目的:对新型农村合作医疗慢病门诊费用补偿政策的效果进行分析;方法:将研究对象按照是否实施慢病门诊费用补偿政策分为处理组和对照组,通过建立双重差分模型,分析政策前/后农村慢病患者家庭发生灾难性卫生支出的变化情况。结果:新型农村合作医疗慢病补偿政策对慢病患者家庭的疾病经济负担减轻不明显,但是新型农村合作医疗制度为农村慢病患者家庭提供了经济保障。结论:新型农村合作医疗对慢病患者门诊费用的补偿政策需要在补偿范围和强度上进一步加强。
Objective: To analyze the effect of reimbursement policy for outpatient costs of chronic diseases under New Rural Cooperative Medical System (NCMS). Methods: The sample was divided into a treatment group and control group according to the policy implementation. Difference-in-differences model is used to analyze the changes in the catastrophic expenditure of the rural households with chronic diseases before and after the implement of policy. Results: The effect of NCMS reimbursement policy for chronic disease on reducing family economic burden was not obvious, but the NCMS provides economic support for rural households with chronic diseases. Conclusion: The NCMS reimbursement policies should be strengthened in both the width and strength of compensation.