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居民医保城乡整合政策对流动人口公共卫生服务获得的影响——基于健康权益保障视角

Study on the Effects of Integrated Urban-Rural Basic Medical Insurance on Access to Public Health Services for Floating Population from the Perspective of Health Rights Protection

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【作者】 陈慧莹顾海顾淑燕

【Author】 Chen Huiying;School of Government, Nanjing University;

【通讯作者】 顾海;

【机构】 南京大学卫生政策与管理研究中心南京大学政府管理学院

【摘要】 目的:新冠疫情暴露出我国医防割裂的短板,国务院提出统筹医保基金和公共卫生服务资金使用,增强流动人口健康权益保障。本文基于此考察了居民医保城乡整合政策对流动人口公共卫生服务获得的影响。方法:基于2018年中国流动人口动态监测调查数据,运用PSM方法进行数据分析。结果:居民医保城乡整合政策促使流动人口居民健康档案、家庭医生签约和公共健康教育分别提高6.01%~6.85%、3.22%~3.74%和3.77%~4.85%(P<0.001),且稳健性检验后结果仍然成立。异质性分析显示,相较于城镇和跨省流动人口,整合政策对农村和省内流动人口公共卫生服务获得的积极作用更强。结论:居民医保城乡整合政策是促进流动人口公共卫生服务获得的重要因素,且不同群组之间的影响程度会存在差异。

【Abstract】 Objective To analyze the impact of urban-rural integrated basic medical insurance on floating population’s access to public health services. Methods Based on China Migrants Dynamic Survey in 2018, data were analyzed by using propensity score matching method. Results The urban-rural integrated basic medical insurance promoted the floating population’s health records, family doctor contract and public health education by 6.01%-6.85%, 3.22%-3.74% and 3.77%-4.85%, respectively(P<0.001), and the results still hold after the robustness test. Heterogeneity analysis showed that the urban-rural integrated basic medical insurance had a stronger positive effect on access to public health services for rural and provincial floating population than urban participating and inter-provincial floating population. Conclusion The urban-rural integrated basic medical insurance is an important factor in facilitating the access to public health services for floating population, and the degree of influence may vary among different groups.

【基金】 国家社会科学基金重大项目"远程医疗服务体系建设研究"(15ZDB166);江苏省社会科学基金基地项目"江苏重大突发公共卫生事件多主体协同应急响应机制研究"(20JD001);江苏省卫生健康发展研究中心开放课题"江苏省江苏省长期护理保险制度模式、效应评估及对策研究"(JSHD2022005)
  • 【文献出处】 中国卫生事业管理 ,Chinese Health Service Management , 编辑部邮箱 ,2024年03期
  • 【分类号】R197.1
  • 【下载频次】166
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