长期护理保险制度对我国老年人医疗服务利用情况的影响  

Impact of Long-term Care Insurance System on Utilization of Medical Services of the Elderly in China

作　　者：廖昕 代宝珍 LIAO Xin(School of Public Health,Southeast University,Nanjing,Jiangsu,210009,China)

机构地区：[1]东南大学公共卫生学院,江苏南京210009

出　　处：《医学与社会》2024年第12期47-52,共6页Medicine and Society

基　　金：国家社会科学基金资助重大项目,编号为23&ZD188。

摘　　要：目的:分析长期护理保险制度对我国老年人医疗服务利用情况的影响,为完善长期护理保险制度提供政策建议。方法:采用多时点双重差分法,以中国健康与养老追踪调查2015-2020年随访调查的老年人作为研究对象,以门诊次数和住院次数作为测量指标,采用Stata 17.0对老年人医疗服务利用情况进行分析,并进行年龄、居住地和受教育程度层面上的异质性分析。结果:多时点双重差分结果表明,长期护理保险制度实施后我国老年人门诊次数出现了显著下降(β=-0.323,P=0.086),住院次数没有显著性变化(β=0.082,P=0.618)。门诊次数的下降在年龄、居住地和受教育程度上存在异质性。结论:长期护理保险制度可在一定程度上减少我国老年人的医疗服务利用,应继续推进长期护理保险制度并根据人群特征进行有针对性的制度设计。Objective:To analyze the impact of long-term care insurance system on the utilization of medical services of the elderly in China,and to provide policy recommendations for improving the long-term care insurance system.Methods:The research methodology used in this paper is multi-temporal difference-in-differences model,using older adults from China health and retirement longitudinal study 2015-2020 follow-up survey as study participants,with the number of outpatient visits and the number of hospital admissions as the measurements.Stata 17.0 is used to analyze medical utilization among the elderly,and the heterogeneity at the level of age,place of residence and educational level is analyzed.Results:The results of multi-temporal difference-in-differences model indicated that the number of outpatient visits of the elderly in China showed a significant decrease after the implementation of long-term care insurance system(β=-0.323,P=0.086),and the number of hospitalizations did not change significantly(β=0.082,P=0.618).Moreover,the decline in the number of outpatient visits was heterogeneous across residence,age,and educational level.Conclusion:Long-term care insurance system can reduce the utilization of medical services of the elderly in China to a certain extent.It is recommended that the long-term care insurance system should continue to be promoted and the targeted system should be designed based on population characteristics.

关 键 词：医疗服务利用 长期护理保险制度 老年人 

分 类 号：R-05[医药卫生] R197.1