均等下的不公——城镇居民基本医疗保险受益公平性的理论与实证研究

发布时间：2017-12-26 23:30

本文关键词：均等下的不公——城镇居民基本医疗保险受益公平性的理论与实证研究　出处：《经济研究》2016年06期 　论文类型：期刊论文

【摘要】：坚持公平是国家医药卫生体制改革的基本原则之一。本文评估了覆盖2.5亿城镇人口的城镇居民基本医疗保险参保个人受益的公平性。理论模型显示,对于政府提供的均等化基本医疗保险,高收入参保人群的受益超过低收入人群。我们利用2007—2011年"国务院城镇居民基本医疗保险试点评估调查"数据,通过两部模型(Two Part Model)等方法对城镇居民基本医疗保险参保个人的受益公平性进行分析,结果与理论模型分析结论保持一致。本文的基本判断是:均等化补偿制度下的基本医疗保险将造成低收入参保人受益的劣势,且由于低收入人群健康水平更差,这样的制度设计将加剧健康的不公平。本研究将为进一步完善中国基本医疗保险制度提供决策参考依据。
[Abstract]:Insisting on fairness is one of the basic principles of the reform of the national medical and health system. This paper evaluates the fairness of the beneficiaries of the basic medical insurance coverage for urban residents covering 250 million cities and towns. The theoretical model shows that, for the government's equalization of basic medical insurance, the high income participants have benefited more than the low income population. We use 2007 - 2011, the pilot of the basic medical insurance for urban residents of the State Council assessment survey data, through the two model (Two Part Model) to analyze the benefit equity of the basic medical insurance for the urban residents, results and analysis of theoretical model of consistency. The basic judgement of this paper is that the basic medical insurance under the equalization compensation system will cause the disadvantage of the low income insured people, and because the health level of the low income group is even worse, such a system design will exacerbate the inequity of health. This study will provide a reference for further improvement of China's basic medical insurance system.
【作者单位】：对外经济贸易大学公共管理学院;西南财经大学经济与管理研究院;四川大学华西公共卫生学院;
【基金】：国家自然科学基金资助项目(71303165和71303175) 四川大学中央高校基本科研业务费研究专项项目(skqx201401) 美国纽约中华医学基金会(China Medical Board)资助项目(13-167)的支持
【分类号】：F842.684
【正文快照】： *周钦,对外经济贸易大学公共管理学院,邮政编码:100029,电子信箱:zhouqin@uibe.edu.cn;田森,西南财经大学经济与管理研究院,邮政编码:610074,电子信箱:535527173@126.com;潘杰(通讯作者),四川大学华西公共卫生学院,邮政编码:610041,电子信箱:panjie.jay@scu.edu.cn。作者感谢

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