构建重要靶点人群社会医疗保险经济保障程度的评价方法

发布时间：2018-01-29 17:33

本文关键词： 靶点人群灾难性卫生支出社会医疗保险经济保障程度　出处：《中国卫生经济》2014年02期 　论文类型：期刊论文

【摘要】：目的:以灾难性卫生支出家庭作为重要靶点人群,构建社会医疗保险对这部分家庭经济保障程度的评价方法,以期从一个侧面揭示社会医疗保险的实施效果。方法:采用灾难性卫生支出测算方法,通过模型和指标的构建,从四大方面研究社会医疗保险对灾难性卫生支出家庭的经济保护程度。结果:构建了针对保险报销后免于发生灾难性卫生支出的家庭、仍然发生灾难性卫生支出的家庭以及全部灾难性卫生支出家庭的保险经济保障程度系数,并构建了保险对家庭灾难性卫生支出的作用系数。结论:构建的评价指标可以用于同一保险在不同时期、不同保险在同一时期以及不同保险在不同时期的作用效果的比较分析。
[Abstract]:Objective: to construct a method of evaluating the degree of economic security of families by social medical insurance with catastrophic health expenditure families as the important target population. The purpose of this paper is to reveal the effect of social medical insurance from one side. Methods: using the method of calculating catastrophic health expenditure and constructing the model and index. This paper studies the degree of economic protection of social medical insurance to families with catastrophic health expenditure from four aspects. Results: a family that is free from catastrophic health expenditure after insurance reimbursement is constructed. The degree of insurance coverage for households that still have catastrophic health expenditures and for households with all catastrophic health expenditures. The effect coefficient of insurance on household catastrophic health expenditure is constructed. Conclusion: the constructed evaluation index can be used for the same insurance in different periods. A comparative analysis of the effects of different insurance in the same period and different insurance in different periods.
【作者单位】：哈尔滨医科大学公共卫生学院卫生经济教研室;连云港市第一人民医院医务处;浙江大学医学院附属义乌医院品管部;
【基金】：黑龙江省教育厅人文社会科学研究项目资助(12532212)
【分类号】：F842.6
【正文快照】： 经济保障功能是社会医疗保险的核心功能之一[1]。我国政府对于新构建的社会医疗保险制度极为重视并投入了巨资。2010年,我国城镇职工、城镇居民和新型农村合作医疗(以下简称新农合)三大基本医疗保险基金收入占卫生总费用的比重近30%,政府预算卫生支出中有40%用于社会医疗保障

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