人口与经济

新型农村合作医疗的逆向选择问题验证—基于四川样本的实证分析

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作者：李敏敏, 蒋远胜

单位：四川农业大学经济管理学院, 四川雅安 625014

关键词：逆向选择;新农合;验证

分类号：F840.684

出版年,卷(期):页码：2010,31(1):56-61

摘要：

本文基于四川新型农村合作医疗556户调查数据,运用逻辑斯蒂模型对新农合运行中存在的逆向选择问题,从年龄结构、参合报销情况、健康状况三个方面将农户分为高风险农户和低风险农户,通过描述性分析及计量检验验证了四川新农合运行中确实存在逆向选择,并就该问题提出了政策建议。

Based on the survey data of new rural cooperative medical system(NRCMS)in Sichuan province,we distinguish the high-risk households and low-risk households from age,payment status and health status,and examine the adverse selection of the household by logistic model.Through the description analysis and econometric test,we verify that there is the adverse selection in NRCMS in Sichuan.The policy implications are given in the paper.

基金项目：

国家自然科学基金课题(70473061)资助

作者简介：

李敏敏(1985-),河南济源人,四川农业大学经济管理学院硕士研究生,研究方向:农村金融与保险及卫生经济学。

参考文献：

[1] Akerlof,G.The market for lemons:quality uncertainty and the market mechanisms.Quarterly Journal of Economics,1970,(84).
[2] Rothschild,M.&J.Stiglitz.Equilibrium in competitive insurance markets:an essay in the economics of imperfect information. Quarterly Journal of Economics,1976,(90).
[3] Van De Yen,W.P.M.M.,&Ellis.Risk adjustment in competitive health plan markets.A.J.Culyer&J.P.Newhouse(ed.). Handbook of health economics,2000.757-845.
[4] Noterman,J.P.,et,a1.A prepayment scheme for hospital care in the Masisi District in Zalre:A critical evaluation.Social Science &Medicine,1995,(7).
[5] Arhin.D.C.The health card insurance acheme in Burundi:A social asset or a non-viable venture?Social Science&Medicine, 1994,(6).
[6] Dror,D.M.,et,a1.Field based evidence of enhanced healthcare utilization among persons insured by Micro Health Insurance Units in Philippines.Health Policy,2005,(73).
[7] H.Wang et al,.Adverse selection in a voluntary Rural Mutual Health Care health insurance scheme in China.Social Science& Medicine,2006,(63).
[8] 同[7] .
[9] 张庆洪.保险经济学导论[M].北京:经济科学出版社,2004.

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