论文部分内容阅读
利用CHNS数据,分析了1989~2006年医疗保险在不同社会经济群体中的分布,探讨了不同医疗保险待遇水平的差异和变化。结果表明,2003年新农合制度推行后,医疗保险覆盖率大幅度提高,城乡差距有所缩小,弱势群体的医保状况得以改善,但省份和社会经济因素仍然对医保覆盖率有很大的影响;各类医疗保险门诊和住院报销比例均呈下降趋势,门诊报销比例下降得更快;在三种主要社会医疗保险(公费、职工和合作医疗)中,公费医疗待遇水平最高,新农合最低。
Using CHNS data, we analyzed the distribution of medical insurance in different socio-economic groups from 1989 to 2006, and discussed the differences and changes in the levels of medical insurance benefits. The results show that after the implementation of the new rural cooperative medical system in 2003, the coverage rate of medical insurance has been greatly increased, the gap between urban and rural areas has been narrowed, and the health care status of vulnerable groups has been improved. However, the provincial and socio-economic factors still have a great impact on the coverage of medical insurance ; All kinds of medical insurance outpatient and inpatient reimbursement rates showed a downward trend, outpatient reimbursement declined proportionally; in the three main social health insurance (public expenses, workers and cooperative medical care), the highest level of public medical treatment, the lowest NRCM .