农村不同医疗保障模式改善健康的效果评估

The Effects Evaluation of Health Promotion Under Different Insurance Models in Rural China

建立怎样的农村医疗保障模式并如何评价其效果,是政策制定者和学术界关注的焦点及研究难点之一。文章采用欧洲五维度量表对健康相关生命质量进行测量,建立结构方程模型,针对两种不同的农村医疗保障模式对改善农村居民的健康相关生命质量的效果进行实证研究。研究结果表明,相对于新型农村合作医疗,以保障基本医疗为主的互助医疗在改善农村居民健康状况方面具有较优的长期效果。

On the basis of social experiments, follow-up survey datum, this study adopted EQ-5D as the tools to measure health, and evaluated the effect of RMHC and NCMS on improving health condition in every year after controlling other factor＇s influence. The research shows that the RMHC has significant effect on improving health, especially on pain, anxiety dimensions and VAS. In a long term, the effect of RMHC excels to NMHS on health.