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目的探讨社会医疗保险共付制度对医疗费用的影响和对患者健康状况的影响,为城镇居民基本医疗保险提供政策性建议。方法利用我国6个省份、13个城市的城镇居民家庭调查数据,采用SPSS13.0软件进行T检验和Logistic回归分析。结果自付医疗与公费医疗相比,健康人群医疗费下降了60.6%,非健康人群下降了61.4%。不同共付制度下人均医疗费用差异有统计学意义(P<0.05),不同的共付比例对健康状况影响差异有统计学意义(P<0.05)。此外,年龄、性别、教育程度、收入对健康状况影响差异均有统计学意义(P<0.05)。结论共付制度能够有效节约医疗费用,但对居民的健康状况也有明显的负向影响。
Objective To explore the impact of the social medical insurance co-payment system on medical expenses and the impact on the patient’s health status, and to provide policy recommendations for urban residents’ basic medical insurance. Methods The survey data of urban households in 6 provinces and 13 cities in China were used to carry out T-test and Logistic regression analysis using SPSS 13.0 software. Results Out-of-pocket health care Compared to public health care, health care costs fell by 60.6% and non-health care by 61.4%. The difference of per capita medical expenses under different co-payment system was statistically significant (P <0.05). The difference of co-payment ratio on health status was statistically significant (P <0.05). In addition, the differences of age, sex, education level and income on health status were statistically significant (P <0.05). Conclusion Co-payment system can effectively save medical expenses, but also have a significant negative impact on the health of residents.