CAJ | 학술논문

目的：评估新型农村合作医疗补偿对农村居民灾难性卫生支出的影响。方法：分析新型农村合作医疗补偿前后疾病经济风险和灾难性卫生支出的变化情况。结果：新型农村合作医疗报销前后，农村居民处于中高疾病风险的比例由8.25%下降到6.75%；在40%的标准下，报销前后灾难性卫生支出的发生率分别为16.50%和13.50%、灾难性支出差距分别为5.14%和3.63%、灾难性支出相对差距分别为31.16%和26.89%、集中指数分别为-0.3152和-0.3259。结论：低收入家庭疾病经济风险和灾难性卫生支出发生率较高；灾难性卫生支出的相对差距较高；新型农村合作医疗需要进一步提高补偿方式公平性；综合应用家庭经济风险和灾难性卫生支出评价家庭医疗支出更科学合理。
목적：평고신형농촌합작의료보상대농촌거민재난성위생지출적영향。방법：분석신형농촌합작의료보상전후질병경제풍험화재난성위생지출적변화정황。결과：신형농촌합작의료보소전후，농촌거민처우중고질병풍험적비례유8.25%하강도6.75%；재40%적표준하，보소전후재난성위생지출적발생솔분별위16.50%화13.50%、재난성지출차거분별위5.14%화3.63%、재난성지출상대차거분별위31.16%화26.89%、집중지수분별위-0.3152화-0.3259。결론：저수입가정질병경제풍험화재난성위생지출발생솔교고；재난성위생지출적상대차거교고；신형농촌합작의료수요진일보제고보상방식공평성；종합응용가정경제풍험화재난성위생지출평개가정의료지출경과학합리。
Objective:To evaluate the effects of New Rural Cooperative Medical System(NCMS) on catastrophic health payment of rural residents . Methods:Compare the changing of family risk ( FR ) and catastrophic health expenditures ( CHP ) before and after compensation of NCMS. Results: The rate of residents in middle and high FR reduce from 8.25% to 6.75% after the compensation of NCMS. The rates of catastrophic health payment headcount are 16.50% and 13.50%, catastrophic payment gaps are 5.14% and 3.63%before and after the compensation of NCMS. Mean positive gaps are 31.16%and 26.89%, concentration indexes of catastrophic payment headcount are -0.315 2 and -0.325 9 respectively. Conclusion: Low-income families face higher FR and CHP; the mean catastrophic payment gaps are high;NCMS needs to improve the fairness of compensation method;the comprehensive application of FR and CHP help to make more scientific and reasonable evaluation on family health expenditure.