城镇居民基本医疗保险制度对医疗及预防保健服务利用的影响研究  

The impacts of urban residents' basic medical insurance on the medical treatment and preventive care service utilization

作　　者：周晶晶[1] 张晓[1] 曹乾[1] 

机构地区：[1]东南大学公共卫生学院,江苏南京210009

出　　处：《中国卫生政策研究》2015年第12期36-40,共5页Chinese Journal of Health Policy

基　　金：国家自然科学基金(71373042)

摘　　要：目的:研究城镇居民基本医疗保险制度对居民医疗和预防保健服务利用的影响,定量评估城镇居民基本医疗保险制度的实施效果。方法:采用中国健康与营养调查(CHNS)2006年和2011年参加城镇居民基本医疗保险制度数据,以2011年未参保居民为对照组,以2011年参保居民为处理组。通过倍差法(DID模型)和Probit模型比较两组在城镇居民基本医疗保险制度实施前(2006年)和实施后(2011年)的医疗和预防保健服务利用情况和差异。结果:参加城镇居民基本医疗保险制度的城镇居民医疗和预防保健服务的利用情况均高于未参保的城镇居民。年龄、教育程度、家庭人均年收入和有无高血压对城镇居民医疗服务的利用情况有影响,其中家庭人均年收入为保护因素。年龄和教育程度对城镇居民预防保健服务的利用有影响。结论:城镇居民基本医疗保险制度对医疗和预防保健服务利用有提升作用,在完成覆盖率的同时,需要不断增强人均收入对医疗卫生服务利用的保护作用。Objective： The paper aims to evaluate the impacts of the urban residents＇ basic medical insurance on the medical treatment and preventive care services utilization through quantitative evaluation. Methods： The China Health and Nutrition Surveys（ CHNS） Data collected from 2006 to 2011 were used to compare the difference between medical treatment and preventive care services utilization adopting the difference-in-difference method and the Probit model. The control group urban residents did not participate in the basic medical insurance while their treatment group participated. Results： The medical treatment and preventive care services utilization were more for the treatment group than they were for the control one. The age,education level,annual per capita income and hypertension influenced the medical services utilization,and the annual per capita income was a protective factor. The age and education level also influenced the preventive care services utilization. Conclusion： The urban resident basic medical insurance plays an important role in the medical treatment and preventive care services utilization. Meanwhile,this factor continuously enhanced the coverage and the per capita income protection for medical services.

关 键 词：城镇居民基本医疗保险 医疗服务 预防保健服务 倍差法 PROBIT模型 

分 类 号：R197[医药卫生—卫生事业管理]