【摘要】：隨著中國(guó)改革進(jìn)程的不斷推進(jìn)，城鄉(xiāng)二元結(jié)構(gòu)和人口老齡化問題在我國(guó)經(jīng)濟(jì)社會(huì)發(fā)展過程中日益凸顯。城鄉(xiāng)公共基礎(chǔ)服務(wù)差距較大，農(nóng)村的老年居民與城市的老年居民相比，因病致貧或因病返貧現(xiàn)象非常嚴(yán)重。因此依托醫(yī)療保險(xiǎn)保障農(nóng)村老年居民的生活水平顯得尤為重要。農(nóng)村醫(yī)療保險(xiǎn)制度是我國(guó)社會(huì)保障的一部分，解決好農(nóng)村居民的醫(yī)療保障問題，使廣大農(nóng)民特別是中老年居民享受到農(nóng)村醫(yī)療保險(xiǎn)、滿足基本醫(yī)療需求、有效抵御健康風(fēng)險(xiǎn)是保證是我國(guó)經(jīng)濟(jì)建設(shè)的重要環(huán)節(jié)之一。建立與完善農(nóng)民的疾病醫(yī)療保障制度能夠?yàn)槲覈?guó)全面建設(shè)小康社會(huì)提供豐富政策建議。 本文以中國(guó)農(nóng)村中老年居民為研究對(duì)象，基于2011年中國(guó)健康與養(yǎng)老追蹤調(diào)查全國(guó)基線調(diào)查數(shù)據(jù)，該調(diào)查人群主要是45歲及以上中老年人及其配偶，本文總樣本為13369人，其中，，東部地區(qū)農(nóng)村居民4739人，中部4102人，西部4528人，運(yùn)用Logit二元選擇模型實(shí)證分析了全國(guó)和三大地區(qū)（東、中、西部地區(qū)）農(nóng)村中老年居民參加新型農(nóng)村合作醫(yī)療的影響因素。結(jié)果表明：從全國(guó)看，性別、年齡、受教育年限、家庭人口規(guī)模、家庭人均年收入、自評(píng)健康狀況、是否享受醫(yī)療報(bào)銷、農(nóng)業(yè)生產(chǎn)經(jīng)營(yíng)活動(dòng)對(duì)于農(nóng)村居民選擇參加新型農(nóng)村合作醫(yī)療存在不同程度的影響，而婚姻狀況、重大疾病罹患率、是否吸煙對(duì)其參加新型農(nóng)村合作醫(yī)療決策的影響不顯著。從東、中、西部地區(qū)看，性別變量、家庭人口規(guī)模、自評(píng)健康狀況、是否享受醫(yī)療報(bào)銷方面在三個(gè)地區(qū)有差異，受教育年限、農(nóng)業(yè)生產(chǎn)經(jīng)營(yíng)活動(dòng)和家庭人均年收入變量在全國(guó)三個(gè)地區(qū)的估計(jì)結(jié)果都一致。根據(jù)統(tǒng)計(jì)結(jié)果提出部分政策建議包括在擴(kuò)大補(bǔ)償面的同時(shí)，也需要盡可能提高補(bǔ)償水平和擴(kuò)大受益面。建立靈活多樣的籌資機(jī)制，保證農(nóng)村合作醫(yī)療保險(xiǎn)有充足的資金保障等。
[Abstract]:With the progress of China's reform process, the problem of urban and rural dual-structure and population aging is becoming more and more prominent in the course of economic and social development in China. The urban and rural public basic service gap is large, and the old-age residents in the rural areas are very serious due to illness or illness due to illness compared with the old people in the city. Therefore, it is very important to rely on the medical insurance to guarantee the living standard of the rural elderly residents. The rural medical insurance system is a part of the social security of our country, to solve the problem of the medical security of the rural residents, to make the vast farmers especially the middle-aged and old people enjoy the rural medical insurance, meet the basic medical needs, The effective protection against health risks is one of the important links in our country's economic construction. The establishment and improvement of the farmer's disease medical security system can provide rich policy advice for our country to build a well-off society in an all-round way. This paper, based on the survey data of China's rural middle-aged and old people, is based on the survey data of China's health and old-age support in 2011. The survey population is mainly aged 45 and over and their spouses. The total sample of this paper is 13369, among which, the rural residents in the east are 4739. The influence of the rural and middle-aged and middle-aged people in the whole country and the three regions (East, middle and western regions) in the new rural cooperative medical system was analyzed by using the Logit binary selection model. The results show that, from the whole country, the sex, the age, the age of education, the size of the family, the annual income of the family, the self-assessment health status, whether to enjoy the medical reimbursement, the agricultural production and operation activities have different degrees of reflection on the rural residents' choice to take part in the new rural cooperative medical system The effect of smoking on the decision-making of the new-type rural cooperative medical system is not obvious in response to the occurrence rate of the marital status and the major diseases. in that east, middle and western region, the difference between the sex variable, the size of the household population, the self-assessment health status and the access to medical reimbursement is different in the three areas, and the result of the education, the agricultural production and operation activities and the annual income variable of the household in the three regions of the country is one In addition, some of the policy recommendations based on the statistical results included the expansion of the compensation surface, as well as the need to maximize the level of compensation and the expansion of the benefits The establishment of flexible and diversified funding mechanisms to ensure adequate financial support for rural cooperative health insurance
【學(xué)位授予單位】：浙江農(nóng)林大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R197.1;F842.684;F323.89

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本文編號(hào)：2499266