医疗保险状态对医疗消费差异的影响研究——基于中老年人群的一项微观实证分析

发布时间：2018-04-16 10:41

  本文选题：医疗保险状态 + 医疗消费支出　； 参考：《消费经济》2017年01期

【摘要】：利用中国健康和养老追踪调查2013年数据,使用两部模型,以中老年人群为例,分析社会医疗保险状态与医疗消费水平之间关系。研究发现:参保不同医疗保险的中老年人间的医疗消费水平存在显著差异,相比于合作医疗,参加城镇职工医保、公费医保、城镇居民医保的中老年人有显著更高的总医疗消费开支和自付医疗消费开支。分群体的稳健性检验表明,在老年人群、中老年女性人群中,异质性医疗保险状态导致的医疗消费水平差异同样存在。分位数回归显示,在较低的医疗支出水平上,参保状态影响显著。通过构建基本相似的医疗保险"welfare package"实现卫生服务利用公平。
[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.
【作者单位】： 武汉大学社会保障研究中心;
【分类号】：F842.684;R197.1
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本文编号：1758571