新农合大病保险制度对缓解灾难性卫生支出的效果评价

发布时间：2019-06-13 11:18

【摘要】：本研究以北京部分区县为研究现场,选取北京市3个区县,对497名大病患者采用问卷调查的方式收集大病患者收入与支出信息,并与新农合管理中心平台中患者费用数据进行对接,结果显示:40%与50%标准下,大病保险补偿后灾难性卫生支出发生率下降百分比分别为2.21%与2.61%,40%标准下,补偿后平均差距与相对差距下降值分别为1.402%与1.052%,50%标准下为1.200%与0.977%。研究表明,新农合大病保险补偿后灾难性卫生支出发生率、差距有所下降但不明显,不同经济水平区对受益幅度影响不大,通过提高补偿比、建立精准补偿等措施,大病保险对缓解灾难性卫生支出的作用还有待制度的推进而完善。
[Abstract]:Taking some districts and counties in Beijing as the research site, this study selected three districts and counties in Beijing to collect the income and expenditure information of serious illness patients by questionnaire survey, and to connect with the patient cost data in the platform of Xinnonghe Management Center. The results show that under the standard of 40% and 50%, the incidence of catastrophic health expenditure after serious illness insurance compensation is 2.21% and 2.61% respectively. the results show that under the standard of 40% and 50%, the incidence of catastrophic health expenditure after serious illness insurance compensation is 2.21% and 2.61%, respectively. Under 40% standard, the decrease values of average gap and relative gap after compensation are 1.402% and 1.052%, respectively, and those under 50% standard are 1.200% and 0.977%, respectively. The research shows that the incidence of catastrophic health expenditure after compensation for NCMS serious illness insurance decreases, but the gap is not obvious, and different economic level areas have little influence on the benefit range. By increasing the compensation ratio and establishing accurate compensation, the role of serious disease insurance in alleviating catastrophic health expenditure still needs to be improved.
【作者单位】：首都医科大学卫生管理与教育学院;
【基金】：北京市教育委员会社科计划重点项目“北京市新型农村合作医疗大病保障的实施对疾病经济负担的影响研究”(SZ201410025008)成果
【分类号】：F323.89;F842.684;R197.1

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