基本医疗保险对城乡居民医疗服务利用的影响研究

发布时间：2018-05-02 01:21

本文选题：基本医疗保险 + 城乡　；参考：《首都经济贸易大学》2017年硕士论文

【摘要】：健康,既是人类进行物质生产的前提要素同时也是衡量一个国家综合发展水平的指标,为了防止国民因疾病而遭受到灾难性卫生支出,提供经济风险保护措施成为普遍的保障方式。我国当前主要的社会医疗保险模式有公费医疗、城镇职工基本医疗保险、城镇居民基本医疗保险以及新型农村基本医疗保险,到2015年底,已基本完成了制度的全覆盖。但这些制度是否能够做到应保尽保、是否能保证居民享有最基本的医疗服务,对居民的医疗服务选择有何种影响才是真正需要我们关注的。因此,探讨不同医疗保险制度下城乡居民的医疗服务利用对于完善医疗保险制度设计健全基本医疗保险体系有着重要的作用。本文主要分为以下几个部分:第一章绪论,通过背景引入、研究意义、方法内容等方面的阐述对本文的行文脉络进行简单清晰的介绍并对文章所涉及的相关文献进行梳理总结。第二章基本概念定义及理论基础分析,在该部分主要是对文章所涉及到的基本概念进行定义并对作为本文基础的相关理论进行简要分析。第三章基本医疗保险与医疗服务利用的现实描述,本章节主要分为两部分一是从居民健康角度入手,二是从医疗服务利用方面入手,对相关涉及因素进行描述性分析,该章为本文的重点章节之一。第四章基本医疗保险对城乡居民医疗服务利用的实证分析。该章节采用就医选择和医疗费用作为衡量医疗服务利用程度的指标,采用中国家庭追踪调查2014年的调查数据,选取包括基本医疗保险制度在内的与个体相关的社会人口等方面的变量因素纳入回归分析,以期了解基本医疗保险制度对于城乡居民医疗服务利用的影响情况。第五章对策建议,本章主要是通过对第三章及第四章的研究结果进行归纳总结从而得出相应对策建议从而为医疗保险制度的后续设计提供相应有益的建议。
[Abstract]:Health is not only a prerequisite factor for human material production, but also an indicator to measure a country's comprehensive level of development. In order to prevent people from suffering from catastrophic health expenditure due to disease, To provide economic risk protection measures has become a universal way of protection. At present, the main modes of social medical insurance in China include public medical treatment, basic medical insurance for urban workers, basic medical insurance for urban residents and basic medical insurance for new rural areas. By the end of 2015, the whole coverage of the system has been basically completed. However, whether these systems can ensure that the residents can enjoy the most basic medical services and what impact they have on the choice of medical services for the residents should really require our attention. Therefore, it is important to explore the utilization of medical services for urban and rural residents under different medical insurance systems to improve the design of medical insurance system and improve the basic medical insurance system. This paper is mainly divided into the following parts: the first chapter is introduction, research significance, method content and other aspects of the introduction of this text of a simple and clear introduction of the relevant literature involved in the article are summarized. The second chapter is the definition of basic concepts and theoretical basis analysis. In this part, we mainly define the basic concepts involved in the article and briefly analyze the relevant theories as the basis of this paper. The third chapter describes the reality of basic medical insurance and medical service utilization. This chapter is mainly divided into two parts: one is from the perspective of residents' health, the other is from the use of medical services. This chapter is one of the key chapters of this paper. The fourth chapter is the empirical analysis of the utilization of medical service in urban and rural residents by basic medical insurance. The chapter uses selection of medical care and medical costs as indicators to measure the utilization of medical services, and uses data from the Chinese Household tracking Survey in 2014. In order to understand the influence of the basic medical insurance system on the utilization of medical services in urban and rural areas, variables including the basic medical insurance system and the individual related social and demographic factors are selected to be included in the regression analysis. Chapter V countermeasures and suggestions, this chapter is mainly through the third chapter and the fourth chapter of the research results are summarized in order to obtain the corresponding countermeasures and suggestions for the follow-up design of the medical insurance system to provide relevant useful suggestions.
【学位授予单位】：首都经济贸易大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.1;F842.684

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