School of Insurance and Economics, University of International Business and Economics, Beijing 100029, China.
School of International Trade and Economics, University of International Business and Economics, Beijing 100029, China.
J Environ Public Health. 2022 May 26;2022:5789118. doi: 10.1155/2022/5789118. eCollection 2022.
To make clear what role the Urban and Rural Residents Basic Medical Insurance (URRBMI) plays in the inequality in health and healthcare, this article combines the time-varying DID method with the concentration index to conduct an empirical study. We find that the URRBMI improves health but expands health inequality among different income groups, with its contribution growing over time. Besides, the URRBMI significantly promotes healthcare utilization, reduces the medical burden, and narrows the gap among different income groups, though this effect is generally downward. These findings help clarify what deserves more attention to enlarge benefits and reduce inequality in this medical reform and provide policy implications for policymakers. Increasing investment in medical resources and constructing the hierarchical medical system and medical treatment combination may make a difference.
为了明确城乡居民基本医疗保险（URRBMI）在健康和医疗保健不平等方面的作用，本文结合时变 DID 方法和集中指数进行了实证研究。我们发现，URRBMI 改善了健康状况，但扩大了不同收入群体之间的健康不平等，其贡献随着时间的推移而增长。此外，URRBMI 显著促进了医疗保健的利用，降低了医疗负担，并缩小了不同收入群体之间的差距，尽管这种效应总体上是向下的。这些发现有助于阐明在这项医疗改革中需要更多关注的方面，以扩大其效益并减少不平等，为政策制定者提供了政策启示。增加医疗资源投入，构建分级医疗体系和医疗组合可能会有所帮助。
