摘要
基本医疗保险是我国收入再分配机制的重要方面。基于广东两市的大规模医疗保险数据库资料的实证研究发现,尽管基金补偿使职工医保有力地改善了医疗费用所造成的收入差距扩大状况,但从最终分配结果来看,职工医保存在明显的穷人补贴富人的"逆向再分配"现象。这一现象在筹资环节并不突出,但在补偿环节表现得非常明显,且发达地区的"逆向再分配"程度超过欠发达地区,在职群体"逆向再分配"程度大于非在职群体。因此,有必要对低收入群体实行差别补偿政策,进一步强化按支付能力缴费原则,逐步建立针对职工医保的财政补贴机制,并采取措施增强低收入群体的医疗服务可及性、加强医疗救助与职工医保制度的衔接。
Based on the large-scale data of 2 sample cities in Guangdong province, the paper makes a quantitative analysis of the reversed income redistribution problem of Chinese Urban Employees＇ Health Insurance System （UEHIS）. The results show that although the system can help to narrow the income gap caused by medical costs, it does exist the phenomenon of redistributing income from the poor to the rich, which is especially apparent during the compensation step. Moreover, the extent to which the reversed redis- tribution appears is more severe in the on-the-job group and the developed area than in the retired group and the under-developed area. Therefore, it is necessary to introduce a compensatory policy favorable to the low- income group, stress the principle of fee payment according to paying ability, and establish a financial subsi- dy mechanism for UEHIS. Meanwhile, measures should be taken to improve health care utilization for the poor. It＇s also necessary to enhance coordination between Medical Aid and UEHIS to protect the low-income group.
出处
《广东财经大学学报》
CSSCI
北大核心
2014年第5期59-67,77,共10页
Journal of Guangdong University of Finance & Economics
基金
广东财经大学国家青年培育项目(13GJPY79003)
关键词
职工医保
收入再分配
逆向再分配
广东省
UEHIS
income redistribution
reversed redistribution
Guangdong province
