我国流动人口医疗保险参保状况及影响因素分析  

Analysis of the participation status and influencing factors of medical insurance for mobile population in China

作　　者：闫晓 骆洪梅 王雅洁 赵芹坤 牟忠林[5] YAN Xiao;LUO Hongmei;WANG Yajie;ZHAO Qinkun;MU Zhongin(School of Big Data Science,Hebei Finance University,Hebei,Baoding 071051,China;Migrant Population Service Center,National Health Commission,Beijing 100089,China;Office of National Center for Rural Water Supply Technical Guidance,Chinese Center for Disease Control and Prevention,Beijing 102200,China;Party Committee Office,the First Affiliated Hospital of Hainan Medical University,Hainan,Haikou 570102,China;Department of Otolaryngology-Head and Neck Surgery,the First Affiliated Hospital of Hainan Medical University,Hainan,Haikou 570102,China)

机构地区：[1]河北金融学院大数据科学学院,河北保定071051 [2]国家卫生健康委流动人口服务中心,北京100089 [3]中国疾病预防控制中心农村改水技术指导中心办公室,北京102200 [4]海南医学院第一附属医院党委办公室,海南海口570102 [5]海南医学院第一附属医院耳鼻咽喉头颈外科,海南海口570102

出　　处：《中国医药科学》2024年第10期124-127,共4页China Medicine And Pharmacy

摘　　要：目的 了解我国流动人口医疗保险参保状况、影响因素及地区差异。方法 基于2017年中国流动人口动态监测数据,收集整理流动人口个人特征、流动特征、就业水平三个方面的变量,采用二元logistic回归模型分析我国流动人口参加医疗保险的影响因素。结果 至少参加一种医疗保险的流动人口占比为91.8%,流动人口参加新型农村合作医疗保险的比例最高,达到63.3%;性别、年龄、受教育程度、婚姻状况、流动范围、流入地区、居留意愿、单位性质、就业身份、家庭人均月收入是流动人口是否参加医疗保险的影响因素(P <0.05)。结论 我国流动人口医疗保险参保率相对较高,流动人口是否参加医疗保险受多个维度因素影响。建议重点加强社会保障体系建设,优化异地就医直接结算机制,关注流动人口医疗服务需求与利用情况,实现流动人口医疗保险全覆盖。Objective To explore the status,influencing factors,and regional differences of medical insurance participation for mobile populations in China.Methods Based on the dynamic monitoring data of China’s mobile population in 2017,this study collected and organized variables from three aspects:personal characteristics,mobile characteristics,and employment level.A binary logistic regression model was used to analyze the influencing factors of China’s mobile population’s participation in medical insurance.Results 91.8%of the mobile population were covered by at least one type of medical insurance,and the proportion of mobile population covered by the new rural cooperative medical insurance was the highest,reaching 63.3%.Gender,age,education level,marital status,mobility range,inflow region,willingness to reside,nature of the organization,employment status,and per capita monthly income of the family were the influencing factors of whether the mobile population participated in medical insurance(P<0.05).Conclusion The participation rate of medical insurance for mobile population in China is relatively high,and whether mobile population participates in medical insurance is influenced by multiple dimensional factors.It is recommended to focus on strengthening the construction of the social security system,optimizing the direct settlement mechanism for medical treatment in different regions,paying attention to the demand and utilization of medical services for mobile populations,and achieving full coverage of medical insurance for mobile populations.

关 键 词：流动人口 医疗保险 地区差异 影响因素分析 

分 类 号：F842.684[经济管理—保险] R197.1[医药卫生—卫生事业管理]