[1]丁一磊,杨妮超,顾海.中国农村居民重大疾病保障制度评价指标体系构建及运行效果分析——以东中西部101个医保统筹地区为例[J].南京农业大学学报(社科版),2017,17(06):48-58.
　DING Yilei,YANG Nichao,GU Hai.An Analysis on the Construction of Evaluation Index System of Catastrophic Disease Insurance for Rural Residents in China and the Evaluation of Its Implementation Effect:A Case Study of 101 Medical Insurance Co-ordination Areas in Eastern[J].Journal of Nanjing Agricultural University(Social Science),2017,17(06):48-58.
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中国农村居民重大疾病保障制度评价指标体系构建及运行效果分析——以东中西部101个医保统筹地区为例()
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南京农业大学学报（社科版）[ISSN:1006-6977/CN:61-1281/TN]

卷:
17
期数:
2017年06期
页码:
48-58
栏目:
农民问题
出版日期:
2017-11-04

文章信息/Info

Title:
An Analysis on the Construction of Evaluation Index System of Catastrophic Disease Insurance for Rural Residents in China and the Evaluation of Its Implementation Effect:A Case Study of 101 Medical Insurance Co-ordination Areas in Eastern
作者:
丁一磊;  杨妮超;  顾海
南京大学 卫生政策与管理研究中心, 江苏 南京 210093
Author(s):
DING Yilei;  YANG Nichao;  GU Hai
关键词:
农村居民; 大病保障; 评价指标体系; 制度运行
分类号:
C913.7
摘要:
本研究选择了东中西部6个省份的101个医保统筹地区，研究我国农村居民重大疾病保障制度的运行效果。基于德尔菲法和层次分析法建立了农村居民重大疾病保障制度评价指标体系，包括人口覆盖指标、筹资指标、基金支出指标、大病保障补偿指标和大病患者医疗费用指标，共分为5个一级指标，21个二级指标。采用层次分析法确定每个指标的权重，并对江苏、福建、安徽、湖南、内蒙古、四川农村居民重大疾病保障制度运行情况进行了评价。研究结果表明，筹资指标和大病保障补偿指标是影响农村居民重大疾病保障制度运行的两个特别关键因素，东中部地区的农村居民重大疾病保障制度的整体运行水平要高于西部地区。本研究为进一步完善农村居民重大疾病保障制度提供了相关实证依据。
Abstract:
In this study, 101 integrated areas in six provinces in the eastern, central and western regions were selected to study the effect of rural residents’ catastrophic disease insurance. Based on the Delphi method and the analytic hierarchy process, the evaluation index system of the effect of the rural residents’ catastrophic diseases insurance was established, including the population coverage index, the fund raising index, the fund expenditure index, the compensation index of the serious illness insurance and the medical expenses of the patients with catastrophic disease. It consisted of 5 first-level indicators and 21 secondary indicators. AHP method was used to determine the weight of each index, and the effect of the catastrophic diseases insurance of rural residents in Jiangsu, Fujian, Anhui, Hunan, Inner Mongolia and Sichuan Provinces was evaluated. The results showed that the financing and compensation of serious illness insurance were two especial key factors influencing the effect of rural residents’ cata-strophic disease insurance, and the overall performance of rural residents’ catastrophic disease insurance in the eastern and central regions was higher than that in the western region. This study pro-vided relevant empirical evidence for improving the implementation of the system of catastrophic diseases of rural residents.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2017-05-10。。
基金项目:国家自然科学基金面上项目"城乡居民重大疾病保障制度模式、效应评估与对策研究"（71573118）；国家自然科学基金面上项目"统筹城乡医疗保障制度对城乡居民健康及医疗利用的影响研究——基于自然实验框架下的分析"（71373102）；国家卫生计生委课题"农村居民重大疾病保障水平及评价指标体系研究
作者简介:丁一磊,男,南京大学卫生政策与管理研究中心博士生,E-mail:dingyilei2014@126.com;杨妮超,女,南京大学卫生政策与管理研究中心硕士生;顾海,男,南京大学卫生政策与管理研究中心主任,教授,博士生导师。
更新日期/Last Update: 1900-01-01