新型农村合作医疗制度对改善农村居民疾病经济负担的公平性状况的研究

Analyzing the Equity of New Cooperative Medical System on Improving the Disease Economic Burden of Rural Residents

目的:分析不同收入农村居民的卫生服务利用和医疗费用补偿情况,衡量新农合制度对改善疾病经济负担的公平性。方法:资料来源于2008年宁夏3县的家庭问卷调查,利用收入五分位法进行分类。结果:低收入农民面临更多的卫生服务需要,新农合起到提高服务可及性、降低疾病经济负担的作用;但降低经济风险的作用有限,公平性未得到改善。结论:提高农民卫生服务利用和费用补偿的公平性,对降低农民的疾病经济风险、完善新农合制度起到重要作用。

Objective： To analyze health services utilization and the financing reimbursement situation of medical expense for rural residents with different income, estimate the equity of New Cooperative Medical System （NCMS） on improving the disease economic burden. Methods： Surveyed from 3 counties in Ningxia, the data was classified by 5 income - level groups. Results： The low-incume group had more health service need and was facing the effects of improving the service accessibility and decreasing disease financial burden; however, effect of decreasing economic risk is limited and the equity has not been improved. Conclusion： Promoting the equity of heahh services utilization and financing reimbursement has important significance on alleviating the financial burden of diseases and implementing NCMS.