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The Research on Demand of Urban and Rural Residents for Basic Medical Insurance in Chengdu

Author: LiMinMin
Tutor: JiangYuanSheng
School: Sichuan Agricultural University
Course: Agricultural Economics and Management
Keywords: Basic medical insurance for urban and rural residents Insurance Requirements Insured grade
CLC: F842.6
Type: Master's thesis
Year: 2010
Downloads: 235
Quote: 0
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Abstract

For a long time, dualistic urban and rural medical insurance system level of medical care led to the widening gap. With the national healthcare reform and the promotion of new rural construction, urban and rural social insurance, especially health insurance to become urban and rural development and the construction of a new socialist countryside and the inevitable requirement necessary step in the process of urban-rural integration is also an important task . Establishment of a unified, covering all its citizens, especially in rural areas of medical security system, both the most important, but also the most difficult. Chengdu national comprehensive reform pilot area of ??the establishment of urban and rural medical insurance system reform as a good opportunity. This reference health risk management theory, public goods theory, summarized the new rural cooperative medical insurance, basic medical insurance for urban residents, urban and rural residents in health insurance debate and other related information under the premise of the domestic urban and rural residents in the basic medical insurance pilot program, and Chengdu, the basic medical insurance system for urban and rural residents in the content and implementation of the status quo. Chengdu urban and rural residents in the basic medical insurance is divided into three grades, the first tranche of funding standard 100 yuan / person / year, the second tranche of funding standard 200 yuan / person / year, the third tranche of funding standard 300 yuan / person / year. In this study, under the jurisdiction of Wenjiang District, Chengdu, Shuangliu County, Jintang County 369 insured residents were surveyed using multivariate logistic analysis method, select residents insured grade as the dependent variable. Explanatory variables grouped into four categories, including distance, urban and environmental features such as variable life, serious illness injuries, health and other individual health self-assessment characteristic variables, policies and other policies affecting variable degree of knowledge, income, half drugs, family size, years of education, etc. basic characteristics of the individual variables. Select drug spending six months as the dependent variable, the use of a single variable and multi-factor analysis of variance, analysis of research data, the basic medical insurance needs of residents in urban and rural differences, regional differences, differences in grade. The main results and conclusions of the study are as follows: (a) the basic features of the individual variable income, half drugs, living environment characteristic variable distance, and policy implications of a policy variable degree of awareness of the residents and other four variables to select the second grades of basic medical insurance have a significant impact. Basic characteristics of the individual variables in family size, the individual characteristic variables of ill health injuries, characteristics of the living environment variable distance, urban and rural, policy influence policy variable degree of awareness of the residents and other five variables selected third grade with health insurance significant impact. (2) the insured rural residents to a file and the two files are mostly urban places second gear and third gear based. Half of households in rural areas, differences in drugs by the illness seriously injured, family size, due to differences in the distance; half of urban households by the difference between drugs health illness injuries, due to differences in the distance. (3) Jintang County urban and rural residents insured to a file, supplemented by second gear, third gear participants rarely; Shuangliu County and Wenjiang District due to policy restrictions involving only two stalls and stalls, but can be drawn through a comparative analysis , the two files are still two main different is Wenjiang district enrollment ratio in second gear and third gear is not very different. (4) the insured rural residents and two files with a file-based, supplemented by third gear. Select a file households difference six months by the health status of drugs, serious illness injuries, due to differences in family size; choose two files households by the semi-urban and rural differences in drug costs, policy awareness degree, serious illness seriously injured, family size, distance Differences due; half of households selected third gear by the health status of different drugs, serious illness or serious injury due to differences.

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