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首页> 外文期刊>Applied health economics and health policy >The Effect of Medical Insurance on Outpatient Visits by the Elderly: An Empirical Study with China Health and Retirement Longitudinal Study Data
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The Effect of Medical Insurance on Outpatient Visits by the Elderly: An Empirical Study with China Health and Retirement Longitudinal Study Data

机译：医疗保险对老年门诊意见的影响：中国健康与退休纵向研究数据的实证研究

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摘要

Background As the largest developing country in the world, China is still on its way towards building an adequate system of health insurance through continuous reforms. For the elderly in China, an effective medical security system might be especially helpful. Objective This study investigates the effect of medical insurance on outpatient visits by elderly Chinese in order to identify effective policies to improve the Chinese medical security system. Methods Based on data taken from the China Health and Retirement Longitudinal Study, eleven candidate models were analyzed, among which a finite mixture negative binomial model with two components was chosen as the theoretical foundation for an analysis of the effect of medical insurance on outpatient visits by elderly Chinese. Results The significant variables were found to be basic medical insurance (BMI), sex, surveyed area, education level, health status, economic area, income level, and the number of living children for the elderly aged 60-69 years; BMI, age, health status, number of household members, and income level for the elderly aged 70-79 years; and BMI, age, sex, and the presence of chronic disease for the elderly aged 80 years and above. Conclusion Enrollment in BMI was found to be significantly associated with an increased number of outpatient visits, whereas supplementary medical insurance membership did not have a significant effect. The effects of BMI enrollment also differed by scheme and age. For those with a high rate of outpatient medical services utilization, the enhancing effect of BMI on the number of outpatient visits was not significant, so new medical insurance policies should be provided to the elderly population in China.
机译：背景作为世界上最大的发展中国家，中国仍然通过不断改革来构建充足的健康保险制度。对于中国老人来说，有效的医疗保障系统可能特别有用。目的本研究调查了医疗保险对老年人门诊意见的影响，以确定改善中国医疗保障制度的有效政策。基于来自中国健康和退休纵向研究的数据的方法，分析了11个候选模型，其中选择了具有两种组分的有限混合物负二进制型作为分析医疗保险对门诊效果的理论基础老年人。结果发现重大变量是基本的医疗保险（BMI），性别，受访地区，教育水平，健康状况，经济区，收入水平，长老为60-69岁的老年人的人数; BMI，年龄，健康状况，家庭成员数量，年龄均为70-79岁的老年人的收入水平;和BMI，年龄，性别和慢性疾病的存在为80岁及以上的老年人。结论BMI的入学人员被发现明显与持续访问数量增加，而补充医疗保险成员没有显着影响。 BMI注册的影响也有方案和年龄的不同。对于高门诊医疗服务利用率的人来说，BMI对门诊观察数量的增强效果并不重要，因此应向中国的老年人提供新的医疗保险政策。

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