江苏省城镇基本医疗保险补偿水平评价
发布时间：2018-08-26 15:01
【摘要】：目的:对江苏省城镇职工、居民基本医疗保险补偿水平进行评价。方法:以灾难性卫生支出设定基本医疗保险的底线补偿比例,以参保人群住院费用实际受益情况设定实际补偿比例,以四分位法比较分析各统筹市底线补偿比例与实际补偿比例的差值。结果:以10%作为灾难性卫生支出的临界值,职工医保的补偿水平高于底线水平,居民医保的补偿水平则低于底线水平。结论:职工医保的补偿水平一定程度上缓解了参保人群因病致贫的经济压力,而居民医保的补偿水平有限,尚待进一步提高。
[Abstract]:Objective: to evaluate the compensation level of basic medical insurance for urban workers and residents in Jiangsu province. Methods: the bottom line compensation ratio of basic medical insurance was set by catastrophic health expenditure, and the actual compensation proportion was set according to the actual benefit of hospitalization expenses of insured population. The difference between the bottom line compensation ratio and the actual compensation ratio is analyzed by quartile method. Results: taking 10% as the critical value of catastrophic health expenditure, the compensation level of employee medical insurance is higher than the bottom line level, and the compensation level of resident medical insurance is lower than the bottom line level. Conclusion: to some extent, the compensation level of employee medical insurance alleviates the economic pressure of the insured population to be poor because of illness, but the compensation level of resident medical insurance is limited, which needs to be further improved.
【作者单位】： 中国药科大学国际医药商学院;
【基金】：2012年度国家自然科学基金面上项目(71273278) 2011年教育部人文社会科学研究规划基金项目(11YJA790173)
【分类号】：F842.6
[Abstract]:Objective: to evaluate the compensation level of basic medical insurance for urban workers and residents in Jiangsu province. Methods: the bottom line compensation ratio of basic medical insurance was set by catastrophic health expenditure, and the actual compensation proportion was set according to the actual benefit of hospitalization expenses of insured population. The difference between the bottom line compensation ratio and the actual compensation ratio is analyzed by quartile method. Results: taking 10% as the critical value of catastrophic health expenditure, the compensation level of employee medical insurance is higher than the bottom line level, and the compensation level of resident medical insurance is lower than the bottom line level. Conclusion: to some extent, the compensation level of employee medical insurance alleviates the economic pressure of the insured population to be poor because of illness, but the compensation level of resident medical insurance is limited, which needs to be further improved.
【作者单位】： 中国药科大学国际医药商学院;
【基金】：2012年度国家自然科学基金面上项目(71273278) 2011年教育部人文社会科学研究规划基金项目(11YJA790173)
【分类号】：F842.6
【参考文献】
相关期刊论文 前1条
1 詹长春;周绿林;官波;;江苏省城镇居民基本医疗保险筹资机制研究[J];中国卫生事业管理;2009年07期
相关博士学位论文 前1条
1 王欢;全民医保目标下医疗保障制度底线公平研究[D];华中科技大学;2009年
【共引文献】
相关期刊论文 前10条
1 杨华;;我国基本医疗保险制度公平性的规范比较[J];长春市委党校学报;2012年01期
2 周钦;臧文斌;刘国恩;;医疗保障水平与中国家庭的医疗经济风险[J];保险研究;2013年07期
3 李华q，
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