基本医疗保险异地结算政策对卫生服务利用的影响研究

 
投稿时间: 2016-01-06  最后修改时间: 2016-03-09  摘要点击次数: 3041  全文下载次数: 7
 
引用本文:何运臻, 侯志远.基本医疗保险异地结算政策对卫生服务利用的影响研究[J].中国卫生政策研究,2016,9(5):67-71
何运臻1,2, 侯志远1,2
1. 复旦大学公共卫生学院 上海 200032;
2. 国民健康社会风险预警协同创新中心 上海 200032
基金项目:国家自然科学基金(71403007);复旦大学本科生学术研究资助计划;复旦大学公共卫生学院“德隆计划”
 
 摘要:目的:研究医保异地就医结算政策的实施对卫生服务利用的影响。方法:使用2011年和2013年中国健康与养老追踪调查数据,利用logistic回归分析比较2011年和2013年医保异地就医结算政策实施前后保险办理地点对卫生服务利用的影响。结果:医保异地就医结算政策实施后,卫生服务利用概率显著提高。结论:医保异地结算政策能有效提高医保可接续性,降低人群异地就医障碍,提高卫生服务可及性。 
  关键词:医疗保险  异地就医结算  医保异地办理  卫生服务利用  流动人口
 
Effects of basic health insurance ecdemic settlement policy on health services utilization
HE Yun-zhen1,2, HOU Zhi-yuan1,2
1. School of Public Health, Fudan University, Shanghai 200032, China;
2. Collaborative Innovation Center of Social Risks Governance in Health, Shanghai 200032, Chian
 
 Abstract:Objective: To study the effects of basic medical insurance ecdemic settlement policy on health services utilization. Methods: Based on data from China Health and Retirement Longitudinal Survey conducted in 2011 and 2013, a multivariate logistic regression analysis was used to compare the effect of basic health insurance registering site on health services utilization before and after the implementation of basic medical insurance ecdemic settlement policy. Results: After the basic medical insurance ecdemic settlement policy was carried out, health services utilization was improved. Conclusions: The basic medical insurance ecdemic settlement policy can effectively improve the portability of health insurances, reducing the crowd remote medical disorders of off-site medical services to improve health care accessibility. 
 keywords:Health insurance  Ecdemic settlement policy  Medicare handled in different places  Health services utilization  Floating population