上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（卫生事业管理） • 上一篇    下一篇

新型农村合作医疗对农村居民预防保健服务利用的影响

陈 露，张 晓，曹 乾   

  1. 东南大学 公共卫生学院医疗保险系， 南京 210009
  • 出版日期:2014-11-28 发布日期:2014-12-02
  • 作者简介:陈露（1990—）， 女， 硕士生; 电子信箱: 742710196@qq.com。
  • 基金资助:

    国家自然科学基金（71373042）

Effects of new rural cooperative medical schemes on utilization of preventive care services of rural residents

CHEN Lu, ZHANG Xiao, CAO Qian   

  1. Department of Medical Insurance, School of Public Health, Southeast University, Nanjing 210009, China
  • Online:2014-11-28 Published:2014-12-02
  • Supported by:

    National Natural Science Foundation of China， 71373042

PDF (PC)

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摘要：

目的 分析新型农村合作医疗（新农合）制度对农村居民预防保健服务利用的影响，定量评估新农合制度实施效果。方法 采用中国健康与营养调查（CHNS）2004年和2009年调查数据，以非参合农村居民为对照组，以参合农村居民为处理组，通过倍差法比较两组农村居民预防保健服务利用的差异。结果 处理组农村居民预防保健服务利用高于对照组，T*P的交互作用有统计学意义（P<0.05），新农合对农村居民预防保健服务利用的净影响为1.822；年龄、教育水平、年人均收入及4周患病对农村居民预防保健服务利用有影响。结论 新农合对农村居民预防保健服务利用有正向影响；在新农合实施过程中，我国应采取一定的措施提高农村居民预防保健服务利用。

关键词: 新型农村合作医疗, 预防保健服务利用, 倍差法

Abstract:

Objective To analyze the effects of new rural cooperative medical schemes on the utilization of preventive care services of rural residents and to quantitatively assess the application effects of new rural cooperative medical schemes. Methods Rural residents of the control group did not participate the new rural cooperative medical schemes and rural residents of the participationd group participated the new rural cooperative medical schemes. Survey data of 2004 and 2009 from China health and nutrition survey (CHNS) was adopted to compare the differences of using preventive care services of two groups by the difference-in-difference method. Results The utilization of preventive care services of the participation group was more than that of the control group and the interaction of T*P was statistically significant (P<0.05). The net effect of new rural cooperative medical schemes on the utilization of preventive care services was 1.822. The age, education level, annual per capita income, and four week limitation influenced the utilization of preventive care services. Conclusion The new rural cooperative medical schemes have positive effects on the utilization of preventive care services of rural residents. Some measures should be taken to improve the utilization of preventive care services during the implementation of new rural cooperative medical schemes.

Key words: new rural cooperative medical schemes, utilization for preventive care services, difference-in-difference model