新型农村合作医疗对农民健康自评的影响  

Effects of new rural cooperative medical health policy on self-perceived health of rural residents

作　　者：范涛[1] 曹乾[1] 蒋露露[1] 许珍子[1] 

机构地区：[1]东南大学公共卫生学院,南京210009

出　　处：《上海交通大学学报（医学版）》2011年第12期1763-1766,共4页Journal of Shanghai Jiao tong University:Medical Science

基　　金：国家自然科学基金(70603006)~~

摘　　要：目的分析新型农村合作医疗(新农合)政策对农民健康的影响,定量评估新农合政策实施效果。方法基于倍差法运用2×2方格分析法和Probit模型对中国新农合2000年和2006年参合数据进行评估,分析政策实施的效果。结果新农合参合组女性比例高于男性,参合组平均年龄(45.79岁)低于未参合组(46.84岁)。2006年健康自评状况总体低于2000年;新农合参合对健康自评有积极影响,净影响为0.040 3;性别、年龄、是否饮酒和是否拥有医疗保险对健康自评有影响(P<0.05)。结论新农合对农民健康自评有积极影响,但可能存在的道德风险、自我忽视等因素影响健康自评值的提高幅度,新农合实施还应加强健康教育的宣传。Objective To analyse the effects of new rural cooperative medical policy on the health of rural residents,and quantitatively evaluate the implementation of the policy. MethodsData on rural residents participating in new rural cooperative medical policy in 2000 and 2006 were evaluated with 2×2 square analysis and Probit model based on difference in differences method,and the implementation of policy was analysed. ResultsThe number of females participating in new rural cooperative medical policy was larger than that of males,and the mean age of residents participating in the policy（45.79 years old） was lower than that of residents without participation（46.84 years old）.The overall self-perceived health value in 2006 was lower than that in 2000.The policy had positive effect on self-perceived health value,with difference in differences of 0.040 3.Gender,age,drinking and medical insurance participation had influence on self-perceived health value（P0.05）. ConclusionThe new rural cooperative medical policy has a positive effect on self-perceived health,but the effect may be hindered by potential moral risk and self-ignorance.Health education should be enhanced during the implementation of the policy.

关 键 词：新型农村合作医疗 健康自评 倍差法 

分 类 号：R197.1[医药卫生—卫生事业管理]