基于公共服务差异的城镇居民基本医疗保险制度比较研究  

Comparative Study on the Basic Medical Insurance System for Urban Residents Based on Differences of Public Servic es

作　　者：李熠煜 高萍 LI Yi-yu;GAO Ping(School of Law and Politic,Zhejiang Sci-Tech University,Hangzhou,310018,China)

机构地区：[1]浙江理工大学法政学院,杭州310018

出　　处：《中国卫生经济》2020年第3期37-42,共6页Chinese Health Economics

基　　金：国家社科基金项目(16BZZ055)。

摘　　要：目的:比较杭州、上海、广州和合肥4市的城镇居民基本医疗保险制度在参保人群、缴费标准以及待遇水平方面的差异,并分析存在差异的原因。方法:在对比分析城镇居民基本医疗保险制度的具体差异基础上,用SPSS 20.0分析了医保制度的经济指标和规模指标之间的相关性。结果:经济发展水平差异导致城市缴费标准存在不同,而医疗资源配置效率高低以及参保档次划分不同进一步拉大了城市间医保待遇水平的差距。结论:消除差异的存在需夯实经济基础提升给付力度,优化医疗资源配置提升服务水平,实行差别支持,共建共享。Objective:It compares the differences of the basic medical insurance system of urban residents in Hangzhou,Shang hai,Guangzhou and Hefei,and analyzes the reasons for the differences.Methods:Based on the comparison and analysis of the specif ic differences of the basic medical insurance system for urban residents,SPSS 20.0 is used to analyze the correlation between the eco nomic indicators and scale indicators of the medical insurance system.Results:The differences in the level of economic development leads to different payment standards in cities,while the difference in the efficiency of medical resource allocation and the level of in surance participation further widens the gap in the level of medical insurance treatment among cities.Conclusion:To eliminate the existence of differences,it needs to consolidate the economic foundation and improve the payment intensity,optimize the allocation of medical resources and improve the service level,implement different support,focus on building and sharing.

关 键 词：城镇居民基本医疗保险制度 比较研究 公共服务 杭州 上海 广州 合肥 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F840.613[经济管理—保险]