城乡医疗保障一体化的群众意愿及影响因素研究

A Study on the Insured' Will and Influence Factors for the Integration of Urban and Rural Medical Security

本文基于2009年课题组对东莞、太仓、成都、西安四地调研数据,对城乡医疗保障一体化背景下的群众意愿及其影响因素进行深入考察和分析。研究显示,参保人的知识层次和当地经济的发达程度是影响群众整合意愿的两个主要因子。其中,参保人的知识层次对整合意愿有负向影响,经济发达程度对整合意愿有正向影响。在城乡医疗保障一体化的推进过程中,一方面,各地政府应量力而行,选择与地方经济发展水平和财政实力相适应的方式;另一方面,城乡医疗保障制度的整合要保证各个群体受益均衡,各方利益不受损害。

Based on the survey data from Dongguan, Taicang, Chengdu and Xi＇an in 2009, this paper studies the insured＇ will and influence factor for the integration of urban and rural medical insurance. Studies show that the insured＇s knowledge level and local economic development level is the two main factors which influencing the insured＇s will. The former has a negative effect, while the latter has a positive effect. In the process of the integration of urban and rural medical insurance, on the one hand, local governments should do according to their abilities, and select the way which suits economic development level and financial strength. On the other hand, the integration of urban and rural medical security system should ensure benefit-equilibrium for each group.