中国城乡居民医疗保险与医疗服务利用水平的经验研究

发布时间：2018-06-21 23:43

本文选题：城乡居民医疗保险 + 医疗服务利用水平　；参考：《世界经济》2017年03期

【摘要】：城乡居民医疗保险是中国目前实现社会医疗保险城乡统筹的主要形式。本文以CHARLS数据为基础,通过倾向匹配得分法研究该医疗保险对居民门诊和住院医疗服务利用水平的影响。结果表明,截至2013年底,中国城乡居民医疗保险没有对农业户口居民施加显著影响,也没有从总体上改变所有居民的医疗服务利用水平。此外,城乡居民医疗保险未能显著影响居民参保意愿,从而也不存在通过改变参保率进而影响医疗服务利用的间接效应。这些结果表明,中国目前的城乡居民医疗保险并没有对医疗服务利用水平产生实质性的影响。造成这一结果的主要原因可能是城乡居民医疗保险并未显著缩小医疗保险实际补偿率的城乡差异。这是进一步推进医疗保险城乡统筹着重要解决的问题。
[Abstract]:Medical insurance for urban and rural residents is the main form of social medical insurance in China. Based on the data of CHARLS, this paper studies the effect of this medical insurance on the utilization level of outpatient and inpatient medical services by the method of propensity matching. The results show that by the end of 2013, China's urban and rural residents' medical insurance had no significant impact on the residents of agricultural hukou, nor did it change the level of medical service utilization of all residents in general. In addition, the urban and rural residents' medical insurance can not significantly affect the residents' willingness to participate in the insurance, thus there is no indirect effect by changing the rate of participation and thus affecting the utilization of medical services. These results show that the current medical insurance of urban and rural residents in China does not have a material impact on the utilization of medical services. The main reason for this result may be that the urban and rural residents' medical insurance has not significantly reduced the gap between urban and rural areas in the actual compensation rate of medical insurance. This is to further promote medical insurance in urban and rural areas as an important solution to the problem.
【作者单位】：中国人民大学经济学院;
【基金】：教育部人文社科项目规划项目“管制、过度医疗与新医改背景下的付费机制改革”(13YJA790072)的阶段性研究成果
【分类号】：F842.684;R197.1

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