医疗保险计划与残疾人利用康复服务之间的关联:来自中国的证据
1Institute of Population Research, Peking University, Beijing, 100871, China; The Oxford Institute of Population Ageing, University of Oxford, OX2 6PR, UK.
Public health
|May 30, 2024
概括
医疗保险显著增加了中国残疾人使用康复服务的数量. 更高的保险福利水平进一步提高了利用率,改善了财务可及性和健康结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 关于残疾人的研究.
- 卫生经济学 卫生经济学
背景情况:
- 康复对于改善残疾人的健康状况至关重要.
- 以前的研究主要集中在医疗保险对一般医疗服务的影响上,忽视了中国残疾人康复服务.
- 了解医疗保险和康复服务利用之间的联系对于政策制定至关重要.
研究的目的:
- 分析医疗保险计划与中国残疾人利用康复服务之间的关联.
- 调查不同医疗保险计划对康复服务获取的影响.
主要方法:
- 采用了横截面研究设计.
- 数据来源于2021年全国残疾人家庭收入调查和全国残疾人基本数据库.
- 使用后勤回归和倾向得分匹配来分析医疗保险和康复服务利用之间的关系.
主要成果:
- 城市雇员基本医疗保险系统 (BMISUE) 和城市和农村居民基本医疗保险系统 (BMISURR) 保险的残疾人与康复服务利用有积极的关联.
- 在BMISUE保险的残疾人中,与BMISURR保险的残疾人相比,康复服务的利用率显著更高.
- 社区层面的康复服务的可用性与残疾人使用率有积极的相关性.
结论:
- 医疗保险提高了残疾人获得康复服务的财务可用性.
- 医疗保险计划中的福利水平增加与更高的康复服务利用率有关.
- 旨在扩大医疗保险覆盖范围和福利的政策可以改善残疾人对康复服务的获取和利用.
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