“新农合”改善农村居民的身心健康了吗?——来自苏鲁皖豫四省的经验证据  

Do NCMS Improve the Physical and Mental Health of Rural Residents?——Evidence from Surveys in Jiangsu,Shandong,Henan and Anhui Provinces

作　　者：郑适[1] 周海文[1] 周永刚[1] 王志刚[1] 

机构地区：[1]中国人民大学农业与农村发展学院,北京100872

出　　处：《中国软科学》2017年第1期139-149,共11页China Soft Science

基　　金：教育部科技发展中心博士点基金课题(20130004110001);农业部农产品质量安全监督(风险评估)项目(2130109);广义虚拟经济技术研究专项资助项目(GX2015-1009(Y)

摘　　要：农民参与新农合的积极性不断提高,但学者们关于新农合对农民健康状况的改善效果存在较大分歧。本文基于马斯洛需求层次理论,通过对苏鲁皖豫四省的795份农户调查数据实证分析,厘清了新农合对农民身心健康的影响机理,并对改善农民身心健康的影响因素进行分析。结果显示,新农合促进了农民身心健康的改善;农民对新农合的参与积极性和治疗满意度较高;参加新农合时长、家庭是否有大病报销对参合者身心健康改善的具有正向影响,而超过门诊补贴上限则具有负向影响。根据上述结论,提出了健全报销比例调整机制、提高对弱势群体的支持力度、平衡城乡医药资源配置等政策建议。The enthusiasm of farmers to participate in the new rural cooperative medical system is constantly improved,but the existing literature about the new rural cooperative medical system can improve the health of farmers has differences between the conclusions of the study. Based on Maslow＇s Hierarchy of Needs,then use the795 household survey data of Jiangsu、Shandong、Anhui and Henan four provinces to empirical analysis. The effects of the farmers on the new rural cooperative medical system in recognition and acceptance,to clarify the influence mechanism of new rural cooperative medical system on Farmers＇ physical and mental health,and to improve the factors affecting the physical and mental health of farmers were analyzed. The results showed that the NCMS to promote better physical and mental health of rural residents; farmers enthusiasm and higher treatment satisfaction to join on the new rural cooperative medical system; personal annual medical expenditure,personal health satisfaction,dietary laws,personal is suffering from chronic diseases,medical distance and more than the ceiling of outpatient reimbursement,personal whether illness claims and other factors become the key variables to improve physical and mental health of participants; besides,remarkable effect of age,family population on the improvement of the mental health of participants,and the main source of income of the family,family whether arrears,and to participate in the new rural cooperative medical system and long on NRCMS improvement in health effects is more obvious. According to the above conclusions,we put forward to perfect reimbursement rate adjustment mechanism,improve the support for vulnerable groups,balance urban and rural medical resources allocation countermeasures and suggestions.

关 键 词：新农合 身体健康 心理健康 效果评价 

分 类 号：F320[经济管理—产业经济]