摘要
目的:探析参保地对流动人口健康自评的影响路径。方法:以2017年全国流动人口动态监测调查为数据源,基于安德森卫生服务利用行为模型,分析参保地对流动人口健康自评的影响。结果:参保地可以通过“健康档案”“健康教育”“健康档案-健康教育/患病就诊”和“健康教育-患病就诊”等多维路径,影响流动人口的健康自评。结论:医疗保险“两地分离”加剧了流动人口的健康不平等问题,应从宏观层面提高医保统筹层次,推动医保转移接续和异地就医直接结算,重视流动人口的公共卫生服务提供。
Objective To analyze the influence of insured areas on self-rated health of migrant population.Methods Using data from China migrants dynamic survey in 2017,we adopted Anderson health service utilization behavior model to analyze the influence of insured areas on self-rated health of migrant population.Results The insured areas could affect self-rated health through multidimensional paths such as health records,health education,the joint effort of health records and health education/medical visits,and the joint efforts of health education and medical visits.Conclusion The registration-residence separation of medical insurance aggravates the health inequity of migrant population.We should expand medical insurance pooling at the macro level,promote the transfer of medical insurance and the direct settlement of cross regional medical treatment,and pay attention to the provision of public health services for the migrant population.
作者
陈阿敏
姚强
夏冕
CHEN Amin;YAO Qiang;XIA Mian(School of Political Science and Public Administration,Wuhan University,Wuhan Hubei 430072,China)
基金
国家自然科学基金面上项目“激励相容视角下农村居民慢性病经济风险协同治理机制研究”(72174149)
国家自然科学基金青年项目:“家庭经济风险保护视角下中国城乡居民重大疾病风险因素及预测模型研究”(71603188)
教育部人文社会科学研究规划基金项目“医疗保险视角下流动人口健康不平等形成机制与政策优化研究”(21YJAZH102)
教育部人文社会科学研究青年基金项目“利益集团博弈视角下的我国医疗卫生体制改革中的利益协调机制研究”(16YJCZH120)。
关键词
流动人口
医疗保险
两地分离
健康自评
migrant population
medical insurance
registration-residence separation
self-rated health
