医疗保险保障水平提高是否增加医疗服务的诱导需求——以成都市城乡居民为例

发布时间：2019-01-04 10:16

【摘要】：本文检验了在成都城乡居民基本医疗保险保障水平不断提高的情况下,是否会带来医疗服务诱导需求的增加。诱导需求的变化情况用经过标准化的医疗费用变化情况来衡量。实证分析基于2009年和2013年课题组对成都城乡参保居民健康及医疗服务利用调查所采集的1428和1773个样本数据,对成都城乡居民基本医疗保险实施前后进行比较。研究发现:(1)城乡居民基本医疗保险之下,医疗供方诱导需求直接表现为不同档次间,不同年份间,居民医疗费用显著正向增加。(2)女性居民就诊费用受参保档次的影响程度明显。(3)就诊费用的发生更大程度上取决于医疗服务的供给方。(4)城乡居民人均医疗费用上涨比例差别明显,家庭经济条件越差的居民人均医疗费用越高,增长越快,医疗供方诱导需求行为在城镇地区更为明显。
[Abstract]:This paper examines whether the level of basic medical insurance for urban and rural residents in Chengdu will lead to an increase in the induced demand for medical services. Changes in induced demand are measured by standardized changes in medical costs. Based on the 1428 and 1 773 sample data collected by Chengdu urban and rural residents' health and medical service utilization survey in 2009 and 2013, this paper compares the basic medical insurance of urban and rural residents in Chengdu before and after the implementation of the basic medical insurance. The results are as follows: (1) under the basic medical insurance of urban and rural residents, the induced demand of medical suppliers is directly manifested in different grades, different years, (2) the medical expenses of female residents are affected by the level of insurance obviously. (3) the cost of medical treatment depends on the providers of medical services to a greater extent. (4) Urban and rural residents live in urban and rural areas. There is a marked difference in the proportion of per capita increase in medical expenses among the people. The per capita medical expenses of the residents with poor household economic conditions are higher and the increase is faster, and the induced demand behavior of the medical providers is more obvious in the urban areas.
【作者单位】：四川农业大学经济管理学院;
【基金】：国家社科基金项目“新医改背景下的新型农村合作医疗制度研究”(编号:10XGL014) 四川省哲学社会科学重点项目“促进四川省四化同步发展的理论、路径与政策研究”(编号:SC13A001)
【分类号】：R197.1;F842.6

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