家庭结构与农村中老年人就诊行为——基于河北省邯郸市的调查

Family Splitting Behaviour,Family Structure and Rural Middle-aged and Elderly's Medical Behaviour:Based on the survey in Handan,Hebei Province

文章基于河北省邯郸市农户调查数据,探讨了经济相对落后、务工经济盛行地区农户的分户行为和家庭结构对农村中老年人就诊行为的影响。结果显示,样本地区农户分户行为日趋深化,农村中老年人可支配的户内医疗资源日趋下降,对新农合制度的依赖度提升;3种居住结构中对农村中老年人最有利的居住结构是"不分户不分居",最不利的居住结构是"分户不分居"。未来的新农合等政策应提供针对分户农村中老年人的有条件、差异性的政策细分,以降低家庭结构、居住结构小型化对农村中老年人就诊选择和疾病风险的负面冲击。

Based on a survey data from Handan,Hebei Province,this paper examines the effect of the family splitting behaviour and family stnicture on the rural middle-aged and elderly's health clinic visit in the economically underdeveloped areas and areas with prevalent migrant labour economy.The results show that the household splitting behaviour among the rural middle-aged and elderly is increasingly spread.Disposable medical resources for the rural middle-aged and elderly are declining,and they are depending more on the New Rural Cooperative Medical System(NRCMS) in the sample area.Of the three family patterns,the best one to the rural middle-aged and elderly is "neither splitting nor separation" and the most unfavorable one is "splitting and no separation".The future NRCMS policy should provide conditionally differential subdivision to separated rural middle-aged and elderlv to reduce the negative effects resulting from family structure and diminishing scale of residence on the treatment options and disease risks of them.