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.
关键词
医保整合/灾难性卫生支出/城乡家庭/健康差异
Key words
Medical insurance integration/Catastrophic health expenditure/Urban and rural families/Health disparity
维普
万方数据