摘要
利用TPM模型分析影响农户大病成员医疗决策和医疗支出的影响因素。研究发现:不同经济状况农户之间以及农户家庭内部医疗支出呈现非均衡性特征,贫困大病成员的医疗支出显著高于富裕成员,女性大病成员医疗支出显著低于男性,老年大病成员医疗支出显著低于其他年龄组成员,大病成员医疗支出水平随着大病成员代际次序的上升而下降。此外,健康状况(包括是否慢性病、自评健康状况、是否劳动力)、户人口规模对大病医疗支出也有显著影响,但新农合、大病救助等医疗保障项目却并不显著。
Focusing on farm households suffering from major illness in poor area China, This paper adopts TPM method to analyze influencing factors on household members＇ medical expenditure. Result shows that medical expenditure is highly in- equality among different households and intra household members. Poor household members＇ medical expenditure is signifi- cantly higher than that of the rich, while the medical expenditure of woman and the old aged is obviously lower than that of man and other age groups respectively. Besides, health status including chronic disease, self-rated health status and main labor, and family size have a marked effect on their medical expenditure, but NCMS, catastrophe medical aid are statistical- ly insignificant.
出处
《软科学》
CSSCI
北大核心
2014年第2期131-135,共5页
Soft Science
基金
国家社会科学基金西部项目(10XJY0025)
教育部人文社会科学青年基金项目(10YJCZH078
10YJC840034)
中南林业科技大学人才引进项目(105-0021)
湖南省情与决策咨询研究课题(2013ZZ19)
关键词
贫困
农户
大病
医疗支出
poor
farm household
major illnesses
medical expenditure
