城镇居民医疗保险对国民健康的影响效应与机制被引量：66

Impact of Urban Resident Basic Medical Insurance on National Health:Effect Evaluation and Evidence of Mechanism

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摘要城居保是中国基本医疗保险体系的重要内容,是实现全民医保中主要针对城镇非从业群体的基本医疗保险。城居保实施4年多来成效很大,但对制度的系统研究和科学评估相对较少。利用国务院城居保2008年—2010年数据,利用倾向得分匹配和双重差分相结合方法对城居保的作用进行评估,发现城居保没有显著促进城镇居民健康,但显著促进了低健康群体的健康改进,其中主要是促进了老年人和低收入低健康者的健康改进。对城居保作用于国民健康的机制进行数据分析和证明,发现城居保显著促进了低健康者的卫生服务利用,其中,对老年人和低收入低健康者的卫生服务利用有显著促进。在研究结论的基础上,提出了保障城居保促进健康机制顺利运行、促进国民健康公平等建议。 Urban Resident Basic Medical Insurance is the key part of China＇ s basic medical insurance system, and it mainly covers the unemployment and others unfit for job. There are not enough researches on the evaluation of URBMI, though there have been a huge progress in the implementation of URBMI for more than 4 years. Based on National Basic Medical Insurance data （2008 -2010）, and based on DID ＋ PSM empirical method, the research shows that URBMI improves the health level of the people in lower - health significantly, instead of the whole urban residents＇ health level, especially the elderly and the people with both low -income and low health. With the statistic analysis and evidence from the national health promotion by URBMI, it shows that URBMI can significantly encourage the urban residents in low -health to utilize the health service, particularly among the elderly and people with both low -income and low -health. Based on that, some recommendations have been put forward on guaranteeing the health promotion system by URBMI works efficiently and striving for the equality in national health.

作者胡宏伟刘国恩

机构地区华北电力大学人文与社会科学学院北京大学中国卫生经济研究中心北京大学光华管理学院

出处《南方经济》 CSSCI 2012年第10期186-199,共14页 South China Journal of Economics

基金国家社会科学基金项目(11CGL072) 中央高校基本科研业务费专项资金资助(12MS128) 中央高校基本科研业务费专项资金资助(12QN34) 河北省人力资源和社会保障课题(JRS-2012-2029) 河北省讲师团年度课题(201227)部分成果

关键词城镇居民医疗保险国民健康效应评估机制证明 Urban Resident Basic Medical Insurance National Health Effect Evaluation Evidence of Mechanism

分类号 F061.4 [经济管理—政治经济学]

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1Adam Wagstaff, 2007, "The Economic Consequences of Health Shocks: Evidence from Vietnam", Health Economics,26 ( 1 ), pp. 82 - 100.
2Adam Wagstaff, Magnus Lindelow,Gao Jun, Xu Ling, Qian Juncheng, 2009, "Extending Healthlnsurance to the Rural Population: An Impact Evaluation of China' s New Cooperative Medical Scheme", Journal of Helath Economics, 28 ( 1 ), p. 1 - 19.
3Adam Wagstaff, 2002, "Poverty and Health Sector Inequalities", Bull World Health Organization, 80 (2), p. 97 - 105.
4Anderson, K. H. , Burkhauser, R. V. ,1984, "The Importance of the Measure of Health in Empirical Estimates of the Labor Supply of Older Men", Economics Letters, 16(4) , p. 375 -380.
5Brookhart MA. , Schneeweiss S. , Rothman KJ. ,2006, "Variable Selection for Propensity Score Models". American Journal of Epidemiology, 163(1), p. 1149 -1156.
6Carlson P. , 2004, "The European Health Divide : A Matter of Financial or Social Capital", Social Science and Medicine, 59 ( 9 ), p. 1985 - 1992.
7Collins E. , Klein R. , 1980, "Equity and NHS : Self - reported Morbidity, Access, and Primary Care", Britain Medicine Journal, 281 ( 6248 ), pp. 1111 -1115.
8D' Agostino RB. , 1998, "Propensity Score Methods for Bias Reduction in the Comparison of a Treatment to a Nonrandomized Control Group". Statistics in Medicine, 17( 19), p. 2265 -2281.
9Dollar, D. ,A. Kraay,2002, "Growth is Good for the Poor", Journal of Economic Growth, (3), p. 195 -225.
10Eddy van Doorslaer, Adam Wagstaff, 1992, "Equity In the Delivery of Health Care Some International Comparisons", Journal of Health Economics ,19(4) , p. 389-411.