中國農(nóng)村居民參加新型農(nóng)村合作醫(yī)療的影響因素研究
發(fā)布時間：2019-06-14 08:50
【摘要】：隨著中國改革進程的不斷推進，城鄉(xiāng)二元結構和人口老齡化問題在我國經(jīng)濟社會發(fā)展過程中日益凸顯。城鄉(xiāng)公共基礎服務差距較大，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)象非常嚴重。因此依托醫(yī)療保險保障農(nóng)村老年居民的生活水平顯得尤為重要。農(nóng)村醫(yī)療保險制度是我國社會保障的一部分，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、滿足基本醫(yī)療需求、有效抵御健康風險是保證是我國經(jīng)濟建設的重要環(huán)節(jié)之一。建立與完善農(nóng)民的疾病醫(yī)療保障制度能夠為我國全面建設小康社會提供豐富政策建議。 本文以中國農(nóng)村中老年居民為研究對象，基于2011年中國健康與養(yǎng)老追蹤調(diào)查全國基線調(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，運用Logit二元選擇模型實證分析了全國和三大地區(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。結果表明：從全國看，性別、年齡、受教育年限、家庭人口規(guī)模、家庭人均年收入、自評健康狀況、是否享受醫(yī)療報銷、農(nóng)業(yè)生產(chǎn)經(jīng)營活動對于農(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、自評健康狀況、是否享受醫(yī)療報銷方面在三個地區(qū)有差異，受教育年限、農(nóng)業(yè)生產(chǎn)經(jīng)營活動和家庭人均年收入變量在全國三個地區(qū)的估計結果都一致。根據(jù)統(tǒng)計結果提出部分政策建議包括在擴大補償面的同時，也需要盡可能提高補償水平和擴大受益面。建立靈活多樣的籌資機制，保證農(nóng)村合作醫(yī)療保險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
【學位授予單位】：浙江農(nóng)林大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R197.1;F842.684;F323.89
[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
【學位授予單位】：浙江農(nóng)林大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R197.1;F842.684;F323.89
【參考文獻】
相關期刊論文 前10條
1 庾波;段曉峗;;新型農(nóng)村合作醫(yī)療制度作為農(nóng)村一種醫(yī)療保險的探討[J];當代醫(yī)學;2010年14期
2 胡振棟;“中國合作醫(yī)療之父”覃祥官的風雨人生[J];湖北檔案;2000年07期
3 吳煥;聶麗;;新鄉(xiāng)市農(nóng)民醫(yī)療保險行為選擇及影響因素分析[J];廣東農(nóng)業(yè)科學;2012年04期
4 林晨;;中部地區(qū)農(nóng)民參加農(nóng)村新型合作醫(yī)療的影響因素分析——山西省壽陽縣的調(diào)查[J];農(nóng)業(yè)經(jīng)濟問題;2007年01期
5 翟Z屛
本文編號：2499266
本文鏈接：http://sikaile.net/jingjilunwen/bxjjlw/2499266.html
最近更新
教材專著
