CAJ | 학술논문

目的：分析深圳市不同医保类型人群就医经济风险，为实现医疗保障公平性，并科学合理配置卫生资源提供科学依据。方法从深圳市2003-2010年基金运行数据库中提取队列人群数据，采用队列寿命表法计算不同医保类型人群的就医经济风险变化情况，分析造成其差异的原因。结果综合医保人群就医经济风险持续增长，至64岁达到峰值；住院医保人群自61岁起风险出现大幅波动；农民工医保人群风险无明显变化。结论深圳市特殊医保政策以及户籍制度是导致其不同医保类型人群就医经济风险差异的最主要原因，因此需要破除户籍制度的束缚，提高医疗保障扶持力度，满足农民工、非户籍人群的医疗需求，实现医疗保障的公平性。
목적：분석심수시불동의보류형인군취의경제풍험，위실현의료보장공평성，병과학합리배치위생자원제공과학의거。방법종심수시2003-2010년기금운행수거고중제취대렬인군수거，채용대렬수명표법계산불동의보류형인군적취의경제풍험변화정황，분석조성기차이적원인。결과종합의보인군취의경제풍험지속증장，지64세체도봉치；주원의보인군자61세기풍험출현대폭파동；농민공의보인군풍험무명현변화。결론심수시특수의보정책이급호적제도시도치기불동의보류형인군취의경제풍험차이적최주요원인，인차수요파제호적제도적속박，제고의료보장부지력도，만족농민공、비호적인군적의료수구，실현의료보장적공평성。
Objectives To analyze the economic risk for medical service (ERMS)of population with different health insurances in Shenzhen city,and provide a scientific basis for achieving medical fairness and rational allocation of health resources.Methods The cohort data was extracted from the database of health insurance fund in Shenzhen between 2003 and 2010.Cohort life table method was used to calculate the ERMS of population with different health insurances,and analyze the causes.Results The ERMS of population with comprehensive medicare continued to grow,reached the peak at 64 years old,then gradually declined;hospitalized medicare population showed a risk of volatility since the age of 61;however,the medicare of migrant workers had no obvious change in ERMS.Conclu-sions The special health policy of Shenzhen as well as the setting of the household registration system is the main reasons of the difference in ERMS.Therefore,we need to break the bondage of the household registration system, improve the health care support,meet the health needs of migrant workers and the non-registered people,and real-ize the fairness of health care.