醫(yī)療保險狀態(tài)對醫(yī)療消費差異的影響研究——基于中老年人群的一項微觀實證分析
發(fā)布時間:2018-04-16 10:41
本文選題:醫(yī)療保險狀態(tài) + 醫(yī)療消費支出; 參考:《消費經濟》2017年01期
【摘要】:利用中國健康和養(yǎng)老追蹤調查2013年數據,使用兩部模型,以中老年人群為例,分析社會醫(yī)療保險狀態(tài)與醫(yī)療消費水平之間關系。研究發(fā)現:參保不同醫(yī)療保險的中老年人間的醫(yī)療消費水平存在顯著差異,相比于合作醫(yī)療,參加城鎮(zhèn)職工醫(yī)保、公費醫(yī)保、城鎮(zhèn)居民醫(yī)保的中老年人有顯著更高的總醫(yī)療消費開支和自付醫(yī)療消費開支。分群體的穩(wěn)健性檢驗表明,在老年人群、中老年女性人群中,異質性醫(yī)療保險狀態(tài)導致的醫(yī)療消費水平差異同樣存在。分位數回歸顯示,在較低的醫(yī)療支出水平上,參保狀態(tài)影響顯著。通過構建基本相似的醫(yī)療保險"welfare package"實現衛(wèi)生服務利用公平。
[Abstract]:Based on the data of China Health and Old-age tracking Survey in 2013, two models were used to analyze the relationship between the state of social medical insurance and the level of medical consumption.The study found that there were significant differences in the medical consumption level among the middle-aged and elderly insured by different medical insurance, compared with the cooperative medical insurance, the participation in urban health insurance, public health insurance,Urban residents of the elderly and middle-aged people with significantly higher total medical expenditure and self-paid medical consumption expenditure.The robustness test of sub-population showed that the difference of medical consumption level caused by heterogeneous medical insurance status also existed in the elderly population and middle-aged and elderly female population.The quantile regression showed that the state of insurance had a significant effect on the lower level of medical expenditure.Welfare package, which is basically similar to medical insurance, is constructed to realize fair utilization of health services.
【作者單位】: 武漢大學社會保障研究中心;
【分類號】:F842.684;R197.1
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本文編號:1758571
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