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昆明市城镇职工医疗保险微观模拟模型的构建
李玲,贾建海,熊林平,龚明星,马修强,胡克坚,孟虹
0
(第二军医大学卫生勤务学系卫生统计学教研室,上海,200433;昆明市劳动和社会保障局,昆明,650000)
摘要:
目的:探讨微观分析模拟模型在昆明市医疗保险基金趋势预测中的应用.方法:以SAS8.2为平台,利用计算机仿真技术和ARENA仿真软件,构建昆明市城镇职工医疗保险微观分析模拟模型.结果:昆明市城镇职工医疗保险微观分析模拟模型构建分为4个步骤:(1)明确模拟目标;(2)构造微观数据文件;(3)模型系统设计与编程;(4)程序运行与结果预测.系统主要由状态子模型、行为子模型、政策子模型构成.结论:本模型是一个基本符合昆明近期参保职工类别分布的模型,模拟结果可以反映出近期医保政策执行的效果.
关键词:  微观分析模拟模型、医疗保险、统筹基金、预测
DOI:10.3724/SP.J.1008.2006.00987
投稿时间:2006-07-03修订日期:2006-07-10
基金项目:昆明市协作课题.
Construction of microsimulation model of urban employees' medical insurance in Kunming city
LI Ling,JIA Jian-hai,XIONG Lin-ping,GONG Ming-xing,MA Xiu-qiang,HU Ke-jian,MENG Hong
(第二军医大学卫生勤务学系卫生统计学教研室,上海,200433;昆明市劳动和社会保障局,昆明,650000)
Abstract:
Objective: To discuss the application of microsimulation model in forecasting the change of medical insurance risk-pooling fund in Kunming city. Methods.. Taking the SASS. 2 software as the platform, we constructed a microsimulation model for urban employees' medical insurance in Kunming city using computer simulation technology and ARENA simulation software. Results: The construction process included 4 steps: (1) to confirm the simulation object; (2) to construct the micro data file; (3) to design the system and to program; (4) to run the program and forecast the result. The system mainly consisted of population status module,action module and policy module. Conclusion: The present model complies with the latest type distribution of employees in Kunming, and its simulation result can reflect the effectiveness of medical insurance policy in recent years
Key words:  microanalysis simulation model  medical insurance  risk pooling fund  forecast