| 引用本文：许新鹏.城乡医保统筹对农村流动人口医疗服务利用的影响——基于2017年CMDS数据的分析[J].中国卫生政策研究,2022,15(3):53-60 |
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| 城乡医保统筹对农村流动人口医疗服务利用的影响——基于2017年CMDS数据的分析 |
| 投稿时间：2022-01-23 修订日期：2022-02-22 PDF全文浏览 HTML全文浏览 |
| 许新鹏1,2 |
1. 南京医科大学健康江苏研究院 江苏南京 211166;
2. 南京医科大学公共卫生学院 江苏南京 211166 |
| 摘要:目的：研究城乡医保统筹对农村流动人口医疗服务利用的影响。方法：基于2017年流动人口卫生计生动态监测调查数据(CMDS)，运用线性概率模型(LPM)、非线性Logit模型和截面倍差法对研究问题进行实证分析。结果：医保制度城乡统筹能够显著提高农村流动人口利用居住地医疗服务的概率；针对不同流动范围的农村流动人口，城乡医保统筹对于市内跨县和省内跨市的群体实施效应更明显；对在非居住地参保的农村流动人口医疗服务利用影响更为显著。结论及建议：在城乡医保统筹进程中应重点关注农村流动人口这一群体，逐步提高医保制度统筹层次，渐进式消除医保制度的区域性壁垒，改善农村流动人口医保制度的福利效应。 |
| 关键词:农村流动人口 城乡医保统筹 医疗服务利用 |
| 基金项目:2021年江苏省优势学科三期科研创新先导青年项目(4-1-39);江苏省卫生健康发展研究中心开放课题(JSHD2021050);南京医科大学健康江苏研究院2022年决策咨询培育重点课题"城乡居民大病保险制度公平性评估及政策优化研究 |
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| Urban-rural integrated medical insurance system and rural migrants’ healthcare service utilization: Analysis based on the 2017 CMDS data |
| XU Xin-peng1,2 |
1. Institute of Healthy Jiangsu Development, Nanjing Medical University, Nanjing Jiangsu 211166, China;
2. School of Public Health, Nanjing Medical University, Nanjing Jiangsu 211166, China |
| Abstract:Objective: To analyze the impact of urban-rural integrated medical insurance system (IMIS) on the healthcare service utilization of migrants. Methods: This study employed the linear probability model (LPM), nonlinear Logit model and Cross-sectional DD methods based on the CMDS 2017 survey data to empirically analyze the impact mentioned above. Results: Urban-rural integrated medical insurance system can significantly improve the probability of the migrant population using healthcare services in the place of residence. For the population with different mobility ranges, the IMIS has a more obvious effect on the migrants from cross-county within a province or cross-county within a city. The urban-rural integrated medical insurance system has a more significant impact on the utilization of medical services of the migrants insured in non-residential areas according to the analysis of the heterogeneity of insured places. Conclusions and Suggestions: Therefore, more attention should be given to the migrant population during the implementation of urban-rural integrated medical insurance system, gradually improve the overall planning level of the Health Insurance System, gradually eliminate regional barriers of it, and improve the welfare effects on the migrants. |
| Key words:Rural migrants Urban-rural integrated medical insurance system Healthcare service utilization |
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