[1]李雅诗,张文龙,原 彰,等.职工与居民医疗保障的受益公平性分析——基于中国家庭追踪调查数据[J].卫生经济研究,2022,39(3):13-17.
　LI Ya-shi,ZHANG Wen-long,YUAN Zhang,et al.Analysis on the Equity of Benefits of Medical Insurance between Employees and Residents——Evidence from China Family Panel Studies[J].Journal Press of Health Economics Research,2022,39(3):13-17.
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职工与居民医疗保障的受益公平性分析
——基于中国家庭追踪调查数据
分享到：

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
39
期数:
2022年3期
页码:
13-17
栏目:
医疗保障
出版日期:
2022-03-01

文章信息/Info

Title:
Analysis on the Equity of Benefits of Medical Insurance between Employees and Residents
——Evidence from China Family Panel Studies
作者:
李雅诗1; 张文龙1; 原 彰1; 李建国1
1.广州中医药大学公共卫生与管理学院，广东 广州510006
Author(s):
LI Ya-shi;  ZHANG Wen-long;  YUAN Zhang;  LI Jian-guo
School of Public Health and Management, Guangzhou University of Chinese Medicine, Guangzhou Guangdong 510006, China
关键词:
职工医保; 居民医保; 公平性; 灾难性医疗支出
Keywords:
employee medical insurance;  resident medical insurance;  equity;  catastrophic medical expenditure
分类号:
F840.684
文献标志码:
A
摘要:
基于2014—2018年中国家庭追踪调查数据，实证分析居民与职工灾难性医疗支出、医疗服务使用的差异。结果表明：在家庭年收入0~30 000元群体，居民灾难性医疗支出发生率显著高于职工，且随着收入的增加，居民与职工的灾难性医疗支出发生率差距不断缩小，中高收入群体居民与职工的灾难性医疗支出发生率无显著差异；2018年数据结果显示，居民与职工在大病医疗支出上（0.9分位）无显著差异，中低家庭年收入群体中职工总医疗服务使用量比居民多15.7%~27%；高收入居民通过更高的自付医疗费用获得与职工同等的总医疗服务使用量。建议采取措施，进一步降低低收入居民群体灾难性医疗支出发生率，缩小中低收入群体居民与职工在医疗服务使用上的差异。
Abstract:
Based on the 2014-2018 China Family Panel Studies data, this study used Logit and quantile regression models to analyze the differences in catastrophic medical expenditures and medical service use between residents and employees. This study found that among people with an annual income of 0-30000 Yuan, the incidence of catastrophic medical expenditures of residents was significantly higher than that of employees. With the increase in income, the gap in this incidence has been narrowing. Among those lived with upper middle income, there was no significant difference between residents and employees. Data from 2018 showed that there was no significant difference between residents and employees in terms of serious diseases expenditure (0.9 quantile). Among low- and middle-income group, the amount of total medical services usage of employees was 15.7%-27% more than that of residents. While among high-income group, residents could have the same amount of total medical service usage as employees through higher out-of-pocket medical expenses. It is recommended that measures be taken to further reduce the incidence of catastrophic medical expenditures for low-income residents, and narrow the gap of the use of medical services between residents and employees among low- and middle-income groups.

参考文献/References:

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更新日期/Last Update: 2022-03-01