| 2014 - 2016年中国大陆地区流动人口基本医疗保险参保和重复参保研究 |
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| 引用本文： | 吴汝聪1,贾忠伟2. 2014 - 2016年中国大陆地区流动人口基本医疗保险参保和重复参保研究[J]. 现代预防医学, 2019, 0(6): 1053-1058 |
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| 作者姓名： | 吴汝聪1 贾忠伟2 |
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| 作者单位： | 1. 北京大学公共卫生学院，北京 100191；2. 北京大学中国药物依赖性研究所，北京 100191 |
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| 摘 要： | 目的 了解我国大陆地区流动人口基本医疗保险参保和重复参保现状，探究重复参保的影响因素。方法 基于国家卫生健康委2014 - 2016年流动人口动态监测调查数据，利用cochran - armitage趋势检验方法分析基本医疗保险参保率和重复参保率的变化趋势，利用logistic回归模型分析重复参保的影响因素。结果 （1）基本医疗保险参保率从84.95%上升至88.05%（P＜0.001），其中新型农村合作医疗、城乡居民基本医疗保险参保率呈上升趋势，城镇居民基本医疗保险参保率呈下降趋势，城镇职工基本医疗保险参保率维持平稳；（2）重复参保率从4.37%下降至2.44%（P＜0.001）；（3）重复参保率存在地区性差异（P＜0.001）；（4）户口性质（OR = 5.558,农业vs.非农业, P＜0.001）和社会保障数（OR = 30.089, 社会保障数4～5种vs.社会保障数0～1种, P＜0.001）等是影响重复参保的主要因素。结论 2014 - 2016年我国大陆地区流动人口基本医疗保险覆盖率上升，重复参保率下降，户籍性质和社会保障等是影响重复参保的主要因素。
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| 关 键 词： | 流动人口 重复参保 趋势分析 影响因素 |
Coverage and overlapping coverage of basic medical insurance among the migrant population in mainland China based on a series of cross-sectional surveys from 2014 to 2016 |
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| WU Ru-cong,JIA Zhong-wei. Coverage and overlapping coverage of basic medical insurance among the migrant population in mainland China based on a series of cross-sectional surveys from 2014 to 2016[J]. Modern Preventive Medicine, 2019, 0(6): 1053-1058 |
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| Authors: | WU Ru-cong JIA Zhong-wei |
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| Affiliation: | *School of Public Health, Peking University, Beijing 100191, China |
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| Abstract: | Objective The aim of this study was to understand the situation of basic medical insurance coverage and overlapping coverage among the migrant population in mainland China, in order to explore the influencing factors for the insured person to participate in two or more basic medical insurance. Methods The data were collected from China Migrants Dynamic Survey from 2014 to 2016, which was conducted by National Health Commission of the People’s Republic of China. The Cochran-Armitage trend test was used to analyze the trend of basic medical insurance coverage and overlapping coverage. We used the logistic regression model to explain the influencing factors of overlapping participation. Results (1) The coverage of basic medical insurance increased from 84.95% to 88.05% (P<0.001), among which the coverages of new rural cooperative medical insurance and basic medical insurance for urban and rural residents showed increasing trends, while the participation rate of basic medical insurance for rural residences showed a decline trend. The coverage of basic medical insurance for urban employees remained stable.(2) The overlapping participation rate among the insured decreased from 4.37% to 2.44% (P<0.001). (3) Overlapping participation rates varied in different provinces in China (P<0.001). (4) The kind of household registration (OR=5.558, agriculture vs. non-agriculture, P<0.001) and the number of other social security for the insured participation(OR=30.089, 4 to 5 times vs. 0 to 1 time, P<0.001) were the main factors affecting overlapping participation. Conclusion From 2014 to 2016, the coverage of basic medical insurance for migrants in China increased, while the rate of overlapping participation decreased. The type of household registration and the number of other social security for the insured participation were the main factors affecting overlapping participation. |
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| Keywords: | Migrant population Overlapping participation Trend analysis Influencing factors |
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