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在经济转轨过程中,居民自我支出的医疗费用在不断上升,使健康风险成为影响家庭支出水平和福利水平的重要因素。文章根据实施医疗救助的3个项目省、6个项目县的住户调查资料,对救助户与非救助户的家庭消费结构进行比较。分析表明,医疗救助制度的推行对于降低医疗支出与非医疗支出之间的替代性、改善家庭内部成员之间的医疗资源分配的不均等性具有非常显著的改善作用。但同时也表明,如果居民遭受比较严重的疾患,现有医疗救助制度的力度仍是有限的。
In the process of economic transition, the medical expenses of residents’ self-expenditure are constantly rising, making health risks an important factor affecting household expenditure levels and welfare levels. The article compares the household consumption structure of salvage households and non-rescue households based on the household survey data of three project provinces and six project counties where medical assistance is implemented. The analysis shows that the implementation of the medical assistance system has a very significant improvement in reducing the substitution between medical expenditures and non-medical expenditures and improving the unequal distribution of medical resources among family members. However, it also shows that if the residents suffer from more serious diseases, the current medical assistance system is still limited.