新农合方案调整对宁夏项目县农村居民受益分布及疾病经济负担的影响研究

本研究运用卫生经济学与卫生政策研究的相关理论，对宁夏"创新支付制度，提高卫生效益"医改项目试点县（海原县、盐池县）参合农民项目实施前后卫生服务与利用情况、参合农民受益分布情况、参合农民疾病经济负担情况等进行系统的对比分析，研究影响农民利用卫生服务的主要因素、新农合方案调整对农民受益程度的影响以及项目实施前后不同收入组参合农民疾病经济负担，从医改项目的实施对卫生服务利用公平性、受益公平性和疾病经济负担三个方面评价新农合方案调整的效果，研究新农合制度的调整是否有利于卫生服务公平性的实现，并由研究结果提出相应的政策建议。

This research use health economics and health policy research relatedtheory, for the ningxia "innovation payment system, improve the health benefit" reform project ShiDianXian (HaiYuanXian, yanchi) and take farmer project implementation and health service and utilization into consideration, and take farmer's benefit distribution, disease economic burden condition of system analysis into consideration, the study of influence on farmers to use the health service of the main factors, the new farmers joint scheme adjustment for farmers benefit degree of influence and the project implementation and different income groups considered farmer's disease economic burden, from the implementation of the reform program for health services utilization fairness, equity and disease economic burden benefit from three aspects of the new farm evaluation combined effect of adjustment scheme, the new farmers joint system adjustment is conducive to the realization of equity and health services, and the research results put forward the corresponding policy recommendations.