Analysis on the utilization of basic medical insurance for urban retirees in Y city in 2016
10.3760/cma.j.issn.1000-6672.2019.05.018
- VernacularTitle:Y市2016年城镇退休职工基本医疗保险利用分析
- Author:
Xue BAI
1
;
Pengqian FANG
;
Changmin TANG
Author Information
1. 华中科技大学同济医学院护理学院
- Keywords:
Actuarial analysis;
Basic medical insurance;
Aged;
Ageing population;
Medical expense
- From:
Chinese Journal of Hospital Administration
2019;35(5):426-430
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the utilization of the basic medical insurance and the influence of age factors on the medical expenses of the retirees. Methods Descriptive statistics and variance analysis were used to analysis the 265 426 medical service use records of the retirees in Y city in 2016. Results Increase of age pushes up the utilization rate of retirees for hospitalization services and reduces the service utilization of chronic disease outpatient clinics. In total, the medical expenses are concentrated in the age of 60-70, and the total medical cost of the population decreases with age. The per-capita medical expenses of different age groups were different, the greater the age the higher the average.Conclusions The change of the disease spectrum such as higher incidence of chronic diseases poses a new challenge to the medical service system. Aging will continue to pressurize the medical security system. It is urgent to establish a healthcare system centering on the elderly and a sound medical insurance system.
