新型农村合作医疗对农民健康自评的影响研究.doc

新型农村合作医疗对农民健康自评的影响研究---基于倍差法的分析 范涛，曹乾，蒋露露，许珍子 【摘要】 目的 分析新型农村合作医疗政策对农民健康的影响，定量评估新农合政策实施效果。 方法 基于倍差法，即运用2*2方格分析法和DID模型，利用SPSS18.0统计软件，对中国健康与调查中新农合参合数据进行评估，分析政策实施的效果。 结果 新农合参合组女性比例较高，且平均年龄高于未参合组；2006年健康自评状况总体低于2000年；新农合参与对于健康自评有积极影响，净影响0.0403（p0.05）；年龄大小、是否吸烟和是否参加商业保险对健康自评有影响。结论 新农合对农民健康自评有积极影响，但由于可能存在的道德风险，自我忽视等因素影响健康自评值的提高幅度，对此新农合实施还应加强健康教育的宣传。 【关键字】新型农村合作医疗； 健康自评 ； 倍差法 The new rural cooperative medical health policy’s effects on self-perceived health value of farmers-based on DID 【Abstract】 Objective To analyze the influence of the new rural cooperative medical policy on farmers, quantitative evaluating new rural cooperative medical health policy implementation effect. Methods Using SPSS18.0 statistical software, with Chinese health and survey date in rural residents participating in new rural cooperative medical policy, though DID method, using 2 * 2 square analysis and random effects Probit model to analyze the effect of the policy implementation. Results Women participating in the the policy are more, and the average age is higher than the one not in the policy; Overall in year 2006, self-perceived health value is lower than in year 2000; The policy is good to self-evaluation of health for DID = 0.0403 (p 0.05); Age、smoking and commercial insurance participation have influence on self-perceived health value. Conclusion The policy have a positive impact on self-perceived health, but the influence is not so big, the reason may be moral riske or self-ignoring, health education should be strengthened in the policy. 【Key words】 New rural cooperative medical health policy; Self-perceived health; Difference in Differences 基金项目：国家自然科学基金项目 作者单位：210009 江苏南京市，东南大学公共卫生学院 通讯作者：曹乾，210009江苏省南京市，东南大学公共卫生学院；E—mail：caoqianseu@163.com 实施新型农村合作医疗（新农合）制度是党中央、国务院的重要决策，它对帮助农民提高抵御重大疾病风险，促进广大农民群众身体健康，促进城乡经济、社会协调发展，全面实现建设小康社会和构建和谐社会的宏伟目标，具有重要意义。目前，国内已有大量文献涉及新农合制度实施效果的评价，已经有研究对河南省、山西省、河北省、浙江宁波市等各地新农合运行情况进行描述分析，探讨该制度运行的成效及其存在的问题[1-3]。现有研究多采用定性和单因素分析，缺乏对政策效果的定量评估，针对以往研究的不