...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Health Policy and Planning >Demand for voluntary basic medical insurance in urban China: panel evidence from the Urban Resident Basic Medical Insurance scheme
【24h】

Demand for voluntary basic medical insurance in urban China: panel evidence from the Urban Resident Basic Medical Insurance scheme

机译：中国城市对自愿性基本医疗保险的需求：城市居民基本医疗保险计划的面板证据

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

This paper investigates the key factors associated with the demand for Urban Resident Basic Medical Insurance (URBMI), which was established in 2007 and aims to cover all Chinese urban residents. Two waves of longitudinal household survey data are used, and a three-level random-intercept logit model is used for the analysis. Two different sets of explanatory variables were identified for adults and children, separately. Results suggest for both the adult and the child samples that income, health status, age and health risk behaviours are key influencing factors for basic medical insurance demand. The household head's characteristics are also significantly related to other household members’ medical insurance demands. Specifically, household heads who are more educated or retired are more likely to purchase medical insurance for their children. These findings suggest that an expansion of the special subsidy to the poor or, probably more important, a risk-adjusted benefit package may be needed for voluntary basic medical insurance in China. In addition, adverse selection consistently exists and is a major challenge for the sustainability of medical insurance financing. To expand insurance coverage for children, especially those under school age, special efforts (possibly through health education or health promotion) should be focused on the household head, particularly those engaging in risky health behaviours.
机译：本文研究了与建立于2007年的城市居民基本医疗保险（URBMI）需求相关的关键因素，该保险旨在覆盖所有中国城市居民。使用两波纵向家庭调查数据，并使用三级随机截距logit模型进行分析。分别为成人和儿童确定了两组不同的解释变量。结果表明，对于成人和儿童样本，收入，健康状况，年龄和健康风险行为都是基本医疗保险需求的关键影响因素。户主的特征也与其他家庭成员的医疗保险要求密切相关。具体来说，受过较高教育或退休的户主更有可能为其子女购买医疗保险。这些发现表明，在中国，自愿性基本医疗保险可能需要扩大对穷人的特殊补贴，或者可能更重要的是，对风险调整后的福利进行扩展。此外，逆向选择始终存在，并且是医疗保险融资可持续性的主要挑战。为了扩大儿童，特别是学龄以下儿童的保险范围，应着重于户主，特别是那些从事危险健康行为的家庭（特别是通过健康教育或健康促进）。

著录项

  • 来源
    《Health Policy and Planning》 |2012年第8期|p.658-668|共11页
  • 作者

    Gang Chen1* and Xiao Yan2;

  • 作者单位

    1Centre for Health Economics, Faculty of Business and Economics, Monash University, Melbourne, Australia and 2Academic Research Sector, China Health Insurance Research Association, Beijing 100716, China;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号