节点文献
城镇残疾人口基本医疗保险参保状况及其影响因素研究
Analysis of Basic Medical Insurance Condition of Urban Disabled Persons and Its Determinants in China
【作者】 印童;
【导师】 陈功;
【作者基本信息】 北京大学 , 人口学, 2008, 硕士
【摘要】 全国第二次残疾人抽样调查的结果显示,2006年我国16岁及以上城镇残疾人口基本医疗保险的参保比例为36.8%。2007年国务院出台了《国务院关于开展城镇居民基本医疗保险试点的指导意见》,决定在全国范围内开展城镇居民基本医疗保险的试点工作,并将城镇残疾人口作为新政策覆盖的重点人群之一。了解在新政策之前城镇残疾人基本医疗保险的参保状况和影响因素,将有助于残疾人社会医疗保障工作的决策与管理,更好地落实政策,服务社会。利用2006年4月全国第二次残疾人抽样调查和2007年4月残疾人监测调查的数据,运用交叉表分析和Logistic回归分析,本研究对18岁及以上城镇残疾人口基本医疗保险的参保状况及其影响因素进行了研究。分析结果表明,在工作年龄段的残疾人口中,低年龄组、低教育程度、非在婚状态、残疾发生在18岁以前、没有工作和家庭年人均总收入低的残疾人更有可能缺少基本医疗保险的保障;在退休年龄段的残疾人口中,女性、高年龄组、低教育程度、非在婚状态、社会参与能力差和家庭年人均总收入低的残疾人,缺少基本医疗保险的保障的可能性更大。研究认为,我国城镇残疾人口总体上缺少基本医疗保险的保障,尤其是经济条件相对较差的残疾人。因此,在加快城镇居民基本医疗保险的覆盖进程中,应结合城镇残疾人口的特点,创造切实可行的参保环境,并为参保残疾人提供参相应的就医保障。
【Abstract】 The Second China Sample Survey on Disability (2006) shows that there are only 36.8% urban disabled persons have basic medical insurance. In 2007, the State Council decided to launch the pilot urban resident basic medical insurance, and the population with disability is one of the most important target groups. Knowing the condition of basic medical insurance of urban disabled persons would help the government’s decision-making and administration on social security.Based on the data of the Second China Sample Survey on Disability and the data of Inspecting Survey on Disability (2006 - 2007), this study analyzes the basic medical insurance condition of urban disabled persons and its determinants by statistical methods.The results show that in working age group, disabled persons who are younger, less educated, single, disabled before 18 years old, no work and lower income are more likely to be lack of basic medical insurance. In retired age group, disabled persons who are female, elder, less education, single, lower ability of social participation and lower income are more likely to be lack of basic medical insurance.This study indicates that most of urban disabled persons need to be covered by basic medical insurance. It also suggests that during the implementation of the pilot urban resident basic medical insurance, the government needs to consider the characteristics of disability, to build feasible environment, and to provide accessible service for disabled persons.
- 【网络出版投稿人】 北京大学 【网络出版年期】2008年 08期
- 【分类号】F842.6
- 【被引频次】2
- 【下载频次】726