中国全科医学2017，Vol.20Issue(25)：3158-3162,5.DOI:10.3969/j.issn.1007-9572.2017.25.020
新型农村合作医疗卫生政策对农村卫生费用的影响研究
Effect of the Implementation of the New Rural Cooperative Medical Scheme on the Rural Residents' Health Expenditure in China
摘要
Abstract
Objective To investigate the effect of implementation of New Rural Cooperative Medical Scheme (NRCMS) on the rural residents' health expenditure in China,so as to offer advices for the steady operation of NRCMS.Methods We collected the data of China's total national health expenditure in 2001-2014,total health expenditure for rural residents in 2001-2013,total health expenditure per capita for rural residents in 2001-2013,rate of rural residents enrolling the NRCMS in 2004-2014,number of village clinics in 2003-2014,number of rural physicians in 2003-2014,proportion of residents who need hospitalized treatment but do not receive it in 2003,2008 and 2013,healthcare expenditure per capita for rural residents and the percent it accounted for of the net income per capita and living cost per capita in 2001-2014.We investigated the effect of implementation of NRCMS on the rural residents' health expenditure by comparing the above data before and after the implementation of NRCMS.Results The implementation of NRCMS caused the rise of rural residents' total health expenditure,specifically,it increased to 1 102.697 billion yuan in 2013 from 224.870 billion yuan in 2001 with a growth rate of 390.37％;the health expenditure per capita for rural residents was 1 717.01 yuan in 2013,up by 1 470.52 yuan compared with 246.49 yuan in 2001 with a growth rate of 596.58％.The rate of rural residents enrolling the NRCMS presented a steady increase trend from 2004 to 2014.It increased to 98.9％ in 2014 from 75.2％ in 2004 with a growth rate of 31.52％.The utilization rate of beds in township hospitals increased from 36.2％ in 2003 to 60.5％ in 2014,with an increased rate of 67.13％.The proportion of rural residents who need hospitalized treatment but do not receive it reduced to 16.7％ in 2013 from 30.3％ in 2003,with a decreased rate of 13.6％.The healthcare expenditure per capita for rural residents was 753.90 yuan in 2014,up by 657.29 yuan compared with 96.61 yuan in 2001,with an increased rate of 680.35％.And the percent it accounted for of the net income per capita and living cost per capita showed upward trends from 2001 to 2014.The total national amount of cash paid personally for healthcare services in rural residents increased to 388.390 billion yuan from 149.160 billion yuan in 2001 with an increased rate of 160.38％,but its percent accounted for of the total health expenditure decreased to 11.00％ in 2014 from 29.68％ in 2001,with a decreased rate of 18.68％.Conclusion After the implementation of NRCMS,the total health expenditure for rural residents has increased,the total health expenditure per capita for rural residents,rate of rural residents enrolling the NRCMS,and healthcare expenditure per capita for rural residents have enhanced greatly,while the proportion of rural residents who need hospitalized treatment but do not receive it and the percent that the amount of cash paid personally for healthcare services accounted for of the total health expenditure have decreased significantly.The implementation of NRCMS needs the financial support,so it is suggested that in order to reduce the personal healthcare expenditure burden,more government subsidies should be funded as the reimbursement at the macro level.Furthermore,the equity of access to healthcare services should be improved so as to enhance the operation of the NRCMS.关键词
新型农村合作医疗/卫生政策/农村卫生/卫生费用Key words
New rural cooperative medical scheme/Health policy/Rural health/Health care costs分类
医药卫生引用本文复制引用
范忭斐,李丽清,刘巧艳..新型农村合作医疗卫生政策对农村卫生费用的影响研究[J].中国全科医学,2017,20(25):3158-3162,5.基金项目
国家自然科学基金资助项目(71473110) （71473110）
中国博士后特别资助基金项目(2015T80811) （2015T80811）
