新医改与家庭灾难性卫生支出:甘浙两省追踪数据分析

New Healthcare System Reform and Family Catastrophic Health Expenditure:Longitudinal Data Analysis from Two Province

新医改缓解了"看病贵"问题吗?卫生改革和卫生筹资的目标之一就是减少家庭灾难性卫生支出。本文运用统计数据和两省追踪数据,发现在政府投入大规模增加的情况下,家庭灾难性卫生支出在新医后反而显著上升,在总体、地区和城乡方面均是如此。一方面这是新医改促进医疗卫生服务利用的结果,另一方面说明新医改投入资金的使用效率不高,没能有效缓解看病贵问题。

One of the target of healthcare system reform and health financing is to reduce family catastrophic health expenditure.Did the new healthcare system reform reduce family catastrophic health expenditure? Using the longitudinal data from two provinces, this paper find that family catastrophic health expenditure rise despite a lot of money were invested in health sector since new healthcare reform. On the one hand this was a result of the new healthcare reform promoting the utilization of health services. On the other hand the results showed the inefficiency of new money expenditure and failed to alleviate the problem of expensive medical cost.