社会医疗保险共付制度对居民健康影响  

Social health insurance,coinsurance mechanism and health of Chinese urbanites

作　　者：曹乾[1] 杜雯雯[1] 沈磊[1] 张晓[1] 

机构地区：[1]东南大学公共卫生学院,南京210009

出　　处：《中国公共卫生》2009年第7期854-855,共2页Chinese Journal of Public Health

基　　金：国家自然科学基金(70603006);教育部人文社会科学基金(06JA630011);江苏省教育厅高校哲学社会科学研究项目(06SJD630055)

摘　　要：目的探讨社会医疗保险共付制度对医疗费用的影响和对患者健康状况的影响,为城镇居民基本医疗保险提供政策性建议。方法利用我国6个省份、13个城市的城镇居民家庭调查数据,采用SPSS13.0软件进行T检验和Logistic回归分析。结果自付医疗与公费医疗相比,健康人群医疗费下降了60.6%,非健康人群下降了61.4%。不同共付制度下人均医疗费用差异有统计学意义(P<0.05),不同的共付比例对健康状况影响差异有统计学意义(P<0.05)。此外,年龄、性别、教育程度、收入对健康状况影响差异均有统计学意义(P<0.05)。结论共付制度能够有效节约医疗费用,但对居民的健康状况也有明显的负向影响。Objective To analyze the effect of coinsurance mechanism in social health insurance on health expenditure and on the health of Chinese urbanites, and to provide suggestions to social health insurance policy makers. Methods T-test methods and Logistic regression analysis approach were used with SPSS 13.0 to analyze the household data from 13 cities of 6 provinces in China. Results Compared medical expence paid by oneself with free health insurance, medical expenditure decreasesd by 60. 6% in health people and 61.4% in unhealth population. There was a significant difference （P 〈0. 05） in medical expenditure under different coinsurance rates;and different coinsurance rates also had a sizeable effect on people＇s health（ P 〈 0. 05 ）. The age, sex, education degree and income could also affect urbanite＇s health （ P 〈 0. 05 ）. Conelnsion Higher co-insurance charges could reduce the use of medical care. However, it exerted harmful results in term of personal health.

关 键 词：社会医疗保险 共付制度 医疗费用 健康状况 

分 类 号：R195[医药卫生—卫生统计学]