| 摘要: |
| 目的：为了探求人口老龄化对我国医保支出的作用机理和影响关系进而提出医疗保险的改进策略。方法：基于2005-2015年全国31个省市多项相关指标构建了结构方程模型。结果：人口老龄化对医疗保险基金的间接影响效应高于直接影响，医疗费用支出对医疗保险基金的影响程度最大，人均GDP与医疗保险基金之间存在作用与反作用的关系，其中医疗保险基金对人均GDP的反作用程度高于人均GDP对医疗保险基金的作用。 结论：政府应从区别构建多层次的适合老年人的疾病防控模式、进一步加大政府对医疗保险的财政补贴力度和继续完善医疗保障的覆盖面，进一步健全医疗保险筹资机制等方面进行中国医疗保险基金可持续运行的推进。 |
| 关键词: |
| DOI： |
|
| 基金项目: |
|
| ? A Study on the Mechanism and Path of Population Aging to Medical Insurance fund |
|
| () |
| Abstract: |
| Objective: To explore the mechanism and influence of population aging on medical insurance expenditure in China and put forward the improvement strategy of medical insurance. Methods: Constructed the structural equation model based on some related indicators in 31 provinces and cities of China from 2005 to 2015.Results: Firstly, the indirect effect of population aging on medical insurance fund is higher than the direct; secondly, medical expenses have the most influence degree to medical insurance fund; thirdly, there are action and reaction between per capita GDP and medical insurance fund , while the reaction is more stronger. Conclusion: The government should construct a multi-level mode of disease prevention and control, further increase the government fiscal subsidies for medical insurance, improve the care coverage, and improve the financing mechanisms to develop the sustainable operation of medical insurance fund in China. |
| Key words: |
