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文章利用陕西省第四次国家卫生服务入户调查数据,以特征分数配比法匹配后的新型农村合作医疗参保和未参保居民为研究对象,采用集中指数法和集中指数分解法分析了新型农村合作医疗对卫生服务利用公平性的影响效果。结果显示,新型农村合作医疗提高了农村居民住院服务利用公平性,但同时也扩大了低收入居民和高收入居民门诊服务利用的差距。建议新型农村合作医疗对门诊和住院服务均实施按一定比例报销的补偿模式。
Using the data of the fourth national health service household survey in Shaanxi Province and the new rural cooperative medical care insured and uninsured residents after matched by the characteristic score matching method, the article uses the centralized index method and the centralized index decomposition method Impact of New Rural Cooperative Medical System on the Fairness of Health Services Utilization. The results show that the new rural cooperative medical care improves the fairness of rural residents’ inpatient service utilization, but also widens the gap between out-patient service utilization of low-income residents and high-income residents. It is suggested that the new-type rural cooperative medical system will implement the compensation mode of reimbursement for outpatient service and inpatient service according to a certain percentage.