三种基本医疗保障制度下居民卫生服务需要和利用比较分析  

Comparative analysis on the residents' health service need and utilization under three basic medical insurance system

作　　者：高建民[1] 陈星[1] 裴瑶琳[1] 闫菊娥[1] 王明奇[1] 

机构地区：[1]西安交通大学公共政策与管理学院,陕西西安710061

出　　处：《中国卫生政策研究》2011年第4期48-54,共7页Chinese Journal of Health Policy

基　　金：教育部哲学社会科学研究重大课题攻关项目(08JZD0022);教育部人文社科规划基金(08JA790099)

摘　　要：目的:分析不同医疗保障制度覆盖人群的卫生服务需要和利用的差异。资料和方法:收集陕西省眉县样本家庭成员卫生服务需要和利用的相关数据。结果:不同医疗保障制度覆盖人群的卫生服务需要和利用存在较大差异,具体表现为新型农村合作医疗覆盖人群的门诊服务需要和利用、住院服务需求都较高,但是其住院服务利用在三种医保覆盖人群中最低。结论:医疗保障制度对参保人群的卫生服务需要和利用的影响很明显。通过继续提高基本医疗保险制度的覆盖率,完善现行医疗保障制度,逐步缩小不同医疗保障制度的差距,加强不同医疗保障制度的衔接,提高居民的卫生服务利用水平。Objectives ： Analyzing the residents＇ health service need and utilization of the three different medical insurance systems. Data and methods： Collecting data about sample family members＇ health services needs and utilizations. Result： Health service needs and utilization are quite different in corresponding with different medical insurance system. The outpatient service needs and utilization of population covered by the New Rural Cooperative Medical Scheme are higher, and inpatient service needs is also higher but inpatient service utilization is the least in the three basic medical scheme. Conclusion ： The effect of the health care system on the residents＇ health services needs and health service utilization is obvious. To improve and enhance the residents＇ health services utilization status ,we can continue to improve the basic medical insurance system of coverage and improve the existing medical security system, gradually reduce the gap between the various medical security system and strengthening medicare security systems of various integration.

关 键 词：基本医疗保障制度 卫生服务 需要 利用 

分 类 号：R197[医药卫生—卫生事业管理]