Study on some factors influencing the financial balance of health insurance scheme

健康保险计划财务平衡影响因素研究

• 批准号: 58440036
• 负责人: AOYAMA Hideyasu
• 金额: $ 9.28万
• 依托单位: Okayama University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for General Scientific Research (A)
• 财政年份: 1983
• 资助国家: 日本
• 起止时间: 1983 至 1985
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-58440036/
• 关键词: Health Insurance Scheme; financial balance; Indicator; 保健施設費; 財政窮迫組合

The Health Insurance Scheme for the whole Japanese population started in 1961. The scheme consists of many different schemes, reflecting the fact that the Japan's social insurance system has developed on a group-by-group basis centering on the insured's working place. Among them, the Society-managed Health Insurance has been finacially better-managed than the others.This study disucussed on the factors influencing the financial balance of 1570 societies in this scheme from 1974 to 1981, by analyzing 20 of 213 items obtained from the report on a financial balance.The results are summarized as follows.1) The ordinary finacial balance of each society is influenced by both "the type of enterprise" and "the type of society", while the former is more influential than the latter.2) According to the result of the correlation analysis among the factors, "the mean age of the insured persons" shows a high correlation not only with "the ordinary finacial balance of each society" but also with many other factors.3) "The number of insured persons" has not directly influenced "the ordinary financial balance of each society", but shows the finacial stability of the society.4) To show the synthetical character of each society, such factors as "the average monthly standard salary of the insured persons","the type of enterprise", "the type of society" and "the number of insured persons" are adequate in respecting of the total finacial balance.5) In excluding the confounding factors in the analysis, it can be demonstrated the fact that "the average monthly standard salary of the insured persons" and "the mean age of the insured persons" have a significant influence statistically on "the ordinary financial balance of each society".A comparative study between well-managed societies and poor societies in financial difficulties was conducted and some indicators reflecting a finacial management of a society were demonstrated.

1961年开始实施面向日本全体人口的健康保险计划。该计划由许多不同的计划组成，反映了日本的社会保险制度是以被保险人的工作地点为中心，在逐个群体的基础上发展起来的。本文对1974 ~ 1981年1570个参加健康保险的社团的财务收支状况进行了分析。本文通过对一份财务收支报告中213个项目中的20个项目的分析，得出以下结论：1）各社会的一般财政收支状况受“企业类型”和“社会类型”的共同影响，但前者的影响大于后者。2）根据各因素之间的相关分析结果，“参保人平均年龄”不仅与“各社会一般收支平衡”相关性高，而且与其他诸多因素相关性也高。3）“参保人数”对“各社会一般收支平衡”没有直接影响，4）为了反映社会的综合特征，“参保人员月平均标准工资”、“企业类型”、“社会保障水平”、“社会保障水平”“社会类型”和“被保险人人数”足以反映总的财政平衡。5）在分析中排除混杂因素后，从统计学上可以看出，“被保险人平均月标准工资”和“被保险人平均年龄”对“社会一般收支”有显著影响。管理型社会和经济困难的贫困社会进行了比较，论证了反映社会财务管理的一些指标。

项目成果

Japanese Journal of Hygiene. 41-1. (1986)

日本卫生杂志。

Japanese Journal of Hygiene. 39-1. (1984)

日本卫生杂志。