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不同收入人群城鎮(zhèn)職工醫(yī)保衛(wèi)生服務利用及費用變化趨勢分析

發(fā)布時間:2018-02-11 05:33

  本文關(guān)鍵詞: 城鎮(zhèn)職工基本醫(yī)療保險 衛(wèi)生服務利用 醫(yī)療費用 低收入人群 出處:《中國衛(wèi)生資源》2016年03期  論文類型:期刊論文


【摘要】:目的 :分析職工醫(yī)保制度對縮小不同收入人群衛(wèi)生服務利用差距的影響。方法 :利用黑龍江省衛(wèi)生服務調(diào)查中職工醫(yī)保的數(shù)據(jù)進行分析。結(jié)果 :2013年城鎮(zhèn)職工最低收入組的住院率是最高收入組的1.91倍;最低和較低收入組的應住院而未住院率分別是最高收入組的1.41倍和1.78倍;住院自付比是較高收入組的1.36倍和1.48倍。結(jié)論 :城鎮(zhèn)職工醫(yī)保制度覆蓋面與補償力度的增加,改善了低收入人群的衛(wèi)生服務利用,但仍未能從根本上消除其服務利用的經(jīng)濟障礙,應強化消除低收入人群公平性差距的醫(yī)保制度設(shè)計。
[Abstract]:Objective: to analyze the effect of employee medical insurance system on narrowing the gap of health service utilization among people with different income. Methods: using the data of health service survey in Heilongjiang province to analyze the health insurance system of workers and staff. Results: in 2013, the employment in cities and towns. The hospitalization rate in the lowest income group was 1.91 times higher than that in the highest income group; The hospitalization rate of the lowest and lower income group was 1.41 times and 1.78 times higher than that of the highest income group respectively, and the hospitalization out-of-pocket ratio was 1.36 times and 1.48 times higher than that of the higher income group. The health service utilization of low-income people has been improved, but the economic obstacle of service utilization has not been eliminated fundamentally. Therefore, the design of medical insurance system should be strengthened to eliminate the equity gap among low-income people.
【作者單位】: 哈爾濱醫(yī)科大學公共衛(wèi)生學院;復旦大學/國民健康社會風險預警協(xié)同創(chuàng)新中心;寧波大學醫(yī)學院預防醫(yī)學教研室;
【基金】:國家自然科學基金重點項目(71333003) 教育部人文社科基金(14YJC630046)
【分類號】:R197.1;F842.684

【參考文獻】

相關(guān)期刊論文 前9條

1 鄒曉旭;韓健;李雪佳;肖菲U,

本文編號:1502317


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