星云棋牌官网下载

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                        研究影响医疗保险基金支出的人口因素

                        时间:2017-11-27 来源:中国卫生经济 作者:黄阿红,方鹏骞, 本文字数:5885字

                          摘要:目的:研究影响医疗保险基金支出的人口因素, 提出降低医保基金不合理支出的建议。方法:采用灰色关联分析、灰色GM (1, 1) 预测模型和regress多元线性回归模型等方法进行研究。结果:影响医疗保险基金支出的因素是多样的, 其中代表性的人口指标包括参保人数、城镇化率、老年抚养和退休在职比, 其中参保人数的影响程度最大。结论:针对人口老龄化趋势加快、重复参保等现象, 政府需统一医疗保险经办管理, 加强老年长期护理, 为延迟退休政策提供立法保障, 居民需增强预防保健意识等。

                          GUANJIANCI:YILIAOBAOXIAN; YIBAOJIJINZHICHU; RENKOUZHIBIAO; HUISEXITONGLILUN; HUIGUIFENXI;

                        人口学

                        星云棋牌官网下载   Analysis on the Impacts of Demographic Factors on Medical Insurance Fund Expenditure

                          HUANG A-hong FANG Peng-qian SHEN Meng-xue LE Hong

                        星云棋牌官网下载   School of Medicine and Health Management, Tongji Medical College, Huazhong University of Scienceand Technology

                          Abstract:

                          Objective: To analyze the impacts of demographic factors on the growth of medical insurance fund expenditure, so asto provide suggestions to reduce the irrational fund expenses effectively. Methods: Grey relation analysis, grey system GM (1, 1) fore-cast model and regress multiple linear regression were all applied to conduct the empirical research. Results: According to the statisti-cal analysis, participants of medical insurance, urbanization rate, the elderly dependency ratio and retirement on-the-job ratio wererepresentatively factors affecting the fund expenditure. The participants of medical insurance had the greatest impact. Conclusion:With the increasing of social aging degree and the repeated participants of medical insurance and so on, the government should unifythe medical insurance management, promote the long-term care for the elderly and provide legislative protection for the policy of delay-ing retirement. Meanwhile, people needed to enhance their awareness of healthcare prevention.

                          Keyword:

                          medical insurance; medical insurance fund expenditure; demographic indicator; grey system theory; regression analysis;

                          Author: LE Hong, E-mail: ;

                        星云棋牌官网下载   2016NIAN, XIJINPINGZONGSHUJIZAIQUANGUOWEISHENGYUJIANKANGDAHUISHANGTICHU:YAOZHELITUIJINJIBENYILIAOWEISHENGZHIDUJIANSHE, NULIZAIFENJIZHENLIAOZHIDU、XIANDAIYIYUANGUANLIZHIDU、QUANMINYIBAOZHIDU、YAOPINGONGYINGBAOZHANGZHIDUYIJIZONGHEJIANGUANZHIDU5XIANGJIBENYILIAOWEISHENGZHIDUJIANSHESHANGQUDETUPO。QIZHONG, QUANMINYIBAOZHIDUDEHEXINSHIJIBENYILIAOBAOXIANJIJINDEPINGHENGYUNXING。DANCONG2013NIANQI, WOGUOYILIAOBAOXIANJIJINZHICHUDEZENGSUMINGXIANGAOYUJIJINSHOURUZENGSU, BINGQIEWOGUOBUFENDIQUDEYIBAOJIJINYIJINGCHUXIANCHIZI, ERYIBAOJIJINZHICHUDEBUHELIZENGZHANGSHIZAOCHENGCHIZIDEZHUYAOYUANYINZHIYI。BENYANJIUZHIZAIFENXIYINGXIANGYILIAOBAOXIANJIJINZHICHUDERENKOUXUEYINSU。ZHUYAOSHICAIYONGHUISEXITONGFENXI、HUIGUIFENXIDENGFANGFA, CONGDUOGERENKOUXUEZHIBIAOZHONGSHAIXUANCHUYINGXIANGYILIAOBAOXIANJIJINZHICHUDAIBIAOXINGZHIBIAO, GENJUYINGXIANGCHENGDUDAXIAOJINXINGTAOLUNBINGTICHUZHENDUIXINGJIANYI。

                          1 资料与方法

                        星云棋牌官网下载   1.1 ZILIAOLAIYUAN

                          BENYANJIUSUOYONGTONGJIZHIBIAOZHUYAOLAIYUANYULINIAN“ZHONGGUOTONGJINIANJIAN”HE“ZHONGGUOWEISHENGHEJIHUASHENGYUTONGJINIANJIAN”。BUFENTONGJIZHIBIAOGENJUSHANGSHUNIANJIANZHONGDEXIANGGUANZHIBIAOJISUANDECHU。CHUBUXUANQUDEZHIBIAOBAOKUORENKOUZONGSHU、CANBAORENSHU、RENKOUSIWANGLV、ZIRANZENGZHANGLV、LIUDONGRENKOUSHU/ZONGRENSHU、XINGBIEBI、65SUIJIYISHANGRENKOUSHU/ZONGRENKOUSHU、ZONGFUYANGBI、LAONIANFUYANGBI、TUIXIUZAIZHIBI、CHENGXIANGRENKOUBI、CHENGZHENHUALVHECHENGZHENDENGJISHIYELV。

                          1.2 YANJIUFANGFA

                          CHENGZHENZHIGONGJIBENYILIAOBAOXIAN (YIXIAJIANCHENGZHIGONGYIBAO) 、XINXINGNONGCUNHEZUOJIBENYILIAOBAOXIAN (YIXIAJIANCHENGXINNONGHE) HECHENGZHENJUMINJIBENYILIAOBAOXIAN (YIXIAJIANCHENGJUMINYIBAO) DEKAIZHANSHIJIANFENBIESHI1998NIAN、2004NIANHE2007NIAN。BENYANJIUDEYILIAOBAOXIANJIJINZHICHUZHIZHIGONGYIBAO、JUMINYIBAOHEXINNONGHEDANGNIANJIJINZHICHUZONGHE。RENKOUFAZHANBIANQIANDUIYIBAOJIJINZHICHUDEYINGXIANGYANJIUXUYAOYIJIBENYILIAOBAOXIANFUGAIJIAODAFANWEINEIDERENKOU, JIJIAOGAODEYILIAOBAOXIANFUGAILVWEIQIANTI。ZAICHENGZHENJUMINJIBENYILIAOBAOXIANZHANKAIZHIHOU, FUGAIRENQUNHEFUGAIDUIXIANGGENGGUANG, GENJUSHUJUKEDEXINGJIHUOQUBIANLIXING, XUANQU2009—2015NIANDESHUJUJINXINGTONGJIFENXI。YOUYUGEZHIBIAOYANGBENLIANGJIAOSHAOQIEFENBUGUILVBUMINGQUE, BENYANJIUCAIYONGHUISEXITONGLILUNZHONGDEHUISEGUANLIANFENXIHEHUISEGM (1, 1) YUCEMOXINGLAIFENXIYUANSHIMIANBANSHUJU[1], BINGGENJUMOXINGYUCEJIEGUOJINXINGHUIGUIFENXI。

                          1.2.1 HUISEGUANLIANDUFENXI。

                          HUISEGUANLIANDUSHIGENJUQUXIANJIANDEGUANLIANCHENGDUPANDUANYINSUJIANDEXIANGSICHENGDU[1]。SHOUXIANGENJUGERENKOUZHIBIAOYUYIBAOJIJINZHICHUDEZONGHEGUANLIANXISHUZHIDAXIAOJINXINGPAIXU, YI0.55ZUOWEIXIAYUZHI, TICHUGUANLIANXINGBUQIANGDERENKOUXUEZHIBIAO。SHENGYUZHIBIAOZHONG, MOULIANGGEHUOJIGEZHIBIAOSUOJIESHIDENEIRONGKENENGJUYOUXIANGSIXING, WEILEFENXIDEQUANMIANXINGHEDUOYANGXING, PINGJIASHENGYURENKOUZHIBIAOJIANDEGUANLIANDUXISHU。YI0.75ZUOWEISHANGYUZHI, LIANGGEHUOLIANGGEYISHANGZHIBIAOJIANDEGUANLIANXISHUZAI0.75YISHANGDE, SHUOMINGJIESHIDENEIRONGXIANGSI, GUIWEIYILEI, WEIGUILEIDEZHIBIAOZISHENZUOWEIYILEI, ZUIHOUCONGBUTONGLEIBIEZHONGXUANQUYIGEDAIBIAOXINGZHIBIAOJINYIBUFENXI。YIFANGMIANKEYIXIAOCHUBIANLIANGJIANDEGONGXIANXINGDUIZUIHOUTONGJIJIEGUODAILAIDEYINGXIANG, LINGYIFANGMIANLIYUSHAIXUANCHUBUTONGFANGMIANDEZHIBIAOJINXINGQUANMIANFENXI。

                        星云棋牌官网下载   1.2.2 HUISEGM (1, 1) YUCEMOXING。

                          HUISEGM (1, 1) YUCEMOXINGSHIDUIGEZHIBIAODEBIANHUAQUSHIJINXINGNIHEFENXIHEWAITUIYUCE, JIESHIZHIBIAODEBIANHUAGUILVHEFAZHANQUSHI[1]。JIANGSHANGSHUDAIBIAOXINGRENKOUXUEZHIBIAOHEYIBAOJIJINZHICHUJINXINGQUSHINIHE, BINGTONGGUOPINGJUNXIANGDUIWUCHA (AVG) YUHOUYANCHABIZHI (C) PANDUANMOXINGNIHEJIEGUODEJINGDU, ZHIYUEXIAO, BIAOMINGMOXINGNIHEXIAOGUOYUEHAO, KEYONGYUWAITUIYUCE。WAITUIYUCEJIEGUOZENGDALEZHIBIAOYANGBENLIANG, WEIXIAYIBUDUOYUANHUIGUIMOXINGDEGOUJIANDIANDINGJICHU, JIANSHAOYOUYUYANGBENLIANGGUOSHAOERDAOZHIDEFENXIWUCHA。NIHEJIEGUOJINGDUJIANYANJIANBIAO1。

                          表1 精度检验等级参照    

                          1.2.3 DUOYUANXIANXINGHUIGUIMOXING。

                          本研究运用MATLAB统计分析软件中的regress函数构建多元线性回归模型。以医保基金支出作为因变量y, 各代表性人口学指标作为自变量x, 根据原始值与预测值构建的面板数据进行回归分析。为了消除各变量量纲的影响和变量间的异方差, 更清晰的看出影响程度大小, 对数据进行对数化处理。回归假设模型如下:

                          2 结果分析

                          2.1 HUISEGUANLIANFENXIJIEGUO

                          YIBAOJIJINZHICHUYU13GERENKOUXUEZHIBIAODEZONGHEGUANLIANDUFENXIJIEGUOJIANBIAO2。

                          GENJU0.55DEXIAYUZHI, TICHULE5GEGUANLIANDUBUQIANGDEZHIBIAO, JIANGSHENGYU8GEZHIBIAOANGUANLIANXISHUZHICONGXIAODAODAPAIXU:CANBAORENSHU、65SUIJIYISHANGRENKOUSHU/ZONGRENKOUSHU、RENKOUZONGSHU、LAONIANFUYANGBI、CHENGZHENHUALV、TUIXIUZAIZHIBI、CHENGXIANGRENKOUBIHEZIRANZENGZHANGLV。YOUYUSHENGYURENKOUXUEZHIBIAOJIANGUANLIANFENXIJIEGUOJIAOZHANG, BIAO3JINZHANSHILEXIANXINGJIEGUO。

                          GENJUBIAO3ZHONGDEXIANXINGJIEGUO, RENKOUZONGSHUYUZIRANZENGZHANGLV、CANBAORENSHUZHIJIANDEGUANLIANXISHUZHIFENBIESHI0.753、0.750, JIANGRENKOUZONGSHU、CANBAORENSHU、ZIRANZENGZHANGLVGUIWEIDIYILEIBIE。65SUIJIYISHANGRENKOUSHU/ZONGRENKOUSHUYULAONIANFUYANGBIDEGUANLIANZHIWEI0.754, GUIWEIDIERLEIBIE;CHENGXIANGRENKOUBIYUCHENGZHENHUALVDEGUANLIANZHIWEI0.781, GUIWEIDISANLEIBIE。TUIXIUZAIZHIBIZISHENGUIWEIDISILEIBIE。CONG4GELEIBIEZHONGTIAOXUANCHUDEDAIBIAOXINGRENKOUZHIBIAOFENBIESHICANBAORENSHU、LAONIANFUYANGBI、CHENGZHENHUALVHETUIXIUZAIZHIBI。

                          表2 医保基金支出与人口学指标关联分析    

                          表3 剩余人口学指标间综合关联分析    

                        星云棋牌官网下载   2.2 HUISEGM (1, 1) MOXINGNIHEYUYUCE

                        星云棋牌官网下载   GENJUSHANGSHUHUISEGUANLIANFENXIJIEGUO, DUIDECHUDE4GEDAIBIAOXINGRENKOUXUEZHIBIAOHEYIBAOJIJINZHICHUJINXINGQUSHINIHEFENXI, BINGJIANYANNIHEJIEGUOJINGDU。CANZHAOJINGDUJIANYANDENGJIBIAO, JIEGUOJIANBIAO4。

                          表4 医保基金支出和相关人口学指标拟合精度检验    

                          GENJUBIAO4MOXINGNIHEJIEGUODEJIANYAN, YIBAOJIJINZHICHUHE4GEDAIBIAOXINGRENKOUXUEZHIBIAODENIHEJINGDUJUNZAIHEGEYISHANG, SHUOMINGNIHEJIEGUOLIANGHAO, KEYIJINXINGWAITUIYUCE。GEZHIBIAOWAITUIYUCEJIEGUOJIANBIAO5。

                        星云棋牌官网下载   2.3 DUOYUANXIANXINGHUIGUIMOXINGGOUJIAN

                          JIEHEGEZHIBIAO2009—2015NIANYUANSHIZHIYU2016—2020NIANYUCEZHI, YIYIBAOJIJINZHICHUZUOWEIYINBIANLIANGY, CANBAORENSHU (X1) 、CHENGZHENHUALV (X2) 、LAONIANFUYANGBI (X3) 、TUIXIUZAIZHIBI (X4) ZUOWEIZIBIANLIANGGOUJIANJIYUregressDUOYUANXIANXINGHUIGUIMOXING。MOXINGGOUJIANJIEGUORUXIA:

                          表5 医保基金支出和相关人口学指标外推预测    


                        星云棋牌官网下载   QIZHONG, P=0.000<0.05, SHUOMINGGAIMOXINGJUYOUXIANZHUXINGYIYI。JUEDINGXISHUR2=0.901 9, SHUOMING4GEDAIBIAOXINGDERENKOUZHIBIAOKEYIJIESHIYIBAOJIJINZHICHU90.19%DEXINXILIANG。MEIGEZHIBIAODUIYIBAOJIJINZHICHUJUNCHANSHENGZHENGXIANGYINGXIANG, JIZAIBUKAOLVWAIBUQITAYINSUYINGXIANGDEQINGKUANGXIA, CANBAORENSHUZENGJIA、CHENGZHENHUAJINCHENGJIAKUAI、LAOLINGHUAQUSHIJIAZHONG, TUIXIURENYUANZENGDUO, DOUHUIZAIYIDINGCHENGDUSHANGZENGJIAYIBAOJIJINZHICHU, QIZHONGYINGXIANGCHENGDUZUIDADESHICANBAORENSHU, ZUIXIAODESHICHENGZHENHUALV。

                          3 讨论

                          ZAIJIBENYILIAOBAOXIANZHIDUYIJINGGUANGFUGAIDEQINGKUANGXIA, 2009NIANDAO2015NIANCANBAORENSHUDEZENGZHANGLVRENGRANDADAOLE8.20%。YIFANGMIAN, GENJUDASHUFAZE, CANBAORENSHUZONGLIANGDEZENGJIA, YILIAOFUWUXUQIUKUODA, YINQIYIBAOJIJINZHICHUZONGLIANGDEZENGJIASHIHELIDE。LINGYIFANGMIAN, CANBAORENSHUZHONGBAOHANZHONGFUCANBAODERENQUN, ZAICHENGZHENLINGHUOJIUYEDEBUFENRENQUNZHONGZHONGFUCANBAOXIANXIANGYOUWEIPUBIAN, RUNONGCUNJINCHENGWUGONGRENYUAN, ZAICANJIAXINNONGHEDEJICHUZHISHANGKENENGYOUCANJIALEZHIGONGYIBAO, XIANGSHOUSHUANGZHONGDAIYU。JIEZHI2011NIANNIANDI, YOU1 086.11WANRENZHONGFUCANBAO, QIZHONG9.57WANRENZHONGFUBAOXIAOLE1.47YIYUANYIBAOFEIYONG。ZHONGFUCANBAOJIZENGJIALEYIBAOJIJINZHICHU, YEYINGXIANGLEZHIDUGONGPINGXING[2]。

                          CHENGZHENHUALVZHICHENGSHIRENKOUZAIZONGRENKOUZHONGDEZHANBI。WOGUODECHENGZHENHUABAOKUORENKOUCHENGZHENHUAHETUDICHENGZHENHUA[3]。RENKOUCHENGZHENHUASHIYOUYUYUELAIYUEDUONONGCUNJUMINZHUANBIANSHENFENCHENGWEICHENGZHENJUMIN, JIEZHI2015NIAN, WOGUOCHENGXIANGRENKOUBIZENGJIAZHI1.28。RENKOUCHENGZHENHUADAILAILEJUMINCANJIAXIANZHONGDEZHUANBIAN, YOUXINNONGHEZHUANXIANGJUMINYIBAOHUOZHIGONGYIBAO。DABUFENTONGCHOUDIQUJUMINYIBAOHUOZHIGONGYIBAODEBAOZHANGSHUIPINGMINGXIANGAOYUXINNONGHE, ZHEIZAIYIDINGCHENGDUSHANGCIJILEYILIAOXUQIU, ZENGJIALEYIBAOJIJINZHICHU。ERTUDICHENGZHENHUADAILAIGENGDAFANWEINEIWEISHENGFUWUTIXIDEGAISHAN, WEISHENGZIYUANJINYIBUCHENGSHIWAIWEIKUOZHAN, TISHENGLEJUMINJIUYIDEDILIKEJIXING, WEISHENGFUWUXUQIUDEZENGJIA, JIJINZHICHUKUODA[3]。

                        星云棋牌官网下载   LAONIANFUYANGBISHIZHI65SUIYISHANGRENKOUSHUYU15~64SUIRENKOUSHUDEBIZHI, YIBANYONGLAIFANYINGWOGUODERENKOULAOLINGHUACHENGDU。JIEZHI2015NIAN, 65SUIYISHANGLAONIANRENKOUSHU1.44YIREN, ZAIZONGRENKOUSHUZHONGDEZHANBIDADAO10.47%, ERLAODONGRENKOUZHANBIQUECHIXUXIAJIANG, BIAOMINGWOGUOLAOLINGHUAQUSHIYANZHONG。LAONIANRENKOUFABINGLVJIAOGAO, SHIWEIZHONGBINGHEMANXINGBINGDEGAOFARENQUN。SUIZHEWOGUOLAOLINGHUAJINCHENGJIAKUAI, JUMINJIBINGPUJIEGOUFASHENGGAIBIAN, GAOXUEYA、TANGNIAOBINGHECHANGJIANDEXINXUEGUANJIBINGDENGMANXINGBINGCHENGWEIJUMINJIANKANGDEZHUYAO“SHASHOU”。GENJU2013NIANGUOJIAWEISHENGFUWUDIAOCHA, LAONIANRENDEFABINGLVSHIPUTONGQINGNIANRENDE4BEIZUOYOU, MANXINGBINGHUANBINGLVDADAO78.40%, QIZHONGJINYIBANDELAONIANRENHUANYOULIANGZHONGYISHANGDEJIBING[4]。ZHEIXIEMANXINGFEICHUANRANXINGJIBINGDEZHILIAOZHOUQIZHANG, JIBINGYUHOUCHA, YILIAOFEIYONGGAO, JINYIBUJIAJULEYIBAOJIJINZHIFUYALI。

                          TUIXIUZAIZHIBISHIYITUIXIURENYUANSHUYUZAIZHIZHIGONGSHUDEBIZHI。WOGUOZHIGONGYIBAOSHIXING“DANJISHUJIAOFEI”DEFANGSHI, JIZAIZHIRENYUANJIAONAYIBAOFEIYONGERTUIXIURENYUANBUJIAOFEI, DANYUZAIZHIZHIGONGXIANGSHOUTONGDENGDEYIBAODAIYU。ZHEIZHONGJIAOFEIFANGSHISHIDEZHIGONGYIBAODEJIAOFEIRENQUNSUOXIAO, TONGCHOUJIJINSHOURUJIANSHAO, ERXIANGSHOUYIBAODAIYUDETUIXIURENYUANSHUQUEBUDUANZENGJIA。ZHEIXIELITUIXIURENYUANZHANYONGLEGENGDUODEYILIAOZIYUAN, TEBIESHINVXINGZHIGONG, TUIXIUZAOQIEYILIAOXUQIUDA, YILIAOFEIYONGKUAISUSHANGZHANG, DANCHUNYIZAIZHIZHIGONGSUOJIAOYIBAOFEIYONGWEICHIZISHENHETUIXIURENYUANDEYILIAOFEIYONG, YIBAOJIJIN“CHUANDI”FENGXIANJIADA。LINGYIFANGMIAN, GENJUXINWENBAODAO, WOGUOFEIZHENGCHANG“TIQIANTUIXIU”RENYUANZENGDUO, SHENZHIYOUDIQUTIQIANTUIXIURENYUANZHANDAODANGNIANZONGTUIXIURENYUANSHUDE30%[5]。FEIZHENGCHANGDETIQIANTUIXIUXIANXIANGJINYIBUJIAJULEJIJINZHIFUYALI, YEYINGXIANGZHIGONGYIBAOZHIDUDEGONGPINGXING。

                          4 建议

                        星云棋牌官网下载   TONGGUODUITONGJIJIEGUODEFENXI, BENYANJIUFAXIANYINGXIANGYIBAOJIJINZHICHUDERENKOUXUEYINSUZHONGJIYOUZIRANFAZHANYINSU, RUCHENGZHENHUAJINCHENG, RENKOULAOLINGHUAQUSHIDENG, YEYOURENWEIYINGXIANGYINSU, RUZHONGFUCANBAOXIANXIANG、TIQIANTUIXIUXIANXIANGDENG。

                          4.1 TONGYIYIBAOJINGBANGUANLI, TIGAOTONGCHOUCENGCI

                          ZAOCHENGCANBAORENQUNZHONGZHONGFUCANBAODEYUANYINSHIDUOYANGDE, SHOUXIANBUTONGBUMENGUANLIFANGSHIHEXINXIXITONGDEBUTONGYISHIDEXINXIZIYUANWUFAGONGXIANG, NANYIDUIZHONGFUCANBAORENQUNJINXINGSHISHIJIANGUAN。QICI, YIBAODETONGCHOUCENGCIPIANDI, DIYUFENGESHIDEBUTONGQUSHIJIANDECANBAOXINXIYENANYICHUANDI。ZUIHOU, GENJUGUOJIAFALVGUIDING, YUYONGRENDANWEIXINGCHENGLAODONGGUANXIHUOZAICHENGZHENCONGSHIGETIJINGYINGDENGLINGHUOJIUYEDENONGCUNJINCHENGWUGONGRENYUANYOUQUANCANJIAYILIAOBAOXIAN。DANGEDIDEGUIDINGCHAYIJIAODA, JUTISHISHICUOSHIDEHUNLUANYIDINGCHENGDUSHANGFANERWEIZHONGFUCANBAOTIGONGLETIAOJIAN。ZHENDUIZHONGFUCANBAODEXIANXIANG, XUYAOZHIDUDEZHENGHE。DUIYUJINGBANGUANLIQUANDEGUISHU, KEYIJIEJIANFUJIANSANMINGDEJINGYAN, JIANLIYIBAOJIJINGUANLIZHONGXIN, TONGYIJIBENYIBAOJINGBANGUANLI。ERJIBENYIBAOTONGCHOUCENGCIYINGDANGCONGSHIJITONGCHOUZHUBUGUODUDAOSHENGJINAIZHIQUANGUOTONGCHOU, ZAIGENGDAFANWEINEITONGYIYIBAOZHIDUHEYIBAOJINGBANGUANLI, YOUXIAOJIEJUEZHONGFUCANBAOWENTI。

                          4.2 YUFANGWEIZHU, FANGZHIJIEHE

                          JUXIANGGUANTONGJI, YIZHONGJIBINGDEZHILIAOFEIYONGSHIGAIJIBINGYUFANGBAOJIANFEIYONGDEJIN70BEI。QIANQIYUFANGBAOJIANDEDITOURUKEYIYOUXIAOJIANGDIJIBINGHUANBINGFENGXIAN, BIMIANHUOJIANSHAOHOUQIJIBINGZHILIAOFEIYONGDEGAOTOURUHEYIBAOJIJINDEGAOZHICHU。ZHENGFU、YILIAOJIGOUDENGYIFANGMIANXUYAOJIADA“ZHIWEIBING”JIANKANGLINIANHEXIANGGUANZHENGCEDEXUANCHUAN, JIAQIANGJIANKANGJIAOYU, PUJIJIANKANGZHISHI, ZENGQIANGJUMINYUFANGBAOJIANYISHI, LINGYIFANGMIANXUYAORENZHENGUANCHELUOSHI“ZHIWEIBING”JIANKANGGONGCHENG, ZHUTUIZHONGYITESEYUFANGTIXIHESHEQUJIBINGBAOZHANGTIXIJIANSHE, CUJINSHEQUKAIZHANJIANKANGJIAOYU、MANXINGBINGJIANCEJIZHONGYIYANGSHENGDENG。LINGWAI, KEYIJIANGYIBAOBAOXIAOFANWEIYANSHENZHIBUFENYUFANG、BAOJIANXINGDEZHENLIAOXIANGMU, FAHUIYIBAOGERENZHANGHUDEZUOYONG, YUNXUGERENZHANGHUZHONGDEZIJINYONGYUBUFENBAOJIANFUWUXIANGMU, RUJIANKANGTIJIAN、YUFANGJIEZHONGDENG[6]。

                          4.3 JIAQIANGLAONIANZHANGQIHULI, TUIDONGYANCHITUIXIULIFABAOZHANG

                        星云棋牌官网下载   SUIZHEWOGUOLAOLINGHUAJINCHENGDEJIAKUAI, TUIXIURENYUANSHUDEBUDUANLEIJI, YILIAOFUWUXUQIUZONGLIANGJIZENG, JIAZHONGLENIANQINGRENYANGLAOFUDANHEYIBAOJIJINZHIFUYALI。2015NIAN10YUE, 《ZHONGGONGZHONGYANGGUANYUZHIDINGGUOMINJINGJIHESHEHUIFAZHANDISHISANGEWUNIANGUIHUADEJIANYI》ZHONGTICHU, KAIZHANYINGDUILAOLINGHUAXINGDONG, TANSUOJIANLIZHANGQIHULIBAOXIANZHIDU。2016NIAN, SHANGHAI、ZHONGQINGDENGDUOGEDIQUKAIZHANSHIDIANGONGZUO。ZHANGQIHULIBAOXIANZHIDUDEBAOZHANGDUIXIANGYIBANSHIYINSHANGCAN、NIANLAOHUOHUANBINGDAOZHIMOUXIEGONGNENGSANGSHIDERENYUAN。GAIBAOXIANZHIDUWEIQITIGONGYILIAOHULIBAOZHANG, BUCHANGHULIFEIYONG, BAOKUOSHEQUJUJIAHULI、YANGLAOJIGOUHULIHEZHUYUANYILIAOHULIDENGFANGSHI。ZHEISHIYINGDUIRENKOULAOLINGHUADEZHONGYAOCUOSHIZHIYI, JIANSHAOLELAONIANRENTONGGUOZHANGQIZHUYUANJINXINGHULIERZAOCHENGYILIAOZIYUANDELANGFEI, JIANGDIYILIAOFEIYONG, JIANSHAOJIJINZHICHU。2013NIAN, DANGDESHIBAJIESANZHONGQUANHUITICHULE“YANJIUZHIDINGJIANJINSHIYANCHITUIXIUNIANLINGZHENGCE”, 2017NIANYANCHITUIXIUJUTIFANGANCHUTAI, JIHUA2022NIANZHENGSHISHISHI。ZHENDUIYANCHITUIXIUZHENGCE, ZHENGFUBIXUZAIFALVCENGMIANSHANGJIYULIFABAOHU, BAOZHANGLAONIANLAODONGZHEDEHEFAQUANYI。KEYIJINXINGZHUANMENKEXUELIFA, YU《LAODONGFA》、《LAODONGHETONGFA》JI《GONGWUYUANFA》DENGXIANGGUANFALVZHONGGUIDINGDETUIXIUTIAOKUANJINXINGYOUXIAODUIJIE, ZAITUIXIUNIANLING、TUIXIUHOUDEQUANYIBAOZHANG、FALVZERENDENGFANGMIANJINXINGXIANGXIGUIDING[7]。

                          参考文献
                          [1]刘思峰, 杨英杰, 吴利丰, 等.灰色系统理论及其应用 (第七版) [M].北京:科学出版社2014.
                          [2]张国栋, 左停, 徐小言.医疗保险重复参保研究[J].中国卫生经济, 2015, 34 (5) :36-39.
                          [3]徐长生, 张泽栋.城镇化、老龄化及经济发展对我国医疗费用影响回归分析[J].中国卫生经济, 2015, 34 (6) :54-55.
                          [4]国家卫生计生委统计信息中心.2013第五次国家卫生服务调查分析报告[M].北京:中国协和医科大学出版社2015.
                          [5]网易新闻.如何化解“30%提前退休”现象[EB/OL].[2016-05-19].http://news.163.com/17/0509/00/CJV2I1MU000187VG.html
                          [6]蓝英, 柯雄, 李伟, 等.我国医疗保险基金支出的影响因素及建议[J].中国全科医学, 2016 (B12) :261-264.
                        星云棋牌官网下载   [7]郝轶.延迟退休年龄专门立法的必要性研究[J].人力资源管理, 2017 (4) :316-318.

                          黄阿红,方鹏骞,沈梦雪,陈默,乐虹.医疗保险基金支出的人口学影响因素分析[J].中国卫生经济,2018,37(06):33-36.
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