Study on the incidence of catastrophic health expenditure of urban and rural families under the background of medical insurance integration
Objective To explore whether the medical insurance integration for urban and rural residents can achieve the policy goal of improving residents'ability to protect economic risks from diseases and narrowing the urban-rural gap,this study used the family samples of China Family Panel Studies(CFPS)in 2016 and 2018 to analyze the change of catastrophic health expenditure from the effect of medical insurance integration policy.Methods A multi-level logistic grouped regression model was used to analyze the impact of medical insurance integration on the incidence of catastrophic health expenditures in urban and rural families.Results The incidence of catastrophic health expenditures in families showed a significant difference before and after the medical insurance integration(x2=5.64,P=0.018).After controlling the characteristics of families and heads of households,it was found that the medical insurance integration reduced the risk of catastrophic health expenditure in rural families(β=-0.118,P＜0.001),but there was no significant change in urban families(β=-0.064,P=0.242).Conclusion The occurrence of catastrophic health expenditures varies among urban and rural families,as well as families with different economic and sociological characteristics.The incidence rate of rural families is higher than that of urban families;The low-income group has the highest incidence rate,while the high-income group has the lowest incidence rate;The incidence of catastrophic health expenditures in urban and rural families has decreased after the medical insurance integration,and the effect of medical insurance integration on reducing the incidence of rural families is more significant.
Medical insurance integrationCatastrophic health expenditureUrban and rural familiesHealth disparity
万方数据
维普
