重大疾病对农民工的影响及个体应对策略研究进展
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摘要
随着改革开放的不断深入和经济的快速发展,中国城镇化速度加快,农民工作为城镇化建设的重要力量,规模持续扩大,但其多数无稳定工作、无城市户籍,缺乏"五险一金"等完善的社会保障,因此他们患重大疾病后将遭受较为严重的健康冲击,易出现因病致贫、因病返贫的现象。国内以农民工为对象开展了一系列研究,但对农民工罹患重大疾病后的应对策略研究较少,结合国内外学者对农民工罹患重大疾病遭受的健康冲击及其应对策略问题的研究成果,从重大疾病的定义与界定、农民工患重大疾病时常见的应对策略及其影响因素等问题进行综述,并针对如何减轻农民工患重大疾病时的经济和身心负担,从农民工和政府两个角度提出相关建议。
With the rapid development of economy and the deepening of reform and opening up,Chinese urbanization is speeding up.As an important force of urbanization,migrant workers continue to increase,but many of them have no stable jobs,no urban registered permanent residence and insufficient social insurance.They are more likely suffer serious health shocks due to catastrophic illness and prone to poverty.A series of studies have been carried out on the catastrophic illness of migrant workers in China,but there are few researches on the coping strategies of migrant workers with catastrophic illness.This paper reviews studies about the health shock and coping strategies of migrant workers with catastrophic illness and proposed several suggestions for reducing the economic and mental burden of migrant workers with catastrophic illness from both migrant workers and government perspective.
With the rapid development of economy and the deepening of reform and opening up,Chinese urbanization is speeding up.As an important force of urbanization,migrant workers continue to increase,but many of them have no stable jobs,no urban registered permanent residence and insufficient social insurance.They are more likely suffer serious health shocks due to catastrophic illness and prone to poverty.A series of studies have been carried out on the catastrophic illness of migrant workers in China,but there are few researches on the coping strategies of migrant workers with catastrophic illness.This paper reviews studies about the health shock and coping strategies of migrant workers with catastrophic illness and proposed several suggestions for reducing the economic and mental burden of migrant workers with catastrophic illness from both migrant workers and government perspective.
引文
[1]陈春丽.农民工社会保障的困境及出路探究[J].经贸实践,2017(1):75.
[2]彭华涛,张俊杰.社会网络关系对农民工城市融入意愿度的影响机理:城市生活满意度的调节作用[J].经济研究参考,2015(69):59-68.
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[4]孙纽云,梁铭会,房珊杉,等.基于大病病种分类的医药费用特征分析[J].中国卫生政策研究,2013,6(1):7-12.
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[14]Yabroff KR,Dowling EC,Guy GP,et al.Financial hardship associated with cancer in the United States:findings from a population-based sample of adult cancer survivors[J].JClin Oncol,2016,34(3):259-267.
[15]Farran N,Ammar D,Darwish H.Quality of life and coping strategies in Lebanese Multiple Sclerosis patients:apilot study[J].Mult Scler Relat Disord,2016(6):21-27.
[16]马志雄,丁士军,张银银,等.大病冲击、经济状况与农户筹资约束相互影响机制研究---基于四川童寺镇1105个农户的调查[J].统计与信息论坛,2013(5):95-100.
[17]Dhanaraj S.Economic vulnerability to health shocks and coping strategies:evidence from Andhra Pradesh,India[J].Health Policy Plan,2016,31(6):749-758.
[18]Bonfrer I,Gustafsson-Wright E.Health shocks,coping strategies and foregone healthcare among agricultural households in Kenya[J].Global Public Health,2017,12(11):1369-1390.
[19]Zullig LL,Peppercorn JM,Schrag D,et al.Financial distress,use of cost-coping strategies,and adherence to prescription medication among patients with cancer[J].J Oncol Pract,2013,9(6S):60-63
[20]Okoronkwo IL,Ekpemiro JN,Onwujekwe OE,et al.Socioeconomic inequities and payment coping mechanisms used in the treatment of type 2diabetes mellitus in Nigeria[J].Niger J Clin Pract,2016,19(1):104-109.
[21]Fang K,Shia BC,Ma S.Health insurance coverage,medical expenditure and coping strategy:evidence from Taiwan[J].BMC Health Serv Res,2012,12(2):442.
[22]Kruk ME,Goldmann E,Galea S.Borrowing and selling to pay for health care in low-and middle-income countries[J].Health Aff(Millwood),2009,28(4):1056-1066
[23]Ye L.The social networks of new-generation migrants in China's urbanized villages:a case study of Guangzhou[J].Habitat Intern,2012,36(1):192.
[24]Boehm A,Eisenberg E,Lampel S.The contribution of social capital and coping strategies to functioning and quality of life of patients with fibromyalgia[J].Clin JPain,2011,27(3):233-239
[25]孔繁荣,谭运进,丁士军.大病风险下农户民间借贷影响因素分析[J].开发研究,2014(4):9-13.
[26]王桦,赵晟珣,曾尔亢,等.中国人口老龄化社会发展与应对策略[J].中国社会医学杂志,2014,31(2):75-77.
[27]曹晓琳,李玉刚,吴洪涛,等.吕梁山区贫困县新农合大病患者住院医疗费用负担分析[J].中国卫生资源,2017,20(1):32-35.
[28]方鹏骞,陈婷.我国异地就医实时结算的问题、实现路径和趋势[J].中国卫生经济,2017,36(12):22-24.
[29]尹文强,王秋霞,孙葵,等.患者对“先看病后付费”的政策认同与需求研究[J].医学与哲学,2017,38(15):52-54,95.
[30]赵延奎,尹文强,王秋霞,等.医疗机构“先看病后付费”政策目标群体的预期障碍---以山东省济宁市为例[J].中国卫生政策研究,2014,7(3):32-37.
[31]唐长冬,周成超,徐凌忠.“先看病后付费”医疗服务改革效果调查与分析[J].中国医院管理,2014,34(3):15-17.
[32]陈昭君,李佳佳,徐凌忠,等.城乡居民基本医疗保险制度整合后农村居民参保行为影响因素分析---以山东省高青县为例[J].中国卫生事业管理,2015,32(7):507-509,514.
[33]那春霞,高广颖,马骋宇,等.新农合大病患者满意度分析---基于B市三区县484名患者的调查研究[J].中国卫生政策研究,2015,8(3):34-39.收稿日期本文编辑杨婷婷
[2]彭华涛,张俊杰.社会网络关系对农民工城市融入意愿度的影响机理:城市生活满意度的调节作用[J].经济研究参考,2015(69):59-68.
[3]高广颖,马骋宇,胡星宇,等.新农合大病保险制度对缓解灾难性卫生支出的效果评价[J].社会保障研究,2017(2):69-76.
[4]孙纽云,梁铭会,房珊杉,等.基于大病病种分类的医药费用特征分析[J].中国卫生政策研究,2013,6(1):7-12.
[5]王伟.重大疾病对贫困的作用机制及其应对策略研究[D].南京:南京大学,2013.
[6]刘颖,任苒.大病卫生支出及其影响[J].中国卫生经济,2010,29(3):37-39.
[7]郑洁,樊瑾莉.我国大病医疗保险的发展及存在的问题[J].山西青年,2017(11):281.
[8]Xu K,Evans D,Carrin G,et al.Designing health financing systems to reduce catastrophic health expenditure[J].Grand Street,2005(43):32-52.
[9]Xu K,Evans DB,Kawabata K,et al.Household catastrophic health expenditure:a multicountry analysis[J].Lancet,2003,362(9378):111-117.
[10]Mitra S,Palmer M,Mont D,et al.Can households cope with health shocks in vietnam?[J].Health Econ,2015,25(7):888-907.
[11]程斌,应亚珍.提高农村居民重大疾病医疗保障水平策略探讨[J].中国农村卫生事业管理,2012,32(6):551-553.
[12]Li Y,Wu Q,Liu C,et al.Catastrophic health expenditure and rural household impoverishment in China:what role does the new cooperative health insurance scheme play?[J].PloS one,2014,9(4):e93253.
[13]Azzani M,Roslani AC,Su TT.Financial burden of colorectal cancer treatment among patients and their families in a middle-income country[J].Support Care Cancer,2016,24(10):4423-4432.
[14]Yabroff KR,Dowling EC,Guy GP,et al.Financial hardship associated with cancer in the United States:findings from a population-based sample of adult cancer survivors[J].JClin Oncol,2016,34(3):259-267.
[15]Farran N,Ammar D,Darwish H.Quality of life and coping strategies in Lebanese Multiple Sclerosis patients:apilot study[J].Mult Scler Relat Disord,2016(6):21-27.
[16]马志雄,丁士军,张银银,等.大病冲击、经济状况与农户筹资约束相互影响机制研究---基于四川童寺镇1105个农户的调查[J].统计与信息论坛,2013(5):95-100.
[17]Dhanaraj S.Economic vulnerability to health shocks and coping strategies:evidence from Andhra Pradesh,India[J].Health Policy Plan,2016,31(6):749-758.
[18]Bonfrer I,Gustafsson-Wright E.Health shocks,coping strategies and foregone healthcare among agricultural households in Kenya[J].Global Public Health,2017,12(11):1369-1390.
[19]Zullig LL,Peppercorn JM,Schrag D,et al.Financial distress,use of cost-coping strategies,and adherence to prescription medication among patients with cancer[J].J Oncol Pract,2013,9(6S):60-63
[20]Okoronkwo IL,Ekpemiro JN,Onwujekwe OE,et al.Socioeconomic inequities and payment coping mechanisms used in the treatment of type 2diabetes mellitus in Nigeria[J].Niger J Clin Pract,2016,19(1):104-109.
[21]Fang K,Shia BC,Ma S.Health insurance coverage,medical expenditure and coping strategy:evidence from Taiwan[J].BMC Health Serv Res,2012,12(2):442.
[22]Kruk ME,Goldmann E,Galea S.Borrowing and selling to pay for health care in low-and middle-income countries[J].Health Aff(Millwood),2009,28(4):1056-1066
[23]Ye L.The social networks of new-generation migrants in China's urbanized villages:a case study of Guangzhou[J].Habitat Intern,2012,36(1):192.
[24]Boehm A,Eisenberg E,Lampel S.The contribution of social capital and coping strategies to functioning and quality of life of patients with fibromyalgia[J].Clin JPain,2011,27(3):233-239
[25]孔繁荣,谭运进,丁士军.大病风险下农户民间借贷影响因素分析[J].开发研究,2014(4):9-13.
[26]王桦,赵晟珣,曾尔亢,等.中国人口老龄化社会发展与应对策略[J].中国社会医学杂志,2014,31(2):75-77.
[27]曹晓琳,李玉刚,吴洪涛,等.吕梁山区贫困县新农合大病患者住院医疗费用负担分析[J].中国卫生资源,2017,20(1):32-35.
[28]方鹏骞,陈婷.我国异地就医实时结算的问题、实现路径和趋势[J].中国卫生经济,2017,36(12):22-24.
[29]尹文强,王秋霞,孙葵,等.患者对“先看病后付费”的政策认同与需求研究[J].医学与哲学,2017,38(15):52-54,95.
[30]赵延奎,尹文强,王秋霞,等.医疗机构“先看病后付费”政策目标群体的预期障碍---以山东省济宁市为例[J].中国卫生政策研究,2014,7(3):32-37.
[31]唐长冬,周成超,徐凌忠.“先看病后付费”医疗服务改革效果调查与分析[J].中国医院管理,2014,34(3):15-17.
[32]陈昭君,李佳佳,徐凌忠,等.城乡居民基本医疗保险制度整合后农村居民参保行为影响因素分析---以山东省高青县为例[J].中国卫生事业管理,2015,32(7):507-509,514.
[33]那春霞,高广颖,马骋宇,等.新农合大病患者满意度分析---基于B市三区县484名患者的调查研究[J].中国卫生政策研究,2015,8(3):34-39.收稿日期本文编辑杨婷婷
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