CAJ | 학술논문

目的了解2000年至2009年医疗保险覆盖以及医疗服务利用变化情况.方法医疗保险覆盖以及医疗服务的数据来源于美国北卡罗莱纳大学在中国开展的营养调查,对医疗保险和预防医疗服务的利用率进行调查.运用Logistic回归评估社会经济地位与医疗保险和医疗服务利用的关系.结果医疗保险覆盖率从2000年的20％增加到2009年的89％.在农村人口中,医疗保险的覆盖扩大更为突出.农村和城镇预防性医疗服务的使用率都偏低,分别是3.72％和4.62％.结论 2000年至2009年医疗保险覆盖以及医疗服务利用都得到改善,为今后进一步改革提供了坚实的基础.
목적 료해2000년지2009년의료보험복개이급의료복무이용변화정황.방법 의료보험복개이급의료복무적수거래원우미국북잡라래납대학재중국개전적영양조사,대의료보험화예방의료복무적이용솔진행조사.운용Logistic회귀평고사회경제지위여의료보험화의료복무이용적관계.결과 의료보험복개솔종2000년적20％증가도2009년적89％.재농촌인구중,의료보험적복개확대경위돌출.농촌화성진예방성의료복무적사용솔도편저,분별시3.72％화4.62％.결론 2000년지2009년의료보험복개이급의료복무이용도득도개선,위금후진일보개혁제공료견실적기출.
Objective To understand the changes of the coverage of medical insurance and the utilization of medical services from 2000 to 2009.Methods The data on medical insurance and utilization of medical services were obtained from China Nutrition Panel Survey conducted by University of North Carolina,Chapel Hill.The trend of medical insurance and use of preventative medical services were examined.And a Logistic regression model was used to estimate the relationship between some social economic status and the enrollment of medical insurance and use of medical services.Results The coverage of medical insurance expanded dramatically from 20％ in 2000 to 89％ in 2009.The rural population experienced higher expansion.The gap between rural and urban populations in terms of insurance coverage was closed.The use of preventive services remained low in both rural and urban populations,with 3.72％ and 4.62％ respectively.Conclusions Both coverage of medical insurance and use of prevention medical services imoroved from 2000 to 2009,which has provided solid foundation for further reforms.