山东省居民医保筹资水平区域差异及空间格局演化  

Regional Differences and Spatial Pattern Evolution of Residents'Basic Medical Insurance Financing Level in Shandong Province

作　　者：时涛 韩志琰 吴敏 宋丽娇 

机构地区：[1]山东第一医科大学医疗保障学院(山东省医疗保障研究院),济南250117 [2]山东扁鹊互联网大健康集团有限公司,济南250102

出　　处：《中国医疗保险》2022年第8期56-60,共5页China Health Insurance

基　　金：山东省教育教学研究重点项目“‘双战略’引领下山东省高等医学院校与医养健康产业产教融合协同育人机制研究”(2001JXZ006);教育部产学合作协同育人项目“大数据+医保基金监管教学虚拟仿真一流课程建设项目”(202102484005);济南市医保局委托课题“济南市医保大数据基金监管创新项目”(202101)。

摘　　要：目的:分析山东省居民医保筹资水平区域差异及空间格局演化,为推进省级统筹、缩小区域差异提供对策建议。方法:运用泰尔指数测量居民医保筹资水平区域差异,采用空间自相关分析方法探究居民医保筹资水平的空间格局及演变态势。结果:2015年-2020年泰尔指数呈波动上升趋势,区域内差异是总体差异的主要原因。筹资水平具有局部空间自相关性,2015年H-H热点区的中心是潍坊,2020年演变为烟台,L-L盲点区的中心稳定为济宁。结论:山东省居民医保筹资水平区域差异大且呈扩大趋势,省会经济圈和胶东经济圈区域内部差异是导致总体差异大的主要原因。建议山东省在区域经济圈内实行居民医保统筹,实现居民医保筹资、待遇等政策区域一体化。Objective:The paper attempts to analyze the regional differences and spatial pattern evolution of resident medical insurance financing level in Shandong Province,and to provide countermeasures and suggestions for promoting provincial overall planning and narrowing regional differences.Methods:The Theil index was used to measure the regional differences in the level of resident medical insurance financing,and the spatial autocorrelation analysis method was used to explore the spatial pattern and evolution of the resident medical insurance financing level.Results:From 2015 to 2020,the Theil index showed a fluctuating upward trend,and regional differences were the main reason for the overall differences.The level of financing has local spatial autocorrelation.The center of the H-H hot spot in 2015 is Weifang,and it evolved into Yantai in 2020.The center of the L-L blind spot is stable in Jining.Conclusion:The regional differences in the level of resident medical insurance financing in Shandong Province are large and show an expanding trend.The regional differences between the provincial capital economic circle and the Jiaodong economic circle are the main reasons for the large overall difference.It is suggested that Shandong Province should implement the overall planning of residents'medical insurance within the regional economic circle and realize the regional integration of policies such as financing and treatment of residents'medical insurance.

关 键 词：基本医保 区域差异 空间格局演化 

分 类 号：F840.684[经济管理—保险] C913.7[社会学]