Research on the Development Status and Influencing Factors of Medical Insurance for Urban and Rural Residents from the Perspective of Common Wealth
- VernacularTitle:共同富裕视角下城乡居民医保事业发展现状及影响因素研究
- Author:
Tao SHI
1
;
Dawei QIN
;
Lumin XING
;
Siran WANG
;
Jiahao ZHANG
;
Lei NIE
Author Information
1. 山东第一医科大学(山东省医学科学院)医疗保障学院 济南 250117
- Keywords:
medical insurance for urban and rural residents;
equity;
accessibility;
geographic weighted regression
- From:
Chinese Health Economics
2024;43(6):44-49
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the status quo and influencing factors of the equity,accessibility and sustainability of the development of medical insurance for urban and rural residents in 2021,and provide a reference for improving the management and service level of medical insurance.Methods:Firstly,the"evaluation index system of medical insurance for urban and rural residents"was constructed,and the total index of the development level of medical insurance and its three subsystem indexes of equity,accessibility and sustainability were calculated.Secondly,the Theil index was used to measure the level differences of the three major regions in the east,central and west,and the spatial auto-correlation was used to analyze the spatial agglomeration and heterogeneity distribution pattern of the total index.Finally,a geographic weighted regression model was constructed to analyze the main influencing factors.Results:There were provincial differences in the development level of medical insurance,which showed a decreasing trend from east to west in geography and a random distribution pattern in space.Policy factors,economic factors,population structure,medical resource allocation and education level had a significant impact on the development level of medical insurance.Conclusions:It is proposed to promote the fairness at multiple levels,enhance the accessibility in all directions and dynamically improve the sustainability,and further explore the policy suggestions to improve the management and service level and enhance the residents'sense of experience,sense of gain and sense of happiness.
