摘要
从居民健康风险的视角出发,以北京市朝阳区的城郊居民为研究对象,利用针对北京市朝阳区556户城郊居民的调研数据,在区分纯农户和混合户的基础上,分析影响城郊居民参加新型农村合作医疗的因素,以探讨实现新农合持续发展的可行途径。研究发现:城镇郊区的混合户比纯农户更愿意参加合作医疗;在区域经济发展水平较高的情况下参合人群的逆向选择依然存在;缴费金额的高低及是否设置起付线对城郊居民参加新型农村合作医疗的影响很显著。最后,提出了加大公共财政的投入、在城镇郊区建立城乡一体化的医疗保障制度等政策建议。
Taking suburb residents from Chaoyang Distriet,Beijing as the research object and using the data of investigation about 556 house-holds from Chaoyang District, Beijing, this paper distinguishes between the pure farm households and the combination households, and analyzes the determinants to join in the New Rural Cooperative Medical Seheme（NRCMS） from the perspective of resident＇s health risks so as to improve the NRCMS. The research results are as follows：the combination households have more stronger willings to participate in NRCMS than the pure households; adverse selection still exists in developed area;the amount of individual payment and the zero deductible pay line significantly affect the participation of NRCMS. Finally, it proposes that the government should input more public finance into NRCMS, and should establish the integrated medical insurance system in city suburbs,etc.
出处
《技术经济》
2009年第1期109-112,117,共5页
Journal of Technology Economics
基金
中国社会科学院重点课题"医疗费用控制与医疗保险可持续发展"的阶段性研究成果
关键词
城郊居民
健康风险
新型农村合作医疗
suburb resident
health risk
new rural cooperative medical scheme
