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。
Objective： To evaluate the implementation effects of critical illness insurance of New Cooperative Medical System（NCMS） on the occurrence rate and economic burden of major disease expenditure. Methods： Based on the peasant household data of China Family Panel Studies（CFPS） in 2014, the two-part model was applied to analyze the changes in major disease occurrence and burden after the implement of insurance. Results： NCMS critical illness insurance did not reduce the occurrence of critical disease expenditure, but signally cut down the economic burden of serious illness peasants in central and eastern China. Conclusion： The implementation effect of NCMS critical illness insurance was well in central and eastern China, but was poor in western China; the prevention and health care system of NCMS should be built, while the implementation plans and compensation level of critical illness insurance should be improved in western region.
出处
《中国卫生经济》
北大核心
2017年第3期46-48,共3页
Chinese Health Economics
关键词
新型农村合作医疗
大病保险
地区效应
两部分模型
new rural cooperative medical system
critical illness insurance
regional effect
two-part model
