灾难性医疗支出对我国农村贫困的影响研究——基于中国家庭追踪调查

农村贫困人口脱贫是全面建成小康社会艰巨的任务。本文利用2014年中国家庭追踪调查数据,通过测算灾难性医疗支出(CHE)家庭的发生率、贫困发生率、占贫困家庭的比重、CHE致贫率等多个指标,定量分析CHE对我国农村贫困的影响。基于测算结果,建议把CHE家庭作为医疗卫生部门在农村实施精准减贫的重点对象;为了实现扶贫绩效的最大化,CHE标准的设定需要综合考虑扶贫精准度和覆盖面两个因素。

Effects of catastrophic medical expenditure on rural poverty in China

Helping all rural people living below the poverty line shake off is the most difficult task to build a moderately prosperous society in all respects. Based on 2014 China Household Panel Data Survey, this paper evaluates the effects of catastrophic health expenditure(CHE) on poverty in the rural areas of China by calculating the CHE and households poverty incidences, the poor families' proportions, and the poverty incidence due to CHE and other indicators. According to estimated results, we recommend that CHE households should be regarded as the main target population to be shaken off poverty in the rural areas by the national health department. In order to maximize the poverty reduction performance, it is necessary to take into account both the poverty alleviation accuracy and coverage while setting the CHE criteria.