城乡居民医保整合对老年人口多维相对贫困的影响——基于CHALRS两期面板数据的实证分析
The Impact of a Unified Urban and Rural Basic Medical Insurance System on the Multidimensional Relative Poverty of the Elderly Population:Empirical Analysis Based on Panel Data of CHALRS
谢明明 1何可欣2
作者信息
- 1. 郑州大学商学院,河南郑州 450001
- 2. 南开大学金融学院,天津 300350
- 折叠
摘要
利用中国健康与养老追踪调查(CHALRS)两期面板数据,运用"A-F"双界限法测度老年人口多维相对贫困状况,采用倾向得分匹配-双重差分模型(PSM-DID),实证检验城乡居民医保整合对老年人口多维相对贫困的政策效应.研究发现:城乡居民医保整合政策的实施显著抑制了老年人口多维相对贫困,且对自评不健康老年人口的减贫效应更明显;通过中介效应模型进行机制检验表明,城乡居民医保整合通过"增收减贫"和"促健减贫"的中介渠道,抑制了老年人口多维相对贫困的发生.对策建议:推动医保统筹和防贫工作相结合,因地制宜推进医保整合并逐步提升城乡居民医保统筹层次,提高老年人口医疗服务可及性.
Abstract
Using panel data from China Health and Retirement Longitudinal Study(CHALRS)and the"A-F"double boundary method,we measured the multidimensional relative poverty status of the elderly population.The PSM-DID was used to empirically test the policy effect of a unified urban and rural basic medical insurance system on the multidimensional relative poverty of the elderly population.The result shows that a unified medical insurance system significantly suppresses multidimensional relative poverty among the elderly population,and has a more significant poverty reduction effect on the"self-rated unhealthy"older adults.A mechanism analysis through an intermediary effect model shows that a unified system has suppressed the occurrence of multidimensional relative poverty among older people through intermediary channels such as"increasing income to reduce poverty"and"promoting health to reduce poverty".Countermeasures and suggestions are proposed:integrating medical insurance unification and poverty prevention;promoting urban-rural medical insurance unification on the basis of local conditions,and gradually improving the level of unification;improving the accessibility of medical services for older persons.
关键词
城乡居民医保整合/多维相对贫困/老年人口Key words
establish a unified urban and rural basic medical insurance system/multidimensional relative poverty/elderly population引用本文复制引用
出版年
2024
NETL
NSTL
万方数据