基本城乡医疗保险如何影响居民健康不平等? 来自中国的证据
Xiaohong Pu1, Riyun Hou1, Sichang He2
1School of Public Administration, Sichuan University, Chengdu 610065, China.
Healthcare (Basel, Switzerland)
|June 26, 2025
概括
在中国的健康不平等.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 社会医学 社会医学
背景情况:
- 健康不平等对中国"健康中国战略"构成重大挑战.
- 分析城乡居民基本医疗保险 (URRBMI) 参与者之间的与收入相关的健康差异至关重要.
研究的目的:
- 在URRBMI系统中调查与收入相关的健康不平等的程度和趋势.
- 确定导致这些差异的因素,并为政策建议提供信息.
主要方法:
- 利用了2019年中国家庭财务调查 (CHFS) 的数据.
- 使用度指数 (CI) 来量化与收入相关的健康不平等.
- 根据人口统计和教育水平进行异质性分析.
主要成果:
- 在URRBMI的贡献,治疗和退款阶段,健康不平等波动.
- 在补偿后,观察到健康不平等的扩大.
- 差异在女性和不到中学教育的人群中最为显著,这表明医疗保健利用的趋势有利于富人.
结论:
- URRBMI的设计应纳入收入考虑因素,以有利于弱势群体.
- 政策的目标应该是加强医疗安全,改善医疗保健准入,以减少健康不平等.
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