| 引用本文：朱凤梅.城乡医保整合对农村居民医疗服务需求的影响[J].中国卫生政策研究,2019,12(10):58-65 |
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| 城乡医保整合对农村居民医疗服务需求的影响 |
| 投稿时间：2019-06-25 修订日期：2019-10-18 PDF全文浏览 HTML全文浏览 |
| 朱凤梅 |
| 中国医学科学院医学信息研究所 北京 100020 |
| 摘要:采用我国某城市2009-2014年城乡医保整合制度提供的自然实验，利用双重差分回归模型实证分析了城乡医保整合对农村居民医疗服务需求的影响。主要结果如下：第一，城乡医保整合影响了农村居民的医疗服务需求和就医行为。表现为年住院次数明显上升以及流向三级甲等医疗机构住院的比例大幅度提高。第二，城乡医保整合并没有带来农村居民住院费用的快速上升。第三，城乡医保整合显著提高了农村老年人群的医疗费用支出。平均而言，农村老年人群住院总费用可因此增长6.9%，自付总费用因此增长5.2%。总体上来说，城乡医保整合更多惠及了那些就医需求更大的农村老年人群，符合政策预期。 |
| 关键词:城乡医保整合 农村居民 医疗服务需求 双重差分法 |
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| Effects of integration of urban and rural medical insurance on medicalservice demand ofrural residents |
| ZHU Feng-mei |
| Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China |
| Abstract:Using the 2009-2014natural experimental data provided by the medical insurance integrationof urban and rural areas in a certain city, this paper empirically analyses the effectsof the integration of medical insurance on rural residents' medicalservice demand by employingthe dual differential regression model. The main results wereas follows:(1)The integration of urban and rural medical insurance has affected the medicalservice demand of rural residents and their behavioral attitude to medicare offered to them. The proportion of hospitalization increased significantlyas well as the proportion of hospitalization to tertiary hospitals. (2) The integration of urban and rural medical insurance has not brought about a rapid increase in hospitalization expenses forrural residents. (3) The integration of urban and rural medical insurance has significantly increased the medicalexpenses of the elderly in rural areas. On average, the total hospitalization expenses increased by 6.9% d the total self-paid expenses increased by 5.2% for the rural elderly population. Generally speaking, the integration of urban and rural health insurance benefited more the rural elderly who were in much need of healthcareservices, which satisfied the policy expectations. |
| Key words:Urban and rural medical insurance integration Rural residents Medical services demand Difference-in-differences |
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