Medical Reimbursement Rate and Residents'Medical Behavior:An Empirical Analysis Based on CHIP2018
China has now basically established a universal medical insurance system,but the large differences in medical reimbursement ratios among different groups still constrain individu-als from meeting their medical consumption needs.Based on CHIP2018 data,combing the county-level spatially weighted average reimbursement ratio as instrumental variable,we inves-tigate the impact of medical reimbursement ratio on residents'medical behavior and its mecha-nism of action using the Ⅳ-Heckman and Ⅳ-oProbit methods.It was found that increasing medi-cal reimbursement rates helped to release residents'demand for outpatient and inpatient medical care,which in turn significantly increased total individual medical consumption expenditure.Heterogeneity analysis found that changes in medical reimbursement rates have the greatest im-pact on promoting healthcare-seeking behavior among rural residents and low-income groups,while medical expenditure growth is highest among urban residents and high-income groups.The future reform of China's medical insurance system needs to gradually eliminate the systematic differences for its residents,while increasing the actual reimbursement ratio of medical insur-ance,so as to achieve the goal of fair and moderate protection of people's basic medical security rights and interests.
Medical Reimbursement RatioMedical Consumption ExpendituresMedical Treatment BehaviorIV Method
万方数据
