首页|异地就医直接结算、待遇可携带性与人口流动适应性研究

异地就医直接结算、待遇可携带性与人口流动适应性研究

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在人口大规模流动常态化的社会背景下,异地就医直接结算作为提升医保公共服务效能的政策创新,满足流动人口就医需求的同时也充当着适应人口流动的重要保障机制.本文选取中国健康与养老追踪调查数据,采用Logit模型、PSM模型及中介效应模型对我国异地就医直接结算的人口流动适应性及作用机制进行实证评估.研究发现,随着医保异地就医直接结算开展范围的扩大,一定程度上打破了传统医保的"枷锁"效应,更加适应人口流动.机制分析表明,异地就医直接结算政策通过增强医保待遇可携带性适应人口流动,具体表现为减轻异地就医人员的间接医疗成本、缩短其异地往返的通勤距离和减少垫资成本.医保异地就医直接结算对健康状况好、45岁以下及60岁以上、工作类型为个体或私营、收入较高者等群体的流动具有更好的适应效果.
Research on the Portability of Benefits and Adaptability of Population Mobility in the Policy of Direct Settlement for Medical Treatment in Different Places
Under the social background of the normalization of large-scale population flow,the direct settlement of medical treatment in different places,as a policy innovation to improve the efficiency of public medical insurance services,responds to the medical needs of the floating population and acts as an important guarantee mechanism to adapt to population flow.Using the data of CHARLS,this paper uses the Logit model,PSM model and mediating effect model to empirically evaluate the adaptability and mechanism of direct settlement of medical insurance in different areas of China on population mobility.The study found that with the expansion of direct settlement for medical treatment in different places,it has to some extent broken the shackle effect of traditional medical insurance and can be better adapted to population mobility.The analysis shows that the policy of direct settlement of medical treatment in different places adapts to population mobility by enhancing the portability of medical insurance benefits,which is manifested in reducing the indirect medical costs of people seeking medical treatment in different regions,shortening their commuting distance between different regions,and reducing payment in advance.The direct settlement of medical insurance for medical treatment in different regions has a better adaptability to the mobility of groups with good health conditions,under the age of 45 and over 60,as well as those with individual or private work types and higher incomes.

direct settlement of medical treatment in different placesadaptability of population mobilityportability of benefitsmediating effect

鲍震宇、温佳俊

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内蒙古财经大学 呼和浩特 010070

异地就医直接结算 人口流动适应性 待遇可携带性 中介效应

国家自然科学基金内蒙古自治区高等学校青年科技人才发展项目

72064031NJYT24015

2024

中国医疗保险
中国医疗保险研究会

中国医疗保险

影响因子:0.492
ISSN:1674-3830
年,卷(期):2024.(4)
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