为了研究家庭健康水平、家庭保险决策与家庭经济状况的相关联系,选取了家庭资产规模作为家庭富裕程度的代理变量,在贫困对健康和保险决策影响的框架下,通过交互分析发现,农户家庭资产规模显著影响其家庭成员健康和保险决策,贫困农户的健康状况相对更差,而且,其参加和继续参加农村基本养老保险与合作医疗保险的可能性更低,最富裕户和最贫困户均期望政府在新型农村合作医疗保险筹资中负担更大比例。通过二元逻辑斯蒂回归方法控制相关因素,发现家庭资产显著影响个人健康、参合选择和继续参合决策,资产越高的家庭,个人的健康状况可能越好,参合比例越高,继续参合意愿相对较高。基于研究结论,在罗尔斯正义论视角下,提出了保障农民公平获得基本健康权利的若干思考。
The health status, insurance - decision and economic status of household are firmly interrelated. Selecting household' assets as the substitute of the wealth of household, through the analysis of poverty of household' health and insurance - decision, based on a method of Crosstabs, household' assets significant influence on household' health and insurance - decision, the poorest group of household have the poorest health status, and lowest likelyness and willingness to participate the new - type cooperative medical system. The poorest and richest group of household both have a higher donation - ratio of government' financial support. Through a Binary Logistic regression method, controlling the related factors, household' assets have significantly impact on individual health and household' insurance - decision, the higher scale of household' assets, the better individual health status, and the higher participation and willingness to join in the new - type cooperative medical system. Based on the analysis, under the John Rawls' Theory of Justice, some thoughts on securing rural residents' basic mediacal and healthy justice are brought forward.