中国医疗保险基金发展的影响因素研究——基于省际面板数据的分析

摘要/Abstract

摘要： 全民健康是经济社会发展的基础条件,而医疗保险则是促进全民健康的重要制度安排。医疗保险基金作为医保制度的"生命线",实现稳健运行是制度可持续发展的前提和基础,并取决于经济社会发展水平。本文从理论上分析了对医保基金运行产生重要影响的多种因素,系统性梳理了相关因素的作用机理,并选取全国31个省份城镇职工医保基金面板数据和相关指标,分别针对基金收入、支出和累计结余,采用面板回归模型进行实证分析。研究发现,宏观经济层面、微观经济层面、医疗资源需求供给以及城镇职工医保自身参保结构等方面,均存在诸多影响医保基金运行发展的因素,并且不同区域的影响因素存在一定差异性。

关键词: 城镇职工, 医疗保险基金, 累计结余, 影响因素

Abstract: National health is a fundamental condition of economic and social development, and national medical insurance is an important institutional arrangement to promote national health. The stable operation of medical insurance fund, which functions as the "lifeline" of the medical insurance system, is a premise and foundation of the sustainable development of health care system, which also depends on the level of economic and social development. This paper theoretically analyses the important factors influencing medical insurance fund operation as well as the influence mechanism of the related factors. Then based on dataset of 31 provinces and cities worker medical insurance fund and related indicators, factors affecting the fund income, expenditure and the total balance are explored respectively using panel regression model for empirical analysis. It can be found that there are many factors affecting the medical insurance fund operation and development in the aspects of macro-economic level, micro-economic level, medical resource demand and supply, and urban employee health insurance participation structure. Further, the influencing factors in different regions are different to some extent.

Key words: urban workers, medical insurance fund, accumulated balance, influencing factor

赵久洋, 郭琨. 中国医疗保险基金发展的影响因素研究——基于省际面板数据的分析[J]. 管理评论, 2023, 35(8): 71-84.

Zhao Jiuyang, Guo Kun. Study on the Influencing Factors of Chinese Medical Insurance Fund Development: Based on Provincial Panel Data[J]. Management Review, 2023, 35(8): 71-84.

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