目的 从参合公平性角度,评价江西省新农合制度的实施效果,为进一步完善新农合实施方案提供科学依据。方法收集江西省3批共40个新农合试点县2006-2008年参合资料,以集中指数(CI)、不平等斜率指数(SII)作为评价分析指标。结果 2006-2008年,江西省一般农民、五保户和贫困户农民总参合率均呈上升趋势;一般农民参合率由84.95%提高至92.89%,五保户参合率由96.25%提高至99.80%,贫困户参合率由86.63%提高至98.71%,各项指标的集中指数绝对值均接近于0,一般农民参合率总体表现为中偏下收入农民参合率略低,高收入农民参合率略高的现状,且CI及SII均为正值;五保户及贫困户参合率的SII绝对值均有所下降。结论 江西省农民参合公平性总体较好,应关注低收入组农民的参合率。
Objective To evaluate the implementation effeciency of the new rural Cooperative Medical System(CMS) from the respect of participation equity for perfecting the scheme of CMS. Methods We made a complete survey to investigate the participation data of new rural CMS in 40 pilot counties of Jiangxi province.The concentration index(CI),slope index of inequity(SII)were adopted to evaluate the equity. Results From 2006-2008,the new rural CMS participation rate of the farmers increased from 84.95% to 92.89%;the participation rate of the five welfare guarantees increased from 96.25% to 99.80%;the participation rate of impoverished farmers increased from 86.63% to 98.71%.All the CI were close to 0.The participation rate of farmers with higher income was slightly higher than those of farmers with positive CI and SII.The absolute values of SII for the participation rate of the five welfare guarantees and the impoverished were decreased. Conclusion The participation equity of the new rural CMS is good but special attention should be paid to the participation rate of farmers with low income.