| 引用本文：王焱, 王艺桥, 霍京京.医疗保障对于流动人口居留意愿的影响——医疗服务利用和健康水平的链式中介效应[J].中国卫生政策研究,2023,16(5):41-46 |
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| 医疗保障对于流动人口居留意愿的影响——医疗服务利用和健康水平的链式中介效应 |
| 投稿时间：2022-12-12 修订日期：2023-03-30 PDF全文浏览 HTML全文浏览 |
| 王焱1, 王艺桥1, 霍京京2 |
1. 北京中医药大学管理学院 北京 100029;
2. 河北工程大学数理科学与工程学院 河北邯郸 056009 |
| 摘要:目的：探讨医疗保障对于流动人口居留意愿的影响，并进一步检验医疗服务利用、健康水平的中介效应，从而为流动人口居留意愿的提升机制提供数据及路径支撑。方法：基于2018 年中国流动人口动态调查数据(CMDS)中的53 921例样本，采用SPSS 21.0展开社会人口学特征对流动人口居留意愿的卡方检验分析，采用AMOS 24.0纳入医疗保障、医疗服务利用、健康水平、流动人口居留意愿4个潜变量，构建结构方程模型并检验。结果：年龄、学历、民族可影响流动人口居留意愿。医疗保障可直接正向预测流动人口居留意愿(β=0.37，P<0.001)。医疗服务利用、健康水平在医疗保障及居留意愿间可起到单独中介作用(β1=0.549，β2=0.171，P<0.001)及链式中介作用(β=0.024，P<0.001)；结论：医疗保障不仅对流动人口居留意愿起到直接预测作用，还通过医疗服务利用、健康水平的单独中介及医疗服务利用—健康水平链式中介对其产生间接预测作用。 |
| 关键词:流动人口 医疗保障 居留意愿 结构方程模型 |
| 基金项目:2020年国家自然科学基金面上项目(12071048) |
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| The impact of medical security on migrants' willingness to reside: The chain mediating effect of medical service utilization and health level |
| WANG Yan1, WANG Yi-qiao1, HUO Jing-jing2 |
1. School of Management, Beijing University of Chinese Medicine, Beijing 100029, China;
2. School of Mathematics and Physics, Hebei University of Engineering, Handan Hebei 056009, China |
| Abstract:The purpose is to discuss the influence of medical security on the migrants' residence willingness, and to further test the intermediary effect of medical service utilization and health level, so as to provide data and path support for the improvement mechanism of the migrants' willingness to reside. Methods: Based on 53 921 samples of China's Migrants Dynamic Survey (CMDS) in 2018, SPSS 21.0 was used to test the residence willingness of migrants. A structural equation model was built and tested integrating four latent variables of medical security, medical service utilization, health level and migrants' residence intention into AMOS 24.0. Results: Age, educational background and ethnic group can affect the residence intention of migrants. Medical security can directly predict the residence willingness of the migrants(β=0.37，P<0.001). Medical service utilization and health level can play a separate intermediary role between medical security and residence intention(β1=0.549，β2=0.171，P<0.001), and chain mediation effect (β=0.024，P<0.001); Conclusion: Medical security not only directly predicts migrants' willingness to reside, but also indirectly predicts it through the independent intermediary of medical service utilization, health level, and medical service utilization-health level chain intermediary. |
| Key words:Migrants Medical security Willingness to reside Structural Equation Model(SEM) |
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