Impact of Urban and Rural Resident Basic Medical Insurance on the Healthcare Utilization for the Middle-aged and Older Adults
10.11783/j.issn.1002-3674.2023.06.002
- VernacularTitle:城乡居民基本医疗保险对中老年人卫生服务利用的影响
- Author:
Rui CHEN
1
,
2
;
Liangwen ZHANG
;
Ya FANG
Author Information
1. 厦门大学公共卫生学院(361102)
2. 福建省高校卫生技术评估重点实验室
- Keywords:
URRBMI;
Middle-aged and older adults;
Healthcare utilization
- From:
Chinese Journal of Health Statistics
2023;40(6):807-810,816
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study aimed to explore the impact of Urban and Rural Resident Basic Medical Insurance(URRBMI)on the healthcare utilization for middle-aged and older adults,in order to provide evidence for the optimization of China's medical security system.Methods This study used data from the China Health and Retirement Longitudinal Study(CHARLS)in 2018.Based on a modified Andersen's behavioral model,we applied Probit model,Tobit model and Biprobit model to analyze the impact of URRBMI on the use of healthcare for middle-aged and older people,as well as the impact of outpatient services on inpatient services.Results A total of 8753 cases were investigated.The proportions of outpatient and inpatient were 18.83%and 19.75%respectively,and the participation rate of URRBMI was 96.38%.Participation in URRBMI had an effect on inpatient care utilization of middle-aged and older people(P<0.05),with an average increase of 11.2%in the probability of hospitalization and an average increase of 0.232 hospitalizations.However,URRBMI had no effect on outpatient services(P>0.05),and there was a positive relationship between outpatient and inpatient.In addition,the utilization of inpatient services was higher among those aged 60 years and older and those with urban households.Conclusion URRBMI has improved the utilization of inpatient services among middle-aged and elderly people,but there are problems of over-utilization of inpatient services.There are differences in the impact of URRBMI on the utilization of inpatient services among different age groups and household type groups.The government should further improve the reimbursement mechanism of URRBMI to guide residents to seek medical treatment reasonably and improve the equity of healthcare utilization.
