健康发展与政策研究2025，Vol.28Issue(5)：552-558,7.DOI:10.12458/HDPR.202410107
基于多元身份认证的医保家庭共济服务模式对儿童门诊服务利用和医疗费用的影响研究
The impact of a family mutual-aid medical insurance system based on multiple identity authentication on children's outpatient service utilization and medical cost
摘要
Abstract
Objective To analyze the impact of the"One-Code for Children's Medical Care"family mutual-aid medical insurance system,based on multiple identity authentication on children's outpatient service utilization and healthcare costs,providing references for the promotion of similar innovative service models.Methods Endocrinology patients were selected as the study subjects.All their outpatient visit data,from one year before intervention to one year after the intervention,were collected through the hospital's information system.A combination of propensity score matching(PSM)and difference-in-differences(DID)analysis was applied.Patients were divided into three groups:an intervention group that participated in basic medical insurance and joined the family mutual-aid system,and Control Group 1,who only participated in basic medical insurance,and Control Group 2,who did not participate in basic medical insurance.Results After joining the family mutual-aid system,pediatric patients experienced an average increase of 1.094 outpatient visits per year,and a 32.8%increase in outpatient costs.Compared with self-paying patients,the increases were 1.815 visits and 51.0%,respectively.Furthermore,a seasonal analysis indicated no significant changes in outpatient visits and costs in spring.However,costs decreased in summer,while both visit frequency and costs significantly increased in autumn and winter.Conclusion The"One-Code for Children's Medical Care"family mutual-aid system,based on multiple identity authentication,effectively increased children's outpatient visits and medical costs,thereby enhancing healthcare engagement and compliance for chronic disease patients.关键词
家庭共济/医疗保险/个人账户/多元身份认证/儿科医疗服务/医疗费用Key words
family mutual aid system/medical insurance/personal accounts/multiple identity authentication/pediatric healthcare/medical costs分类
预防医学引用本文复制引用
刘心怡,李国红,魏明月,高春辉..基于多元身份认证的医保家庭共济服务模式对儿童门诊服务利用和医疗费用的影响研究[J].健康发展与政策研究,2025,28(5):552-558,7.基金项目
国家自然科学基金项目(72293585,72404183) （72293585,72404183）
上海交通大学中国医院发展研究院定向委托项目(CHDI-2023-D-13) （CHDI-2023-D-13）
上海交通大学中国医院发展研究院科研课题计划资助(CHDI-2024-C-12) （CHDI-2024-C-12）
