首页|长期护理保险制度的共同富裕效应:基于照护决策与风险分担视角

长期护理保险制度的共同富裕效应:基于照护决策与风险分担视角

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长期护理保险是健全国家社会保障体系的重要制度安排,从"增收"与"分配"两大维度探讨其对共同富裕的影响具有重要现实意义.本文基于单一家庭决策理论构建家庭效用最大化模型,并运用双重差分法分析中国长期护理保险试点政策对家庭收入的因果效应.研究发现,长期护理保险会引起试点地区家庭收入水平显著上升.其作用机理在于,试点政策通过挤出家庭照护、创造就业岗位发挥了增收效应,具体表现为延长劳动时间和拓宽就业渠道.上述效应在收入损失和医疗支付风险程度越高的家庭中越显著.进一步分析发现,试点政策的风险分担功能发挥了显著的分配效应,能够有效缩小城乡之间、群体之间与地区之间的收入差距.本文为推进社会保障制度建设、实现共同富裕战略目标提供了政策启示.
The Common Prosperity Effect of Long-term Care Insurance System:From the Perspective of Family Care Decision and Risk Diversification
Long-term care insurance(LTCI)is an important institutional arrangement designed to improve the social security system in China.Analysing its impact on common prosperity from an income growth and distribution perspective is of practical significance.Drawing on the unitary household decision-making theory,this paper constructs a household utility maximization model,and uses the difference-in-differences technique to identify the causal effect of the LTCI pilot policy in China on household income.The results demonstrate that LTCI leads to a significant increase in household income level in pilot areas,and the mechanism of this effect lies in the fact that the LTCI pilot policy exerts an income-increasing impact by crowding out family care and creating job opportunities,which is manifested in the extension of labour hours and the expansion of employment channels.This effect is more pronounced in households that face increased risks in income loss and medical payments.A more detailed analysis reveals that the risk diversification function of the LTCI pilot policy has a profound distributional effect and can effectively reduce the urban-rural,inter-group and regional income gap.In short,the paper provides policy inspiration to promote the construction of the social security system and achieve the strategic goal of common prosperity.

social security systemcommon prosperitylong-term care insurancehousehold income

陈飞、王若同

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东北财经大学经济学院 辽宁省大连市沙河口区尖山街217号 116025

社保制度 共同富裕 长期护理保险 家庭收入

国家自然科学基金教育部人文社会科学研究项目

7227301822YJA790005

2024

世界经济
中国世界经济学会,中国社会科学院世界经济与政治研究所

世界经济

CSTPCDCSSCICHSSCD北大核心
影响因子:2.733
ISSN:1002-9621
年,卷(期):2024.47(4)
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