本文選題：流動(dòng)人口　切入點(diǎn)：醫(yī)療保險(xiǎn)　出處：《吉林大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：改革開放后,我國流動(dòng)人口開始增加,從1982年以來的歷次普查數(shù)據(jù)來看,流動(dòng)人口一直呈增長趨勢(shì):1990年為3 750萬人,2000年增長到1.02億人,2010年增長到2.21億人,國家統(tǒng)計(jì)局基于2015年1%抽樣調(diào)查數(shù)據(jù)推算出2015年流動(dòng)人口規(guī)模在2.47億,流動(dòng)人口的數(shù)量還會(huì)增加,但是增速有所下降。中國流動(dòng)人口在為社會(huì)經(jīng)濟(jì)發(fā)展做出貢獻(xiàn)的同時(shí),其自身人身權(quán)益也應(yīng)該得到充分保障。醫(yī)療保障是社會(huì)保障的重要組成部分,社會(huì)醫(yī)療保險(xiǎn)服務(wù)在保障公民生存發(fā)展權(quán)利方面有著不可替代的作用。利用2015年中國流動(dòng)人口動(dòng)態(tài)監(jiān)測(cè)數(shù)據(jù),從流動(dòng)人口的個(gè)體自然特征流動(dòng)特征、經(jīng)濟(jì)特征、社會(huì)融入特征、主觀意愿等方面十個(gè)因素考察各因素對(duì)流動(dòng)人口是否參加醫(yī)療保險(xiǎn)的影響并運(yùn)用Logistic回歸模型進(jìn)行單變量回歸分析,并分不同險(xiǎn)種做多變量逐步回歸分析。對(duì)是否參保的單變量回歸分析表明,從全國范圍來看,對(duì)流動(dòng)人口是否參保具有顯著影響的包括戶籍、婚姻、受教育程度、收入水平等,而性別因素和年齡因素沒有顯著影響且不通過有效性檢驗(yàn)。其中,具有正向影響的是受教育程度,農(nóng)業(yè)戶口、婚姻家庭、月收入、務(wù)工經(jīng)商、長期居住意愿、獲得健康知識(shí),而流動(dòng)范圍、流入時(shí)長、民營企業(yè)因素具有反向影響。進(jìn)一步分析不同參保險(xiǎn)種,新型農(nóng)村合作醫(yī)療因戶籍地與政策影響導(dǎo)致模型擬合結(jié)果異常,對(duì)于城鄉(xiāng)居民醫(yī)療保險(xiǎn)來說,在未上過學(xué)的到初中之間的流動(dòng)人口與參保正相關(guān),高中/中專到大學(xué)本科學(xué)歷則為負(fù)相關(guān);獲得健康知識(shí)的參保概率較高。城鎮(zhèn)居民保醫(yī)療保險(xiǎn)方面,月收入方面只有2 001元以上影響顯著,流動(dòng)半徑越小,獲得健康知識(shí)二者對(duì)參保有正向影響。城鎮(zhèn)職工醫(yī)療保險(xiǎn)方面,在三資企業(yè)的參保概率最高;只有小學(xué)、大學(xué)專科、大學(xué)本科正影響,收入的影響不大,3 000元以下為正向的影響。另外,不同影響因素在東北、東、中、西四個(gè)地區(qū)表現(xiàn)影響不同。戶口類型的影響在東北地區(qū)與中部地區(qū)均居首位,婚姻狀況對(duì)東北地區(qū)與西部地區(qū)的參保有顯著影響;流入時(shí)長只對(duì)西部地區(qū)有顯著影響。但是對(duì)東北地區(qū)影響從結(jié)果上看只有跨縣的參保概率高。東、中、東北地區(qū)只有三資企業(yè)在與參考變量相比是顯著的。受教育程度、流動(dòng)范圍、流入地獲得健康知識(shí)對(duì)四個(gè)地區(qū)均有顯著正影響。從上述研究所得出的結(jié)論出發(fā),要加強(qiáng)流動(dòng)人口參保的積極性、提高各類醫(yī)療保險(xiǎn)對(duì)流動(dòng)人口的覆蓋面和保障水平,本文認(rèn)為,應(yīng)該從進(jìn)一步完善流動(dòng)人口醫(yī)療保險(xiǎn)制度和加強(qiáng)公民的福利意識(shí)兩大方面著手加以推動(dòng)。即打破戶籍制度的制約,分層分類解決參保需求,減小地區(qū)差異;重視流動(dòng)人口的社會(huì)地位以及保障權(quán)利,加強(qiáng)教育培訓(xùn),普及健康知識(shí),為流動(dòng)人口創(chuàng)造一個(gè)公平的社會(huì)環(huán)境。
[Abstract]:After the reform and opening up, the floating population of our country began to increase. From the data of the previous census since 1982, the floating population has been increasing: 37.5 million in 1990, 102 million in 2000, 221 million in 2000, Based on the 1% sample survey data of 2015, the National Bureau of Statistics calculates that the size of the floating population will be 247 million in 2015, and the number of floating population will increase, but the growth rate will decrease. China's floating population contributes to social and economic development at the same time. Their personal rights and interests should also be fully safeguarded. Medical security is an important part of social security. Social medical insurance plays an irreplaceable role in protecting citizens' right to survive and develop. Based on the data of dynamic monitoring of floating population in China in 2015, the characteristics of mobility, economic and social integration of floating population are analyzed. Ten factors, such as subjective will, were investigated to determine whether the floating population participated in medical insurance or not, and univariate regression analysis was carried out by using Logistic regression model. The univariate regression analysis on whether to participate in the insurance or not shows that, from a nationwide perspective, whether or not the floating population is insured includes household registration, marriage, education level, income level, and so on. However, gender and age factors have no significant influence and do not pass the validity test. Among them, the positive effects are educational level, agricultural household registration, marriage and family, monthly income, working and doing business, long-term living intention, and obtaining health knowledge. But the flow range, the inflow time is long, the private enterprise factor has the reverse influence. Further analyzes the different insured insurance type, the new rural cooperative medical service causes the model fitting result abnormal because of the household registration and the policy influence, for the urban and rural residents medical insurance, The floating population from non-school to junior high school is positively correlated with insurance participation, while the undergraduate degree from high school / technical secondary school to university is negatively correlated; the probability of obtaining health knowledge is higher. In the aspect of urban residents' insurance and medical insurance, The monthly income is only over 2 001 yuan, the smaller the flow radius, the positive effect of obtaining health knowledge on the insurance. In the case of urban employees' medical insurance, the probability of participating in the insurance is the highest in the three enterprises; only primary schools, colleges, universities, colleges, colleges, colleges, colleges, colleges, universities, colleges, colleges, universities, colleges and universities, The influence of college students is positive, the effect of income is not much less than 3,000 yuan. In addition, different factors are in the northeast, east, middle, and so on. The influence of household registration type is the first in the northeast and central regions, and marriage status has a significant impact on the participation of insurance in the northeast and western regions. The duration of the inflow only has a significant impact on the western region. However, the impact on the Northeast region is only higher in terms of the probability of participating in insurance in cross-county areas. In the east, middle, and northeast regions, only the foreign-funded enterprises are significant in comparison with the reference variables. The education level is significant. The scope of mobility and the acquisition of health knowledge in the floating areas have a significant positive impact on all four regions. From the conclusions drawn from the above study, it is necessary to strengthen the enthusiasm of the floating population to participate in insurance. To improve the coverage and security level of all kinds of medical insurance to the floating population, this paper holds that, We should further improve the medical insurance system of floating population and strengthen the citizen's welfare consciousness, that is, to break the restriction of household registration system, to solve the needs of participating insurance by stratification and to reduce the regional difference. Pay attention to the social status of floating population and protect their rights, strengthen education and training, popularize health knowledge, and create a fair social environment for floating population.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：F842.684

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 劉春燕;也談我國醫(yī)療保險(xiǎn)的現(xiàn)狀及發(fā)展對(duì)策[J];上海保險(xiǎn);2000年04期

2 李燕;中宏新的醫(yī)療保險(xiǎn),給保戶更多利益[J];上海保險(xiǎn);2000年07期

3 ;雇主對(duì)工人醫(yī)療保險(xiǎn)的新認(rèn)識(shí)[J];國外醫(yī)學(xué)(醫(yī)院管理分冊(cè));2000年04期

4 鄭樹忠,于廣軍;澳大利亞私人醫(yī)療保險(xiǎn)面臨的挑戰(zhàn)與未來走向[J];衛(wèi)生經(jīng)濟(jì)研究;2000年10期

5 吳明;醫(yī)療保險(xiǎn)與醫(yī)院改革——第五講 醫(yī)療保險(xiǎn)系統(tǒng)[J];中國醫(yī)院管理;2000年07期

6 林昱;;醫(yī)療保險(xiǎn)究竟難在何處[J];勞動(dòng)世界;2000年04期

7 ;關(guān)于印發(fā)城鎮(zhèn)職工基工醫(yī)療保險(xiǎn)業(yè)務(wù)管理規(guī)定的通知[J];勞動(dòng)世界;2000年05期

8 ;穩(wěn)步擴(kuò)面 強(qiáng)化管理 合力攻堅(jiān)——?jiǎng)趧?dòng)保障部醫(yī)療保險(xiǎn)司司長烏日?qǐng)D訪談錄[J];中國勞動(dòng);2001年02期

9 劉文海 ,李紅;醫(yī)療保險(xiǎn)的特點(diǎn)與“三改并舉”[J];中國勞動(dòng);2001年08期

10 高浩榮;韓國醫(yī)療保險(xiǎn)財(cái)政瀕臨破產(chǎn)[J];w攣胖蕓，

本文編號(hào)：1606584