摘要
目的:了解新型农村合作医疗制度(新农合)对参合农民住院经济风险的影响。方法:采用多阶段分层整群抽样方法,调查河南省不同收入水平农民的家庭收支状况、医疗费用支出等情况。从风险概率和风险损失额2个方面来考虑,以相对危险度(RR)作为就医经济风险定量指标。结果:按恩格尔系数划分,最富裕组的RR是贫困组的1.57倍;校正RR贫困人群高达1.32,是最富裕组的4.13倍;温饱组的RR接近1.00。贫困人群校正RR值是非贫困人群的6.06倍。在获得住院补偿之后,贫困人群校正RR是非贫困人群的5.79倍,但校正后RR变化比例仅有6.56%。县级以上医院住院经济风险是县级医院的2.92倍,是乡镇卫生院的7.09倍。结论:新农合制度有助于缓解农民住院经济风险,但是需要加强对贫困人群的重视。
Aim:To study the effect of New Rural Cooperative Medical Scheme(NRCMS) on in-hispital economic risk of participations.Methods:A multi-stage stratified sampling method was used to survey farmers of different income levels and balance of payments,medical expenses etc.Results:According to Engel s coefficient,RR of the richest group was 1.57 times of that of the poor group;the adjusted RR of the poor group was 1.32,4.13 times of that of the richest group,RR of the decent-life group approached 1.00. The adjusted...
出处
《郑州大学学报（医学版）》
CAS
北大核心
2009年第2期343-345,共3页
Journal of Zhengzhou University(Medical Sciences)
基金
河南省医学科技创新人才工程基金资助项目200311206
