首页|我国长期护理保险制度的福利效应研究——基于CFPS数据的实证分析

我国长期护理保险制度的福利效应研究——基于CFPS数据的实证分析

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在人口老龄化程度不断加深、失能老年人规模日益扩大的背景下,探索建立长期护理保险制度是解决失能老年人照护问题的重要制度安排.本文基于2016年、2018年和2020年三期CFPS面板数据,以我国第一批长期护理保险制度试点作为自然实验,采用双重差分法研究长期护理保险制度对老年人主观及客观福利的影响.研究发现:(1)主观福利方面,长期护理保险制度的实施显著提升了参保老龄群体的获得感、幸福感和安全感.(2)客观福利方面,一方面,长期护理保险制度的实施能够在不减少代际情感联系的前提下,显著减轻子女对父母的代际转移支付压力;另一方面,可以通过显著降低住院费用和自付医疗费用实现医疗控费.(3)调节效应显示,失能等级较高的参保人受益更多.(4)异质性分析表明,相对于非农业户口群体和城镇职工群体,长期护理保险制度改善福利的效果对农业户口和城乡居民群体更加明显.总的来说,长期护理保险制度会使得包括被照护者和照护者在内的所有家庭成员受益,而且对不同群体的政策效果差异明显,这对我国后期制度的完善和推广具有一定现实意义.
Analysis on the Welfare Effect of Long-term Care Insurance System in China——An empirical research based on CFPS data
With the deepening of population aging and the expanding scale of the disabled elderly,it is an important institutional arrange-ment to establish a long-term care insurance(LTCI)system to solve the problem of caregiving for the disabled elderly.This paper used DID model to estimate the impacts of long-term care insurance on the subjective well-being and objective welfare for the elderly by utilizing the panel data of the China Family Panel Studies(CFPS)2016-2020 and regarding the first batch of LTCI system pilots in China as a quasi-natural experiment.The results show that:(1)In terms of subjective welfare,the implementation of LTCI system has significantly improved the sense of gain,happiness,and security of the insured elderly;(2)In terms of objective welfare,on the one hand,children's pressure of intergenerational transfer payments to parents has been significantly relieved without reducing the emotional connection between children and their parents.On the other hand,medical expenses have been controlled by significantly reducing hospitalization expenses and out-of-pocket medical expenses.The moderating effect shows that participants with higher levels of disability benefit more.Further heterogeneous analysis results indicate that,compared with the non-agricultural Hukou group and urban employees,the effect of LTCI system on improving welfare is more obvious on the agricultural Hukou group as well as urban and rural residents.In general,LTCI system can benefit all family members including the care re-cipients and caregivers;meanwhile,the policy effects on different groups are hugely different,which has certain practical significance for the im-provement and promotion of the system in the future.

long-term care insurance systemsubjective well-being,objective welfare,PSM-DID

郭金龙、马凤娇、宛乐天

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中国社会科学院研究生院

中国社会科学院金融研究所

中国社会科学院保险与经济发展研究中心

中国社会科学院大学

北京大学经济学院

法国KEDGE高等商学院

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长期护理保险制度 主观福利 客观福利 PSM-DID

中国社科院大学研究生科研创新支持计划

2022-KY-124

2024

价格理论与实践
中国价格协会

价格理论与实践

CSTPCDCHSSCD北大核心
影响因子:0.54
ISSN:1003-3971
年,卷(期):2024.(2)
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