【摘要】：我國在上世紀(jì)末開始著手建立的基本醫(yī)療保障體系的設(shè)計(jì)旨在減輕居民的醫(yī)療負(fù)擔(dān),2002年建立的新型農(nóng)村醫(yī)療合作保險制度、1998年建立的城鎮(zhèn)職工基本醫(yī)療保險制度以及2007年建立城鎮(zhèn)居民基本醫(yī)療保險制度構(gòu)成了我國基本醫(yī)療保障體系的三駕馬車,從人口分類上實(shí)現(xiàn)了對我國居民基本醫(yī)療保險制度的全覆蓋,同時衛(wèi)生部的統(tǒng)計(jì)結(jié)果表明,我國居民個人醫(yī)療支出的占總體醫(yī)療支出比例自2002年開始逐年下降,政府醫(yī)療支出比例逐年上升,這也證明了我國政府在醫(yī)療投入上的快速跟進(jìn)。然而,從個體的層面來看,基本醫(yī)療保險制度是不是真正減少了居民所需要負(fù)擔(dān)的醫(yī)療費(fèi)用,從而改善居民的生活水平,這是一個需要檢驗(yàn)的問題。在本文中,我們利用對中國營養(yǎng)與健康數(shù)據(jù)庫(CHNS)面板數(shù)據(jù),對各類醫(yī)療保險對居民醫(yī)療支出的減負(fù)效果做了實(shí)證分析,發(fā)現(xiàn)新型農(nóng)村合作醫(yī)療保險的參合與否對我國農(nóng)村居民單次醫(yī)療支出有顯著的負(fù)相關(guān)性,而城鎮(zhèn)居民和城鎮(zhèn)職工基本醫(yī)療保險與居民單次醫(yī)療支出的關(guān)系并不顯著。進(jìn)一步的,我們對影響農(nóng)村居民決定是否參與新型農(nóng)村合作醫(yī)療的因素進(jìn)行了研究,發(fā)現(xiàn)家庭成員數(shù)量的多少和家庭總體收入與農(nóng)村居民選擇是否參與新型農(nóng)村合作醫(yī)療保險制度存在顯著的相關(guān)性,同時我們發(fā)現(xiàn)個人教育程度的高低以及結(jié)婚與否對新農(nóng)合的參與也有顯著的關(guān)系。基于上述的兩項(xiàng)實(shí)證研究,我們對新型農(nóng)村合作醫(yī)療的效果,作用機(jī)制以及影響是否參與新農(nóng)合的幾個顯著性因素做了可能的解釋,并在此基礎(chǔ)上得出了結(jié)論和政策建議。
[Abstract]:The design of the basic medical security system started at the end of last century is aimed at lightening the medical burden of the residents, the new rural medical cooperative insurance system established in 2002, and the basic medical insurance system for urban workers established in 1998. And the establishment of the basic medical insurance system for urban residents in 2007 constitutes the troika of the basic medical security system in China. In terms of population classification, the total coverage of the basic medical insurance system of Chinese residents has been realized. At the same time, the results of the statistics of the Ministry of Health show that the proportion of the individual medical expenditure of the residents in the total medical expenditure has decreased year by year since 2002. The proportion of government medical expenditure is increasing year by year, which also proves the rapid follow-up of our government in medical investment. However, from the individual level, whether the basic medical insurance system really reduces the residents' medical expenses and thus improves the living standards of the residents, this is a question that needs to be tested. In this paper, we use the (CHNS) panel data of Chinese nutrition and health database to make an empirical analysis on the effect of various kinds of medical insurance on residents' medical expenditure. It is found that the participation of the new rural cooperative medical insurance has a significant negative correlation with the single medical expenditure of rural residents in China, but the relationship between the basic medical insurance of urban residents and urban workers and the individual medical expenditure of residents is not significant. Further, we have studied the factors that affect rural residents' decision to participate in the new rural cooperative medical system. It is found that there is a significant correlation between the number of family members and the total household income and whether rural residents choose to participate in the new rural cooperative medical insurance system. At the same time, we find that the level of personal education and marriage also have a significant relationship with NCMS participation. Based on the above two empirical studies, we make a possible explanation of the effect, mechanism and significant factors of the new rural cooperative medical system, and draw conclusions and policy recommendations on the basis of the above two empirical studies.
【學(xué)位授予單位】：復(fù)旦大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R197.1;F842.684;F323.89

【參考文獻(xiàn)】

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1 馬雙;張R，

本文編號：2177356