基于CFPS数据的社会医疗保险对消费支出不公平的实证研究  

An Empirical Study of the Social Medical Insurance Inequity on Consumer Expenditure Based on CFPS Data Studies

作　　者：裴建廷 张惠卿[2] 齐元涛 刘倩 马桂峰[3,4] 王晓丽 郑雪梅 PEI Jian-ting;ZHANG Hui-qing;QI Yuan-tao(Network Information Center,Weifang Medical University,Weifang,Shandong,261053,China;不详)

机构地区：[1]潍坊医学院网络信息中心,山东潍坊261053 [2]潍坊市人民医院药剂科中药房,山东潍坊261000 [3]潍坊医学院公共卫生学院,山东潍坊261053 [4]潍坊医学院公共卫生危机管理大数据中心,山东潍坊261053 [5]潍坊市市直机关医院查体中心,山东潍坊261041 [6]潍坊医学院基础医学院计算机教研室,山东潍坊261053

出　　处：《中国卫生经济》2022年第4期19-23,共5页Chinese Health Economics

基　　金：国家自然科学基金项目(71673202);山东省研究生导师指导能力提升项目(SDYY17104);山东省重点研发计划(软科学)重大项目(2020RZB14001)。

摘　　要：目的:对5轮CFPS数据进行社会医疗保险对消费支出公平性的研究,为我国医疗保险制度改革提供科学参考。方法:采用固定效应回归模型,分别就职工医保、城乡居民医保对消费支出不公平的影响进行了分析。结果:职工医保人群平均年龄每增加1岁,其消费支出基尼系数平均降低0.008 (P<0.01);平均教育年限每增加1年或平均家庭收入每增加1万元,城乡居民医保会减小消费支出的基尼系数,分别降低0.008 (P<0.01)和0.002 (P<0.10);2016年和2018年参保增长率显著下降,两年度参保增长率基本持平。结论:随着职工医保人群年龄的增加,会不断降低其消费支出不公平性;城乡居民医保人群的复杂性,对消费支出不公平的作用受到教育程度、家庭收入等多种因素的影响,这些因素会降低消费支出不公平性;医保参保率趋于稳定。Objective:To study the equity of social medical insurance to consumer expenditure based on five rounds of CFPS data,so as to provide a scientific reference for the reform of China’s medical insurance system.Methods:Based on the effect regression model,the impact of employee medical insurance and urban and rural residents’ medical insurance on the unfairness of consumption expenditure were analyzed.Results:The Gini coefficient of consumption expenditure would be decreased by 0.008(P<0.01) while the average age of employees with medical insurance increased by 1 year.The Gini coefficient of consumption expenditure of urban and rural residents would be reduced by 0.008(P<0.01) and 0.002(P<0.10) respectively for each increase in the average length of education or 10 000 yuan in the average family income.The growth rate of insurance participation decreased significantly in 2016 and 2018,and the growth rate of insurance participation in these two years was basically the same.Conclusion:With the increase of the age of employees’ medical insurance population,it will continue to reduce the inequity of their consumption expenditure.The complexity of urban and rural residents’ medical insurance population and its effect on consumer expenditure inequality are affected by many factors such as education level and family income,which will reduce consumer expenditure inequality.The medical insurance coverage rate tends to be stable.

关 键 词：社会医疗保险 消费支出 公平性 基尼系数 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R19-0