深圳市不同医保类型人群就医经济风险研究  

Study on Economic Risk for Medical Service of Population with Different Health Insurances in Shenzhen City

作　　者：蒋思宇[1] 鲍振阳 吴静[1] 熊光练[1] 

机构地区：[1]华中科技大学同济医学院流行病与卫生统计学系,湖北武汉430030

出　　处：《中国社会医学杂志》2015年第2期150-152,共3页Chinese Journal of Social Medicine

基　　金：深圳市社会保险基金管理局资助项目

摘　　要：目的分析深圳市不同医保类型人群就医经济风险,为实现医疗保障公平性,并科学合理配置卫生资源提供科学依据。方法从深圳市2003-2010年基金运行数据库中提取队列人群数据,采用队列寿命表法计算不同医保类型人群的就医经济风险变化情况,分析造成其差异的原因。结果综合医保人群就医经济风险持续增长,至64岁达到峰值;住院医保人群自61岁起风险出现大幅波动;农民工医保人群风险无明显变化。结论深圳市特殊医保政策以及户籍制度是导致其不同医保类型人群就医经济风险差异的最主要原因,因此需要破除户籍制度的束缚,提高医疗保障扶持力度,满足农民工、非户籍人群的医疗需求,实现医疗保障的公平性。Objectives To analyze the economic risk for medical service（ERMS）of population with different health insurances in Shenzhen city,and provide a scientific basis for achieving medical fairness and rational allocation of health resources.Methods The cohort data was extracted from the database of health insurance fund in Shenzhen between 2003 and 2010.Cohort life table method was used to calculate the ERMS of population with different health insurances,and analyze the causes.Results The ERMS of population with comprehensive medicare continued to grow,reached the peak at 64 years old,then gradually declined;hospitalized medicare population showed a risk of volatility since the age of 61;however,the medicare of migrant workers had no obvious change in ERMS.Conclusions The special health policy of Shenzhen as well as the setting of the household registration system is the main reasons of the difference in ERMS.Therefore,we need to break the bondage of the household registration system,improve the health care support,meet the health needs of migrant workers and the non-registered people,and realize the fairness of health care.

关 键 词：医疗保险 就医经济风险 寿命表法 

分 类 号：F840.684[经济管理—保险]