本文選題：醫(yī)療保障 + 醫(yī)療服務(wù)需求　； 參考：《上海經(jīng)濟研究》2013年10期

【摘要】：根據(jù)2008年全國老年人口健康狀況調(diào)查(CLHLS),選取Stepwise和Logistic兩種回歸模型實證分析醫(yī)療保障對我國65歲以上老年人醫(yī)療服務(wù)需求的影響,得出以下結(jié)論:第一,醫(yī)療保障顯著促進了老年人對醫(yī)療服務(wù)的需求,使其家庭醫(yī)療負擔得以降低、及時就醫(yī)率得以提升。雖然大病保險這一保障形式?jīng)]有通過顯著性檢驗,但其回歸方向較為穩(wěn)定。第二,不同的醫(yī)療保障政策對老年人醫(yī)療服務(wù)需求的促進效果有所差異。醫(yī)療保障在提升老年人及時就醫(yī)率上所起的作用基本是均勻的,但在降低家庭醫(yī)療負擔方面,合作醫(yī)療發(fā)揮的效果最差。第三,醫(yī)療保障對老年人醫(yī)療服務(wù)需求利用的影響存在顯著的城鄉(xiāng)差異。醫(yī)療保障在城鎮(zhèn)地區(qū)發(fā)揮的效果要高于農(nóng)村地區(qū),農(nóng)村老人未能及時就醫(yī)的比率明顯低于城鎮(zhèn)老人。最后在研究結(jié)論的基礎(chǔ)上提出加快完善補充醫(yī)療保險,提升老年人參與商業(yè)醫(yī)療保險的意愿、加大公共財政對合作醫(yī)療的投入力度、適度增加合作醫(yī)療在慢性病方面的醫(yī)療服務(wù)以及醫(yī)療保障政策的靈活性等建議。
[Abstract]:According to the 2008 National elderly population Health Survey, Stepwise and Logistic regression models were selected to empirically analyze the impact of medical security on the medical service demand of the elderly aged over 65 in China. The conclusions are as follows: first, Medical security has significantly promoted the elderly's demand for medical services, reduced their family medical burden, and increased the rate of timely access to medical care. Although the insurance form of serious illness does not pass the significance test, its return direction is relatively stable. Second, the effects of different medical security policies on the elderly medical service demand are different. The effect of medical security on improving the rate of timely medical treatment for the elderly is basically uniform, but the effect of cooperative medical care is the worst in reducing the burden of family medical care. Thirdly, there are significant differences between urban and rural areas in the influence of medical security on the utilization of elderly medical services. The effect of medical security in urban areas is higher than that in rural areas, and the rate of failure to seek medical treatment in rural areas is obviously lower than that in urban areas. Finally, on the basis of the conclusion of the study, it is proposed to speed up the improvement of supplementary medical insurance, to enhance the willingness of the elderly to participate in commercial medical insurance, and to increase the investment of public finance in cooperative medical care. Moderate increase cooperative medical care in chronic diseases and medical care policy flexibility and other suggestions.
【作者單位】： 中南財經(jīng)政法大學(xué)公共管理學(xué)院;
【分類號】：C913.7;F842.6

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5 朱賢v，

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