Does the Basic Medical Insurance for Urban and Rural Residents Promote Fair Utilization of Medical and Health Services?
Whether the integration of medical insurance systems for urban and rural residents promotes the equity of medical service uti-lization remains to be scientifically demonstrated.Based on the Anderson model of medical service utilization behavior,this paper eval-uates the impact of combined medical insurance for urban and rural residents on the equity of medical and health service utilization and tests the moderating effect of supplementary medical insurance on the equity of medical and health service utilization for urban and rural residents.The results show that:(1)Compared with the previous dual basic medical insurance system for urban and rural residents,the basic medical insurance for urban and rural residents reduces the difference in the number of health examination items for urban and rural residents,but widens the difference in hospitalization treatment between urban and rural residents,especially for the unhealthy group.(2)For the unhealthy group,the combination of basic medical insurance for urban and rural residents is more conducive to the use of hospitalization for urban residents,thus widening the gap between urban and rural areas.(3)Supplementary medical insurance can regulate the differences in hospitalization of residents with different household registration types.Therefore,we should further popu-larize the supplementary medical insurance system and promote the establishment of a unified basic medical insurance system for urban and rural residents with fair benefits.
fairmedical insuranceurban and rural residentsmedical and health services
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