基本医疗保险异地结算政策对卫生服务利用的影响研究

目的:研究医保异地就医结算政策的实施对卫生服务利用的影响。方法:使用2011年和2013年中国健康与养老追踪调查数据,利用logistic回归分析比较2011年和2013年医保异地就医结算政策实施前后保险办理地点对卫生服务利用的影响。结果:医保异地就医结算政策实施后,卫生服务利用概率显著提高。结论:医保异地结算政策能有效提高医保可接续性,降低人群异地就医障碍,提高卫生服务可及性。

Effects of basic health insurance ecdemic settlement policy on health services utilization

Objective: To study the effects of basic medical insurance ecdemic settlement policy on health services utilization. Methods: Based on data from China Health and Retirement Longitudinal Survey conducted in 2011 and 2013, a multivariate logistic regression analysis was used to compare the effect of basic health insurance registering site on health services utilization before and after the implementation of basic medical insurance ecdemic settlement policy. Results: After the basic medical insurance ecdemic settlement policy was carried out, health services utilization was improved. Conclusions: The basic medical insurance ecdemic settlement policy can effectively improve the portability of health insurances, reducing the crowd remote medical disorders of off-site medical services to improve health care accessibility.