医疗保险与老年人卫生服务利用的政策评估  

A Policy Evaluation of the Medical Insurance System and Medical Service Utilization of the Elderly

作　　者：秦兴俊[1] 胡宏伟[2] 

机构地区：[1]山西财经大学学报编辑部,山西太原030006 [2]华北电力大学人文与社会科学学院,河北保定071003

出　　处：《广东财经大学学报》2016年第1期105-112,共8页Journal of Guangdong University of Finance & 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重点项目(2014ZD47)

摘　　要：中国快速发展的医保体系一定程度上释放了老年人的卫生服务利用,但其对需求的释放效应仍缺乏准确估计。基于国家基本医疗保险2007年-2010年的追踪数据,分别以健康体检、两周患病采取措施、两周患病就医和应住院未住院四个指标作为卫生服务利用的代理变量,运用面板Probit概率模型估计医疗保险体系对各维度卫生服务利用的影响,发现医疗保险全面促进了老年人在上述四个方面的卫生服务利用,分别增长5%-20%不等。应进一步扩展医疗保险覆盖范围、提升医疗保险保障水平、整合基本医疗保险体系、完善针对老年人的医疗保障。Since the reform of the New Medical Reform starting from 2009, China has been building a better medical insurance system which will cover total population, but a scientific evaluation of the medical system is now still in shortage. Based on the 2007 -2010 data of National Basic Medical Insurance Survey, applying physical test, action-taking for patients and seeing doctors in two-week morbidity, and patients who should be hospitalized but have not as the proxy variables of medical service utilization, and using the panel probit model, the paper analyzes the impact of medical system on medical service utilization. The result shows that there is a significant impact on medical utilization, and this result is robust. Some suggestions are proposed based on the empirical analysis.

关 键 词：医疗保险 医保体系 卫生服务 老年人 

分 类 号：R197.1[医药卫生—卫生事业管理] F842.684[医药卫生—公共卫生与预防医学]