新型农村合作医疗大病保险的实施效果评估基于CFPS的数据分析.pdfVIP

口合作医疗. COOPERATIVE HEALTH CARE 《中国卫生经济》第36卷第3期(总第409期) 2017年3 月 新型农村合作医疗大病保险的实施效果评估: 基于CFPS 的数据分析 谢卫卫①， 弓攘攘①，马潇萌① 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) 的农户鼓据， 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， 罔时需进一步完善大病保险在西部地区的补偿政策。 关键词 新型农村合作医疗;大病保险;地区效应;两部分模型 中图分类号 R1-9; R197.1 文献标志码 A 文章编号 1003-0743(2017)03-0046-03 DOI 10.7664/CHE201703 12 Effect Evaluation 0 1 Critical IlIness l nsurance under New Cooperati\e Medkal Syst em : Analysis 8ased on the Data of China Family Panel Studj esIXlE Wei-wei , GONG Yuan-yuan , MA Xiao-mengl/CI lin! ese Health Economics, 2017,36(3):46-48 Abstract Objective: 10 evaluate Ihe implemenlalion effects of criti cal ilI ne海s insurance of New Cooperative Medical System(NC- MS) on the occur陀nce rale and economic burden of major di sease expenditure. Meth ods: Based on the p倒sant household data of Chi- na Family Panel Studies(CFPS) in 2014, the two-part model was applied to anaIyze the changes in major disease occurrence and bur- den after the irnpIement of insurance. Results: NCMS crili cal illness insurance did nol reduce Ihe occuπence of critical disease expen- di lure , but signally cut down the economic burden of serious ilIness peasanls in cenlrall and easlem China. Conclusion: The imple- mentalion effect of NCM.S crilical illness insurance was well in cenlral and easlem China, bul was p∞r in weslem China; the preven- tion and health care system of NCMS should be built, while Ihe implemenlalion plans and compensation level of cri tical illness insur- ance should be improve