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目的:分析2013年哈密地区农村居民现金卫生支出状况及致贫影响;方法:利用2013年哈密地区卫生服务调查数据,比较国家与哈密贫困标准下农村居民现金卫生支出发生前后的贫困发生率和贫困差距等指标,并绘制Pan图;结果:在标准1下,OOP发生前后贫困发生率为3.42%和6.81%,致贫影响为3.38%,标准2下OOP发生前后贫困发生率为7.45%和9.47%,导致2.01%的居民陷入贫困,OOP发生后,平均贫困差距在标准2下增加了24.99元;结论:新医改后哈密地区OOP发生后的脱贫差距仍比较大,应进一步完善新医改政策,加强新型农村合作医疗保障作用,采用多种医疗保障制度,关注低收入人群,减少因病致贫、因病返贫的现象。
PURPOSE: To analyze the status of health expenditure and the impact of poverty on rural residents in Hami in 2013. Methods: Using the survey data of health services in Hami district in 2013, we compared the incidence of poverty and poverty before and after cash health expenditure of rural residents under the national and Hami poverty standards The results showed that under standard 1, the incidence of poverty was 3.42% and 6.81% before and after OOP, and the incidence of poverty was 3.38%. The incidence of poverty before and after OOP was 7.45% and 9.47 under standard 2 %, Resulting in 2.01% of the residents into poverty. After the OOP, the average poverty gap increased by 24.99 yuan under the standard 2. Conclusion: After the new health care reform OOP in the Hami area is still relatively large, the policy of new medical reform should be further improved, Strengthen the role of new-type rural cooperative medical insurance, adopt a variety of medical security systems, pay attention to low-income groups and reduce the incidence of poverty due to illness and return to poverty.