[1]郑慧凌,苏敏艳,吴晶晶,等.基本医疗保险对居民诊疗费用影响研究——基于供给和需求的视角[J].卫生经济研究,2019,(06):42-46.
　ZHENG Hui-ling,SU Min-yan,WU Jing-jing,et al.Study on the Impact of Basic Medical Insurance on Residents' medical Expenses——Based on Supply and Demand Perspective[J].Journal Press of Health Economics Research,2019,(06):42-46.
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基本医疗保险对居民诊疗费用影响研究——基于供给和需求的视角
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
期数:
2019年06期
页码:
42-46
栏目:
方法学应用
出版日期:
2019-05-22

文章信息/Info

Title:
Study on the Impact of Basic Medical Insurance on Residents' medical Expenses
——Based on Supply and Demand Perspective
作者:
郑慧凌1; 苏敏艳1; 吴晶晶1; 张娜娜1; 高 山2
1.南京中医药大学卫生经济管理学院，江苏 南京 210023
2.南京中医药大学翰林学院，江苏 泰州 225300
Author(s):
ZHENG Hui-ling; SU Min-yan; WU Jing-jing; ZHANG Na-na; GAO Shan
School of Health Economics Management， Nanjing University of Chinese Medicine，Nanjing Jiangsu 210023，China
关键词:
基本医疗保险; 居民诊疗费用; 医疗资源供给; 医疗服务需求
Keywords:
basic medical insurance;  resident medical expenses;  medical resources supply;  medical service demand
分类号:
R197.1
文献标志码:
A
摘要:
目的：从医疗服务供给和需求的角度探索基本医疗保险对居民诊疗费用的影响。方法：建立医疗支付模型、医疗供给判别模型、医疗需求判别模型，研究医保导致医疗费用增长的原因。结果：医保报销比例的提高推动了医疗费用增长；基于供方，资源匮乏区域医疗费用为可近性增长，资源充沛区域医疗费用为诱导性增长；基于需方，医疗经济负担较小的居民易产生过度医疗需求，医疗经济负担较大的居民则由于医疗需求释放导致费用增长。结论：合理配置医疗资源，增强医保监督力度，科学制定报销比例，大病费用梯级报销，设置分级体检医保等。
Abstract:
Objective To explore the impact of basic medical insurance on residents' medical expenses from the perspective of medical service supply and demand. Methods By establishing medical payment model， medical supply discriminant model， and medical demand discriminant model， this study explored the reasons for the increase in medical expenses caused by medical insurance. Results The increase in the proportion of medical insurance reimbursement has promoted the growth of medical expenses； based on the supply side， the medical expenses in the resource-poor region are near-growth， and the medical expenses in the abundant resource areas are inductive growth； based on the demand side， the residents with small medical economic burden are easy to develop excessive medical needs and the residents with large medical economic burden increased their expenses due to the release of medical needs. Conclusion This study recommended rational allocation of medical resources， strengthening medical insurance supervision， scientifically formulating reimbursement proportions， reimbursement of major illness costs， and setting up medical insurance for graded medical examinations.

参考文献/References:

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更新日期/Last Update: 2019-05-22