城乡居民医保制度整合提升了农村参保居民的公平感吗？

雷咸胜

引用本文：雷咸胜.城乡居民医保制度整合提升了农村参保居民的公平感吗？[J].中国卫生政策研究,2020,13(1):24-30

城乡居民医保制度整合提升了农村参保居民的公平感吗？

投稿时间：2019-09-12 修订日期：2019-11-12 PDF全文浏览 HTML全文浏览

雷咸胜

中国人民大学公共管理学院北京 100872

摘要:当前，关于城乡医保制度整合的研究是共识与分歧并存，分歧的核心是医保制度整合与公平的关系。为了进一步分析城乡居民医保整合对农村参保居民公平感的影响，本研究利用中国综合社会调查（CGSS）2015年的数据，通过Logit回归和PSM分析得出，城乡居民基本医疗保险制度整合降低了农村参保居民的公平感。在城乡医疗资源配置不均衡的背景下，城乡居民医保的初步整合难以提升参保居民的公平感，因此需要城乡医疗资源均衡配置与城乡医保制度融合发展的协同推进。

关键词:城乡居民医保整合农村参保居民公平感医疗资源配置

基金项目:国家社会科学基金青年项目(18CSH060);中国人民大学2018年度拔尖创新人才培育资助计划成果(2017000300)

Does the integration of urban and rural residents' medical insurance system enhance the sense of equity of rural insured residents?

LEI Xian-sheng

School of Public Administration and Policy, Renmin University of China, Beijing 100872, China

Abstract:At present, the research on the integration of urban and rural medicalinsurance system is the coexistence of consensus and divergence. The divergence is characterized by the relationship between medical insurance system integration and equity. In order to further analyze the impact ofintegrated urban and rural residents' medical insurance on rural residents' sense of equity, this paper used data from the 2015 China's General Social Survey (CGSS) by means ofLogit regression and PSM method to conclude that the urban and rural residents' medical insurance system integration plays an important role in the reduction of rural residents' sense of equity. Under the background of unbalanced allocation of medical resources between urban and rural areas, the initial integration of medical insurance for both residents is difficult to positively influencethe sense of equity of the rural insured residents. Therefore, it is necessary to promote the coordinated development of balanced urban-rural medical resources allocation and the urban-rural medical insurance system integration.

Key words:Integration of medical insurance for urban and rural residents Rural insured residents Sense of fairness Medical resources allocation

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