引用本文: 谢卫卫,弓媛媛,马潇萌.新型农村合作医疗大病保险的实施效果评估:给予CFPS的数据分析[J].中国卫生经济,2017,(3):46-48.[点击复制] .Effect Evaluation of Critical Illness Insurance of New Cooperative Medical System[J].CHINESE HEALTH ECONOMICS,2017,(3):46-48.[点击复制]
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新型农村合作医疗大病保险的实施效果评估:给予CFPS的数据分析
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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农合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:新农合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:新农合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;针对大病常发的农村地区,应建立预防保健体系,进一步优化西部地区大病保险的实施方案,提高补偿水平。
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Effect Evaluation of Critical Illness Insurance of New Cooperative Medical System
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Abstract:
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 didn’t reduce the occurrence of major 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 good in central and eastern China, but was poor in western China; the prevention and health care system should be built in the rural areas of a high incidence of major diseases, while the implementation plans and compensation level of critical illness insurance should be improved in western China.
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