DISTRIBUTION OF MEDICAL INSURANCE IN CHINA
DISTRIBUTION OF MEDICAL INSURANCE IN CHINA
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DOI：
10.1016/0277-9536(94)00420-x
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发表时间：
1995-10-01
影响因子：
5.4
通讯作者：
GE, KY
中科院分区：
文献类型：
--
作者：
HENDERSON, G;JIN, SG;GE, KY
本文利用1989年对中国8省近16,000人进行的家庭调查资料，对影响中国医疗保险覆盖率分布的因素进行了研究。双变量分析的结果表明，医疗保险的覆盖面，非常广泛的定义，有很大的差异，个人和地区的特点。年龄、性别、教育程度、职业、就业部门、城市化程度、工商业发展水平和省份都与是否投保有关。此外，我们发现，人们可以获得的保险计划的类型也因这些因素而异，而看似统一的公共和工人计划提供的福利也各不相同，特别是各省和城市发展程度。当在逻辑回归分析中将个人和区域变量放在一起考虑时，在统计上与投保可能性最密切相关的因素是一个人的工作地点和居住地点。中国的保险福利分配似乎导致了一种模式，即农村和穷人往往面临很大的疾病风险，不太可能获得医疗保险。
This paper investigates factors related to the distribution of medical insurance coverage in China, using information from an eight-province household survey of almost 16,000 individuals, conducted in 1989. Results of bivariate analyses show that medical insurance coverage, defined very broadly, varies considerably by individual and regional characteristics. Age, gender, education, occupation, employment sector, urbanization, level of industrial and commercial development, and province are all related to being insured or not. In addition, we find that the type of insurance program available to people varies by these same factors, and that the benefits provided by the seemingly uniform public and worker programs also vary, especially by province and degree of urban development. When the individual and regional variables are considered together in logistic regression analyses, the factors most strongly statistically related to the likelihood of being insured are where one works and where one lives. The distribution of insurance benefits in China appears to result in a pattern in which the rural and the poor, who are often at great risk of illness, are less likely to have medical insurance.