新型农村合作医疗与农户消费行为

    摘要: 本文根据安徽和江苏农村1500个农户的调查资料,使用倾向值匹配的方法分析了参加新型农村合作医疗对农户消费行为的影响。分析结果表明,在安徽和江苏两个省,参加新型农村合作医疗有助于农民在遭遇健康风险的时候平滑消费,但新型农村合作医疗的报销力度尚不足以提升农户的消费水平。考虑到新型农村合作医疗项目具体的执行情况,尽管对平滑消费产生了一定的影响,但新型农村合作医疗项目所起到的整体效应仍然有限。尤其是目前绝大多数新型农村合作医疗项目都只报销大病医疗的费用,而很少报销门诊等小病的费用,使得新型农村合作医疗项目的受益面受到一定的影响。
    关键词: 新型农村合作医疗； 健康冲击； 消费平滑； 倾向值匹配
    The New Cooperative Medical System:Does It Help Farmers with Health Shocks Maintain Living Standards?
    Abstract: Based on the data collected from 1500 rural households in Anhui and Jiangsu,the authors use propensity score matching techniques to show that NCMS programs in Anhui and Jiangsu help rural Chinese farmers that experience health shocks to reduce the share of food consumption accruing to food.However,receiving reimbursement does not raise household consumption.These findings suggest that the NCMS programs are having at least some effect on consumption smoothing in rural China.Given the typical implementation of NCMS programs,however,the overall effectiveness of the NCMS may be limited,consumption smoothing notwithstanding.In particular, there are some obvious weaknesses of focusing exclusively on catastrophic health care,thus the majority of participants will not directly benefit from participation.
    Key words: NCMS； Health Shock； Consumption Smoothing； Propensity Score Matching
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    文章出处：中国劳动经济学，2009年第2期