摘要
基于2011—2020年31个省份的面板数据,构建指标体系对基本医疗保险高质量发展进行评价。在此基础上,用Dagum基尼系数和Kernel密度估计法研究基本医疗保险高质量发展的地区相对差异和地区绝对差异的分布动态演进,并通过二次指派程序检验地区差异的形成机理。结果表明:2011—2020年,31个省份的基本医疗保险高质量发展指数均有较大程度的提升,但省际差异明显;基本医疗保险高质量发展的地区相对差异变小,地区间差异是基本医疗保险高质量发展总体差异的主要来源;基本医疗保险高质量发展的绝对差距呈扩大态势;覆盖全民、统筹城乡、可持续性三方面差异对基本医疗保险高质量发展地区差异有显著影响。由此,提出加强顶层设计、培植财源、建立基本医疗保险协调联动机制、深入实施区域协调发展战略、引导资金和技术向欠发达地区倾斜、推行先进的理念与经验、优化基本医疗保险基金管理模式等建议。
Based on the panel data of 31 provinces from 2011 to 2020,an index system is constructed to evaluate the high-quality development of basic medical insurance.On this basis,the Dagum Gini coefficient and Kernel density estimation method are used to study the dynamic evolution of regional relative difference and regional absolute difference in the high-quality development of basic medical insurance,and the formation mechanism of regional difference is tested by the Quadratic Assignment Procedure.The results show that from 2011 to 2020,the high-quality development index of basic medical insurance in 31 provinces has increased to a large extent,but the inter-provincial differences are significant.The regional relative difference of high-quality development of basic medical insurance get smaller,and the regional difference is the main source of the overall difference of high-quality development of basic medical insurance.The absolute gap of high-quality development of basic medical insurance is widening.The differences in universal coverage,urban-rural coordination and sustainability have a significant impact on the regional differences in the high-quality development of basic medical insurance.Therefore,recommendations are proposed to strengthen top-level design,cultivate financial resources,establish a coordinated mechanism for basic medical insurance,deeply implement the strategy of coordinated regional development,guide funds and technologies toward less developed regions,promote advanced concepts and experiences,and optimize the management mode of basic medical insurance funds.
作者
贾洪波
蔡瑶瑶
汤梓童
JIA Hongbo;CAI Yaoyao;TANG Zitong
出处
《社会保障研究》
CSSCI
北大核心
2023年第6期3-19,共17页
Social Security Studies
基金
国家社会科学基金重大项目“人口增长趋势的经济社会影响及应对研究”(22&ZD195)
中央高校基本科研业务费项目“医疗保障在实现共同富裕中的发展思路和实施路径”(YWF-22-W-126)研究的阶段性成果。
关键词
基本医疗保险
地区差异
动态演进
Kernel密度估计
高质量发展
basic medical insurance
regional differences
dynamic evolution
Kernel density estimation
high quality development
