摘要
以往评估新农合制度的政策效果主要是围绕着医疗和健康领域展开,却忽略了更加综合的指标——幸福感。在"以人为本"的科学发展观指导下,新农合制度的本质就是通过减轻农民负担、促进农民健康以及透明简化的报销手续等一系列措施来增加农民的幸福感。文章采用2010年和2012年的中国家庭动态跟踪调查数据(CFPS)以及2006年、2009年和2011年的中国健康与营养调查数据(CHNS),考察新农合制度对农民幸福感的影响。结果显示新农合的实施效果并不理想。文章进一步按照性别、年龄、收入、教育以及地区分组后研究发现,新农合的局部效果也不理想。这可能因为新农合制度存在的一些问题如报销比例低、报销范围窄以及报销手续繁琐等,致使该政策并未达到预期效果。因此,文章从学术角度支持了新农合制度改善的必要性,即新农合的改善不仅要围绕提高报销比例和范围展开,还要在报销手续及流程上进行简化,增加报销规章的透明度,这样才能全面地提高农民对新农合的满意程度。
Most studies of the evaluation of the new rural cooperative medical insurance system mainly focus on care and health fields, but neglect a more comprehensive index, namely happiness. Under the people-oriented scientific development outlook, the essence of the new rural cooperative medical insurance system is to increase the happiness of farmers through a series of measures such as the reduction in the burden on farmers, the promotion of farmers' health and transparent & simplified reimbursement procedures. This paper uses the data of CFPS in 2010 and 2012 and CHNS in 2006, 2009 and 2011 to examine the effect of the new rural cooperative medical insurance system on farmers' happiness. It shows that the implementation effectiveness of the new rural cooperative medical insurance system is not ideal. Further grouping study based on sex, age, income, education and regions indicates that partial effectiveness of the new rural cooperative medical insurance system is also not ideal. It may be due to some problems of the new rural cooperative medical insurance system such as low reimbursement rate,narrow reimbursement scope and fussy reimbursement procedures. Therefore, from an academic perspective this paper supports the necessity of the improvement of the new rural cooperative medical insurance system, that is to say, the improvement of the new rural cooperative medical insurance system focuses on not only the increase in reimbursement rate and scope, but also the simplification of reimbursement procedures and processes and the rise in the transparency of reimbursement rules, so as to comprehensively raise farmers' satisfaction with the new rural cooperative medical insurance system.
出处
《上海财经大学学报(哲学社会科学版)》
CSSCI
北大核心
2017年第2期38-49,共12页
Journal of Shanghai University of Finance and Economics
基金
国家自然科学基金青年基金项目"特定制度安排下的FDI对我国环境质量的影响"(71403146)
关键词
新农合
幸福感
农民
工具变量
倍差法
the new rural cooperative medical insurance system
happiness
farmer
instrumental variable
difference-in-difference method