农民合作医疗支付能力研究

Study of ability to pay for CMS by rural population

为研究农民的合作医疗筹资能力 ,采用扩展线性支出系统模型 ,定量评价目前农民收入水平下对合作医疗的客观支付能力。结果 :农民年人均收入 2 2 76 3元 ,支出 172 5 6 5元 ,年人均收支差 5 5 0 6 5元。利用扩展线性支出系统求得年人均基本消费支出为 12 33 0 5元 ,其中食品支出为 6 39 11元。据此可推断 :目前有 80 3%的农民家庭对合作医疗有支付能力 ,76 1%的家庭可支付得起年人均 5 0元的合作医疗基金 ,4 2 %的家庭支付得起年人均 10～ 2 0元的入保基金 ;16 8%的家庭在调整消费结构后 ,对合作医疗有一定支付能力 ,但较为有限。大约 3%的家庭对合作医疗无任何支付能力。结论 :适当增加农民个人对合作医疗的投入水平。建议政府代缴全部或部分合作医疗基金 ,帮助贫困人群入保 。

Objective and Method To investigate countryman's ability to pay for cooperative medical system(CMS),the model of expanded linear expenditure system(ELES) was used to make a quantitative appraising.Results The income per capita was 2 276 53 RMB in a year, and the expenditure was 1 725 65 RMB. The difference of income and expenditure was 550 65 RMB.By ELES countryman's basic expenditure was 1 233 05 RMB,and the basic expenditure of the basic food was 639 11 RMB.The results showed that 80% family had the ability to pay for CMS,76 1% could pay 50 RMB for CMS per capita,4 2% could pay 10～20 RMB per capita, and 16 8% family had the ability to pay for CMS only when their expenditure were adjusted.Besides,about 3% family had no ability to pay for CMS.Conclusion It suggests increasing countryman's investment for CMS in order to enhance the equity of joining CMS,and government should pay the part or full CMS funds for the people who have no ability to pay.