周蕾,朱照莉.流动人口是否参加医疗保险对其医疗支出的影响研究[J].南京审计学院学报,2017,(4):
流动人口是否参加医疗保险对其医疗支出的影响研究
  
DOI:
中文关键词:  医疗保险;流动人口;医疗支出;医疗服务利用;新型农村合作医疗;城市化进程  区域医疗
英文关键词:medical insurance  floating population  medical expenditures  utilization of medical services  new rural cooperative medical care  urbanization process  medical consumption
基金项目:国家自然科学基金青年项目(71303118);江苏省社会科学基金青年项目(12GLC011);南京农业大学中央高校基本科研业务费专项资金项目(KJQN201408)
作者单位
周蕾,朱照莉 南京农业大学 公共管理学院江苏 南京 210095 
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中文摘要:
      采用Andsersen医疗服务利用模型研究医疗保险决策对医疗服务利用的影响,使用中国家庭收入分配调查数据中关于流动人口医疗服务利用调查年份的最新数据(CHIP2008),以年医疗支出作为医疗服务利用的代理变量,使用倾向得分匹配法(PSM)评估在消除选择性偏差和其他混杂偏差后流动人口参加医疗保险对其医疗支出的影响,结果表明:与我国其他群体相比,流动人口参保率较低;流动人口参加医疗保险会显著增加其医疗支出;流动人口参加医疗保险对其医疗支出的影响存在性别差异,与女性流动人口相比,医保对于男性流动人口医疗支出的促进作用更加显著。
英文摘要:
      With the Andsersen medical service model, this paper tries to make a study on the impact of medical insurance decisions on the utilization of medical service. Based on the latest data on utilization of medical service on the part of floating population in the survey year which come from Chinese Household income distribution survey data (CHIP2008), with the annual medical expenditure as a proxy for the use of medical services, the paper makes a study on the decision of medical insurance and its impact on medical expenditures, by using propensity score matching (PSM) to wipe out the effect of selection bias and other mixed deviation. The empirical analysis shows that compared with other groups in our country, the rate of the floating population who has participated in the medical insurance is low, whose participation in the medical insurance will significantly increase their medical expenditure. As far as the effect of the floating populations participation in medical insurance on their medical expenditure is concerned, there exist gender differences. Compared with the female floating population, medical insurance plays a more important role in promoting the medical expenditure of the floating population.
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