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社区医疗保险计划能否保护穷人免受经济改革对健康的不利影响?以埃塞俄比亚农村为例。

Can community health insurance schemes shield the poor against the downside health effects of economic reforms? The case of rural ethiopia.

作者信息

Asfaw Abay, Braun Jv Joachim von

机构信息

Center for Development Research (ZEF) of University of Bonn, Walter Flex Strasse 3, D-53113 Bonn, Germany.

出版信息

Health Policy. 2004 Oct;70(1):97-108. doi: 10.1016/j.healthpol.2004.02.005.

Abstract

Using household level data and double-bounded dichotomous choice contingent valuation method, the article investigates the prospect of community health insurance schemes in mitigating the health shock effects of economic reforms and deregulations on the poor rural households of Ethiopia. The results demonstrate that the introduction of such schemes can help to protect the poor against the adverse impacts of economic reforms on health. It is also demonstrated that enough and sustainable resources can be generated from such schemes without obstructing the current economic reforms and evicting the poor and the socially disadvantaged section of the population out of the health care market.

摘要

本文利用家庭层面的数据和双边界二分法选择条件价值评估方法,研究了社区医疗保险计划在减轻经济改革和放松管制对埃塞俄比亚农村贫困家庭健康冲击影响方面的前景。结果表明,引入此类计划有助于保护贫困人口免受经济改革对健康的不利影响。研究还表明,此类计划能够产生足够且可持续的资源,同时不会阻碍当前的经济改革,也不会将贫困人口和社会弱势群体排除在医疗市场之外。

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