山东省城乡居民基本医疗保险筹资水平收敛分析  

Convergence Analysis of Financing Level of Basic Medical Insurance for Urban and Rural Residents in Shandong Province

作　　者：时涛 郝光升 王超 张家豪 宋燕 Shi Tao;Hao Guangsheng;Wang Chao;Zhang Jiahao;Song Yan(School of Healthcare Security,Shandong First Medical University&Shandong Academy of Medical Sci?ences,Jinan,250117,China;不详)

机构地区：[1]山东第一医科大学(山东省医学科学院)医疗保障学院,济南250117 [2]微医控股(济南)有限公司,济南250102 [3]山东扁鹊互联网大健康集团有限公司,济南250102

出　　处：《中国卫生经济》2023年第8期37-43,共7页Chinese Health Economics

基　　金：山东省医疗保险事业中心委托项目;山东省教育教学研究重点项目(2001JXZ006);教育部产学合作协同育人项目(202102484005);济南市医保局委托课题(202101)。

摘　　要：目的:通过分析2015—2022年山东省16地市城乡居民基本医保筹资的面板数据,验证县域筹资水平差异及其收敛趋势。方法:借助空间自相关分析各个时间截面的空间集聚性和异质性格局,并计算σ收敛系数,分别构建固定效应模型和加权固定效应模型进行绝对β收敛。结果:筹资水平各个时间截面的Moran’s I逐渐减小,在地理上呈现随机分布格局;存在σ收敛和绝对β收敛。结论:县域筹资水平仍然存在差异,但差异在缩小,进而提出缩小县域差距推进省域均衡的对策建议。Objective:To analyze panel data on basic medical insurance financing for urban and rural residents in 16 cities in Shandong Province from 2015 to 2022,and verify the difference in county level of financing and its convergence trend.Methods:Using spatial auto-correlation to analyze the spatial agglomeration and heterogeneity patterns of each time section,and calculateσConvergence coefficient,respectively constructing fixed effect models and weighted fixed effect models for absoluteβConvergence.Results:The Moran’s I of each time section of the funding level gradually decreased,presenting a geographical random distribution pattern;there is existenceσConvergence and AbsoluteβConvergence.Conclusion:There are still differences in the level of county financing,but the differences are narrowing.Countermeasures and suggestions are proposed to narrow the county gap and promote provincial balance.

关 键 词：城乡居民基本医疗保险 空间自相关分析 县域差异 收敛分析 山东 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F014.4[经济管理—政治经济学]