首页|综合医疗改革是否促进了家庭消费?——基于准自然实验的证据

综合医疗改革是否促进了家庭消费?——基于准自然实验的证据

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综合医改是深化我国医疗卫生体制改革的主要方向,文章基于2010—2020年中国家庭追踪调查数据,以综合医改试点政策的实施作为准自然实验,采用双重差分法实证检验了综合医改对家庭消费的影响及其作用机制.研究发现,综合医改显著促进了中国家庭的消费支出,并且这一效应对于高社会信任度家庭、中低收入家庭、高社会联系度家庭、有老龄人口的家庭、以互联网为信息渠道的家庭和农村家庭的作用更明显.机制分析表明,综合医改主要是通过降低家庭预防性储蓄、改善家庭健康状况和缓解家庭医疗负担来促进家庭消费.研究认为,政府应利用多种手段加强政策宣传,在提高政策灵活性基础上进一步深入推进综合医改试点,通过完善相关法律法规以约束可能存在的"道德风险"和"逆向选择"问题,并持续加大对弱势群体的医疗帮扶.文章为深入评估综合医改试点政策效果及其微观机制提供了证据,对继续深化医疗卫生体制改革提供了新的思路,并对刺激消费和增加内需提供了政策参考.
Does Comprehensive Medical Reform Boost Household Consumption? Evidence Based on a Quasi-natural Experiment
Consumer spending is the primary driving force behind China's economic growth. However, in recent years, there has been a lower inclination towards consumption among Chinese residents. Con-sequently, there is an urgent need to effectively support household consumption to unleash latent economic growth potential.For a long time, China has faced challenges due to the scarcity and irrational allocation of medical and health resources, leading to difficulties in accessing affordable healthcare. This imposes a substantial financial burden on residents and hampers the consumption capacity of residents. In addressing these issues, the govern-ment has vigorously implemented comprehensive medical reform pilot policies.Based on the data from 2010-2020 China Family Panel Studies, this paper takes the implementation of comprehensive medical reform pilot policies as a quasi-natural experiment and employs a DID approach to empirically test the impact of the comprehensive medical reform on household consumption. The findings in-dicate that the reform significantly stimulates household consumption, with more pronounced effects observed in families characterized by high social trust, medium-to-low income, high social connectivity, the presence of elderly members, reliance on the Internet as an information channel, and those residing in rural areas.Mechanism analysis indicates that the reform primarily promotes household consumption by reducing precautionary savings, improving health conditions, and alleviating medical burden. The results suggest that the government should further deepen the comprehensive medical reform, enhance policy flexibility, and im-prove relevant laws and regulations to restrain moral hazard behavior and support vulnerable groups.This paper not only offers a novel perspective for assessing the comprehensive medical reform, but also plays a catalytic role in propelling further reforms in the healthcare system. Moreover, it holds valuable in-sights for expanding consumption and enhancing domestic demand.

comprehensive medical reformhousehold consumptionprecautionary savingshealth conditionsmedical burden

逯进、王为

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青岛大学经济学院,山东青岛 266061

综合医改 家庭消费 预防性储蓄 健康状况 医疗负担

2024

财经研究
上海财经大学

财经研究

CSTPCDCSSCICHSSCD北大核心
影响因子:3.539
ISSN:1001-9952
年,卷(期):2024.50(5)
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