医疗待遇差别对退休职工自评健康水平的影响

The Relationship between the Disparity of Medical Insurance and Health Inequality of Retirees in China

目前,相对于城镇职工医疗保险,公费医疗能够给退休职工提供更好的医疗保障待遇。运用中国健康与养老追踪调查2011年数据,探讨公费医疗和城镇职工医疗保险对退休职工自评健康水平的影响。广义序次逻辑斯蒂回归结果表明,公费医疗比城镇职工医疗保险更能显著地提高退休职工健康自评水平。这表明,长期以来的公费医疗和城镇职工医疗保险在医疗保障领域的制度分割确实在退休职工的自评健康水平上产生了差异性结果。

Compared with urban employee basic medical insurance, free medical service provides better health care for retirees. Based data from China Health and Retirement Longitudinal Study, this study explores the relationship between the form of health insurance （free medical service and urban health insurance） and retirees＇ self-assessment of their health. Results of Generalized Ordered Logit Regression Models show that retirees who enjoy free medical service have a far better evaluation of their health than those with urban employee basic medical insurance. These findings demonstrate that the dual-track system in China does impact retirees＇ self-assessment of their health.