Can Co-payment for Outpatient Alleviate the Relative Poverty among the Old?The Empirical Evidence from Chinese Longitudinal Healthy Longevity Survey
Implementing the policy of co-payment for outpatient is an inherent requirement for China to deepen the reform of the medical security system and consolidate the achievements of complete poverty alleviation.The propensity score matching(PSM)approach and mediating effect model are used to explore the impact and mechanism of co-payment for outpatient on the relative poverty among the old population from two dimensions of relative poverty incidence and poverty vulnerability based on the data of Chinese Longitudinal Healthy Longevity Survey(CLHLS)from 2018.The relative poverty line is calculated by 50%of the median per capita household income and the results show that co-payment for outpatient reduces the relative poverty and poverty vulnerability among older adults by 4.3%and 2.2%,respectively.Mechanism analysis show that co-payment for outpatient alleviates the relative poverty by improving physical and mental health performance.Moreover,co-payment for outpatient can alleviate relative poverty and poverty vulnerability to a greater extent among the rural and the female older adults,can alleviate the relative poverty among the unhealthy groups,and can alleviate the poverty vulnerability among the healthy groups.The efforts should be made to in the following four aspects to achieve the poverty reduction effect of co-payment for outpatient among the elderly:broaden the funding channels for basic medical insurance,optimize the outpatient policies on chronic and special diseases,play the leverage role of medical insurance payment and enhance the health literacy of older adults.
Co-payment for outpatientRelative povertyPoverty vulnerabilityHealth performance
万方数据
