参保机会、保障水平与医疗服务利用均等化——基于广东省A市的地区差异分析
发布时间：2019-05-16 12:44
【摘要】：文章基于两部模型,利用从广东省A市城镇职工基本医疗保险信息管理系统中提取的微观数据,考察了参保机会及保障水平对该市三个地区参保人医疗服务利用及其均等化的影响。主要结论是:参保机会均等总体上能促进地区间医疗服务利用均等化,但无法从根本上解决亲富人的医疗服务利用不公平问题;实际报销比例对频率决策阶段的医疗服务利用有显著的正向影响,意味着很可能存在过度医疗,而起付标准对参保人理性就医的约束力有限;特殊病种门诊医疗服务利用在三个地区之间基本实现了均等化,但触发决策阶段的住院医疗服务利用存在地区间不均等,地区间收入水平和住院医疗服务利用率的双重差异是引起这种不均等的主要原因。
[Abstract]:Based on the two models, this paper makes use of the microscopic data extracted from the basic medical insurance information management system of urban workers in A City, Guangdong Province. The influence of insurance opportunities and security level on the utilization and Equalization of medical services of insured persons in three areas of the city was investigated. The main conclusions are as follows: on the whole, equal opportunities can promote the equal utilization of medical services among regions, but it can not fundamentally solve the problem of unfair utilization of medical services for the rich. The actual reimbursement ratio has a significant positive impact on the utilization of medical services in the frequency decision-making stage, which means that there is likely to be excessive medical treatment, while the starting payment standard has limited binding force on the rational medical treatment of the insured. The utilization of outpatient medical services for special diseases has been basically equalized among the three regions, but there is inequality in the utilization of inpatient medical services in the trigger decision-making stage. The double difference of income level and utilization rate of hospitalization medical service between regions is the main reason for this inequality.
【作者单位】： 中山大学岭南学院;
【基金】：国家社会科学基金重大项目“新时期中国民生保障体系建设研究”(10zd&038);国家社会科学基金重点项目“中国医疗保障体系的制度整合与可持续发展研究”(09AZD039)
【分类号】：F224;F842.6
[Abstract]:Based on the two models, this paper makes use of the microscopic data extracted from the basic medical insurance information management system of urban workers in A City, Guangdong Province. The influence of insurance opportunities and security level on the utilization and Equalization of medical services of insured persons in three areas of the city was investigated. The main conclusions are as follows: on the whole, equal opportunities can promote the equal utilization of medical services among regions, but it can not fundamentally solve the problem of unfair utilization of medical services for the rich. The actual reimbursement ratio has a significant positive impact on the utilization of medical services in the frequency decision-making stage, which means that there is likely to be excessive medical treatment, while the starting payment standard has limited binding force on the rational medical treatment of the insured. The utilization of outpatient medical services for special diseases has been basically equalized among the three regions, but there is inequality in the utilization of inpatient medical services in the trigger decision-making stage. The double difference of income level and utilization rate of hospitalization medical service between regions is the main reason for this inequality.
【作者单位】： 中山大学岭南学院;
【基金】：国家社会科学基金重大项目“新时期中国民生保障体系建设研究”(10zd&038);国家社会科学基金重点项目“中国医疗保障体系的制度整合与可持续发展研究”(09AZD039)
【分类号】：F224;F842.6
【二级参考文献】
相关期刊论文 前2条
1 孙祁祥;朱俊生;郑伟;李明强;;中国医疗保障制度改革:全民医保的三支柱框架[J];经济科学;2007年05期
2 赵忠,侯振刚;我国城镇居民的健康需求与Grossman模型——来自截面数据的证据[J];经济研究;2005年10期
【相似文献】
相关期刊论文 前10条
1 李志慧;江杰;;湖南省地区间转移支付均等化效应的实证分析[J];湖南税务高等专科学校学报;2005年06期
2 曹俊文;罗良清;;转移支付的财政均等化效果实证分析[J];统计研究;2006年01期
3 胡德仁;刘亮;;地区间财政能力均等化模型的构建与应用——基于地区间公共支出成本差异的视角[J];内蒙古财经学院学报;2010年05期
4 张征宇;;带未知异方差与半线性结构Tobit模型的半参数估计[J];数量经济技术经济研究;2011年06期
5 解垩;;转移支付与公共品均等化分析[J];吉林财税高等专科学校学报;2007年01期
6 太田博史;胡尔钟;;包含不确定性因素的国际贸易理论[J];外国经济与管理;1982年12期
7 毛正中;蒋家林;;我国诱导需求的数量估计[J];中国卫生经济;2006年01期
8 林菊红;从均等化角度看转移性收入的效应[J];科技导报;2003年12期
9 何庆光;我国居民收入分配与经济增长关系的实证分析[J];市场论坛;2004年07期
10 杜W，
本文编号：2478285
本文链接：https://www.wllwen.com/jingjilunwen/bxjjlw/2478285.html
