| The medical service safeguard horizontal disparity of the urban and rural residents has been expanded by the dualized medical security system for a long time. Along with the reform of national medical and medicine system and advancement of the new rural construction, plans the urban and rural social security especially medical insurance as a whole turns into the particular request and inevitably step of that plan the urban and rural development and the new rural socialism construction as a whole, which is also a important task in the urban and rural integrated process. Establishes the urban and rural unification and cover all country, especially the rural resident's medical service system, since the most important, is also difficult. The instauration of national synthesis coordinated reforms pilot area in Chengdu city provides chances that plan the urban and rural medical care insurance system reform of as a whole.This article profits from the healthy risk management theory, the public goods supply theory, under the precondition of summary of new rural cooperatives medical insurance, the township dwellers basic medical insurance, and the argument of plans the urban and rural residents medical insurance and so on, the article research the domestic urban and rural residents basic medical insurance experiment unit situation, as well as the content and implementation of Chengdu urban and rural residents basic medical insurance system.The Urban and rural residents for basic medical insurance in Chengdu is divided three levels. Funding standard of the first level is 100 yuan each person per year, the second level is 200 yuan each person per year, the third level is 300 yuan each person per year. The baseline data comes from Wenjiang, Shuangliu and Jintang County's 369 insured residents governed to Chengdu City. We used the multi-nominal logistic analysis method, and choose the level of insured residents as the dependent variable. The independent variable sums up four kinds. living conditions characteristic variables include the distance, urban or rural, region code, individual healthy characteristic variables include the big sickness or severe wound, health conditions from comment, policy influence variables include factors, policy knowing, individual essential feature variables conclude logarithm of income, healthcare disbursement, family scale, education. We Choose logarithm of half year charges for medicine disbursement as the dependent variable, use the single dependent variable multi-factor variance analysis method, the analysis the baseline data, to research the urban and rural difference, the region difference, the scale difference of the resident basic medical insurance demand.This research's main result and the conclusion are as follows:The income, healthcare disbursement and family scale in individual essential feature variables, distance in living conditions characteristic variables, policy knowing in the policy influence variables and so on four variables have the remarkable influence to the resident who chooses the second level of the medical insurance. Family scale in individual essential feature variables, big sickness or the severe wound in individual healthy characteristic variables, distance, urbal or rural in living conditions characteristic variables, policy knowing in the policy influence variables and so on five variables have the remarkable influence to the resident who choose the second level of the medical insurance.The majority of countryside insured resident's insurance level is level one an d level two, the township resident's insurance level is level two and level three primarily. Countryside insured resident family's half year charges for medicine differenced by big sickness or severely wounded, family scale, distance; township area insured resident family's half year charges for medicine differenced by the state of health, the big sickness or severely wounded, the distance.The urban and rural insured resident in Jintang County have an insurance level by level one primarily, auxiliary by level two, the level three participants are few. Shuangliu County and Wenjiang county, for the reason of the policy limit, only involves level two and level three, but through the comparative analysis, two places are still by level two primarily, what is different is that the Wenjiang county's level two and level three insured difference is not big.The urban and rural insured resident's insurance level are level two and level three primarily, level three is for auxiliary. The half year charges for medicine of resident who select the level one differenced by the state of health, the big sickness or severely wounded, the family scale, who select the level two differenced by the city or countryside, policy knowing, the big sickness or severely wounded, the family scale, distance, who select the level three differenced by the state of health, big sickness or severely wounded. |
