城镇居民医疗保险对国民健康的影响效应与机制  

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

作　　者：胡宏伟[1,2] 刘国恩[3,2] 

机构地区：[1]华北电力大学人文与社会科学学院 [2]北京大学中国卫生经济研究中心 [3]北京大学光华管理学院

出　　处：《南方经济》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

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.

关 键 词：城镇居民医疗保险 国民健康 效应评估 机制证明 

分 类 号：F061.4[经济管理—政治经济学]