我国城镇职工医保缴费负担的地区差异研究

A Study of Regional Difference of China's Urban Workers Medical Insurance Payment Burden

我国低统筹层次的医疗保险制度与劳动人口流动日益增加的现象不相适应,并对各地区城镇职工医保基金的收支平衡产生影响。目前,中西部地区的城镇职工医保缴费负担要显著重于东部地区。通过利用2002-2012年省级面板数据,实证研究了城镇职工医保缴费负担地区差异的影响因素。结果表明,参保人口的老龄化程度、人均医疗支出水平是导致区域间不公平性的主要因素。为改善这一问题,我国应尽快提高城镇职工医保的统筹层次。

The low overall plan level of health insurance system is already incompatible with the increasing labor populationflow,which will affect the balance of medical insurance fund for urban workers in each area. At present,the burden ofmedical insurance payment in central and western area is heavier than the eastern area. Based on the provincial panel datafrom 2002 to 2012,the paper makes an empirical study on the influence factors of regional differences in the medical insur-ance payment burden. Result shows that the aging degree of insured population and personal health expenditures are themain causes of regional unfairness. In order to solve the problem,the government should improve the overall level of medi-cal insurance for urban workers as soon as possible.