不同收入人群城镇职工医保卫生服务利用及费用变化趋势分析

发布时间：2018-02-11 05:33

本文关键词： 城镇职工基本医疗保险卫生服务利用医疗费用低收入人群　出处：《中国卫生资源》2016年03期 　论文类型：期刊论文

【摘要】：目的 :分析职工医保制度对缩小不同收入人群卫生服务利用差距的影响。方法 :利用黑龙江省卫生服务调查中职工医保的数据进行分析。结果 :2013年城镇职工最低收入组的住院率是最高收入组的1.91倍;最低和较低收入组的应住院而未住院率分别是最高收入组的1.41倍和1.78倍;住院自付比是较高收入组的1.36倍和1.48倍。结论 :城镇职工医保制度覆盖面与补偿力度的增加,改善了低收入人群的卫生服务利用,但仍未能从根本上消除其服务利用的经济障碍,应强化消除低收入人群公平性差距的医保制度设计。
[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.
【作者单位】：哈尔滨医科大学公共卫生学院;复旦大学/国民健康社会风险预警协同创新中心;宁波大学医学院预防医学教研室;
【基金】：国家自然科学基金重点项目(71333003) 教育部人文社科基金(14YJC630046)
【分类号】：R197.1;F842.684

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