流动人口重复参保现状及其影响因素研究

Analysis of duplicate health insurance enrolment status and influencing factors among migrants

目的 :了解重复参保现状及其影响因素。方法 :使用2014年国家卫生计生委流动人口动态监测数据,采用二分类logistic回归分析方法,对影响乡-城流动人口重复参保的因素进行分析。结果 :(1)全国重复参保率为5.5%,且存在较大地区差异,可能受到不同地区经济状况和流动人口参加城市医疗保险政策的影响;(2)重复参保率与社会经济状况正相关(收入、教育和职业),与人口学特征无关;(3)流动时间越长、打算在城市长居的人群,重复参保率高。结论 :建议统一医保管理体制,建立统一参保信息平台,完善流动人口流入地和流出地的信息衔接,避免重复参保现象。

Objective： To reveal the status and related factors of duplicate health insurance enrolment. Methods： Binary logistic regression was used for analysis based on the 2014 National Internal Migrant Population Dynamic Monitoring Survey. Results： （ 1 ）The nationwide duplicate health insurance enrolment rate was 5.5%. However, the rates varied across regions, which might be affected by the economic status and the urban health insurance policy for the migrants. （ 2 ） Duplicate health insurance enrolment was positively correlated with social economic factors （ including income, education and occupation ）, but it was not related to demographic characteristics. （ 3 ）SignifiCantly higher duplicated heahh insurance enrolment rates could be detected among the migrants who had a long floating time and those who had intention to settle down. Conclusion： It is suggested that nationwide health insurance management system and information platform be established and the information of migrants＇ health insurance enrolment be shared between their hometowns and living cities.