摘要
目的:探讨医疗保障对于流动人口居留意愿的影响,并进一步检验医疗服务利用、健康水平的中介效应,从而为流动人口居留意愿的提升机制提供数据及路径支撑。方法:基于2018年中国流动人口动态调查数据(CMDS)中的53921例样本,采用SPSS 21.0展开社会人口学特征对流动人口居留意愿的卡方检验分析,采用AMOS 24.0纳入医疗保障、医疗服务利用、健康水平、流动人口居留意愿4个潜变量,构建结构方程模型并检验。结果:年龄、学历、民族可影响流动人口居留意愿。医疗保障可直接正向预测流动人口居留意愿(β=0.37,P<0.001)。医疗服务利用、健康水平在医疗保障及居留意愿间可起到单独中介作用(β1=0.549,β2=0.171,P<0.001)及链式中介作用(β=0.024,P<0.001);结论:医疗保障不仅对流动人口居留意愿起到直接预测作用,还通过医疗服务利用、健康水平的单独中介及医疗服务利用—健康水平链式中介对其产生间接预测作用。
The purpose is to discuss the influence of medical security on the migrants residence willingness,and to further test the intermediary effect of medical service utilization and health level,so as to provide data and path support for the improvement mechanism of the migrants willingness to reside.Methods:Based on 53921 samples of China s Migrants Dynamic Survey(CMDS)in 2018,SPSS 21.0 was used to test the residence willingness of migrants.A structural equation model was built and tested integrating four latent variables of medical security,medical service utilization,health level and migrants residence intention into AMOS 24.0.Results:Age,educational background and ethnic group can affect the residence intention of migrants.Medical security can directly predict the residence willingness of the migrants(β=0.37,P<0.001).Medical service utilization and health level can play a separate intermediary role between medical security and residence intention(β1=0.549,β2=0.171,P<0.001),and chain mediation effect(β=0.024,P<0.001);Conclusion:Medical security not only directly predicts migrants willingness to reside,but also indirectly predicts it through the independent intermediary of medical service utilization,health level,and medical service utilization-health level chain intermediary.
作者
王焱
王艺桥
霍京京
WANG Yan;WANG Yi-qiao;HUO Jing-jing(School of Management,Beijing University of Chinese Medicine,Beijing 100029,China;School of Mathematics and Physics,Hebei University of Engineering,Handan Hebei 056009,China)
出处
《中国卫生政策研究》
CSCD
北大核心
2023年第5期41-46,共6页
Chinese Journal of Health Policy
基金
2020年国家自然科学基金面上项目(12071048)。
关键词
流动人口
医疗保障
居留意愿
结构方程模型
Migrants
Medical security
Willingness to reside
Structural Equation Model(SEM)
