低收入农民卫生服务可及性和医疗负担公平性研究  

Research of health service accessibility and medical burden equity to low-income farmers

作　　者：苏宝利[1] 石丛[2] 

机构地区：[1]泰山医学院管理学院,山东泰安271016 [2]山东大学卫生管理与政策研究中心,山东济南250100

出　　处：《卫生软科学》2014年第5期272-275,共4页Soft Science of Health

基　　金：山东省高校人文与社会科学基金资助项目(J11WG23)

摘　　要：[目的]通过对济南市三县2180户农村居民入户调查,研究新农合制度保障下低收入农村居民医疗卫生服务受益及医疗费用负担的现状。[方法]按照收入水平高低将受访农村居民分为5组,运用集中指数、灾难性卫生支出发生率和差距等方法测量低收入农民卫生需要和利用、医疗费用以及补偿状况,探讨提高低收入人群卫生服务受益水平,降低农民医疗负担的方法。[结果]虽然新农合已接近全覆盖,但保障能力有限。低收入家庭医疗负担沉重,受益水平低,因病致贫,因病返贫问题依然突出。[结论]新农合全覆盖的同时应给予低收入农民更多的政策倾斜。Objective Investigated 2180 rural residents in three counties in Jinan, in order to study the situationof health services benefit and their medical expense burden of low-income farmers under the protection ofNCMS. Methods Divided the rural residents into 5 groups according to their income from high to low.Measured health requirement, utilization and medical expense and compensation by concentration index,incidence rate of catastrophic health expenditure and catastrophic health expenditure gap to low-income farmers.Discusses how to increase health service level and decrease the medical burden for low-income farmers. ResultsAlthough NCMS has covered villages, guarantee ability is still limit. Low-income families’ health care burden isheavy, their benefit is low. The problem of poor for disease and back to be poor for disease is still prominent.Conclusions It should give more policy support for low-income farmers while NCMS covers.

关 键 词：新型农村合作医疗 医疗负担 低收入农民 卫生服务需要 

分 类 号：R197.1[医药卫生—卫生事业管理]