristic variables on individual willingness to participate and willingness to pay is relatively weak. Family characteristics variables (annual household income, whether there is any arrears, whether access to the village road, medical distance, etc.) The key variables to determine the participants' willingness to participate and pay are whether the limited TV is opened or not and the participation characteristic variables (the duration of participation, the satisfaction degree of NCMS, whether the outpatient reimbursement exceeds the upper limit of compensation, and whether the cost of hospitalization (operation) is reimbursed). At the end of this paper, some policy suggestions are given.
【作者单位】：中国人民大学农业与农村发展学院;中国农业发展银行;
【分类号】：F323.89;F842.684

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