2095-1124

CN 51-1738/F

新农合对农户因病致贫的缓解效果研究——基于生存分析视角

Impacts of the New Cooperative Medical Scheme on Poverty Reduction for Those Who Falling into Poverty for Disease——From the Perspective of Survival

  • 摘要:
    目的/意义新农合政策的实施是否能有效缓解农户的因病致贫?缓解作用程度如何?哪些因素又会制约新农合对农户因病致贫的缓解作用?厘清这些问题是完善新农合制度、保障新农合目标顺利实施的前提。
    方法/过程 基于生存分析视角,采用1991—2011年中国健康与营养调查(CHNS)的微观数据,对新农合的贫困缓解效果及其异质性展开研究。
    结果/结论 新农合对因病致贫的缓解作用因农村交通基础设施、医疗服务供给状况而存在差异:在农村交通基础设施及医疗服务供给状况较好的地区,新农合显著降低了农户因疾病陷入贫困的风险;而在道路状况较差、没有公共汽车站、医疗床位数和医务人员数较少的农村地区,新农合对农户因病致贫的缓解作用不显著。以上外部环境因素对新农合反贫困效果有一定限制。

     

    Abstract:
    Purpose/SignificanceWhether the NCMS program can mitigate poverty among households that fall into poverty for illness in rural China? How is the effect of mitigation? What factors will restrict the role of this health insurance on poverty alleviation? Research on these problems is the premise for further system improvement and goals achievement in NCMS.
    Method/ProcessBased on the perspective of survival analysis, using the micro data of China Health and Nutrition Survey (CHNS) from 1991 to 2011, this paper empirically examine the impacts of NCMS on poverty reduction for those who falling into poverty for illness in rural China.
    Result/ConclusionThe effects of NCMS on poverty alleviation vary across the system of rural transportation and medical service: the NCMS significantly reduce the health risk of falling into poverty for those participants living in village with better rural transportation and higher level of medical service, while the effects are statistically insignificant for households in the village having poor road status, no bus station, smaller numbers of beds and doctors in local hospital. The effectiveness of NCMS on poverty alleviation was to some extent limited by above external environment factors.

     

/

返回文章
返回