首页|收入分配、商业医疗保险和医药创新——基于美国的经验分析

收入分配、商业医疗保险和医药创新——基于美国的经验分析

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本文探讨了收入分配对医药创新发展的影响,并阐释了商业医疗保险的影响机制.基于2013-2020年美国51个州和地区的面板数据,通过门槛效应模型和机制检验程序进行实证检验.研究发现:(1)收入分配与医药创新之间存在着倒"N"型非线性的影响关系.(2)在收入分配影响医药创新的路径中,商业医疗保险的发展是影响机制之一.(3)不同的收入水平对医药创新的作用不同,表现出门槛效应:过大的收入差距抑制医药创新,跨过第一个门槛后,适度的收入差距将该效应由负转正;经过第二个门槛后,收入差距过小也将对医药创新产生负面影响.这是由于收入差距对商业医疗保险的影响也存在着相似的两个门槛.研究结论经过内生性分析和稳健性检验后依然成立.研究结论可以为防止收入差距扩大、扩大中等收入群体比重以实现对商业医疗保险的购买,形成创新药物的有效需求等政策制定提供证据支撑,对推进医药创新在我国的发展具有一定的启示意义.
Income Disparity,Private Health Insurance and Medical Innovation——Based on the Empirical Evidence Analysis of the United States
This article explores the impact of income disparity on the development of medical innovation and proves the mechanism effect of private health insurance.Based on the panel data of 51 provinces in the United States from 2013 to 2020,the study finds several conclusions through threshold effect model mechanism testing procedures and for empirical testing.(1)There is an inverted'N'type nonlinear impact relationship between income disparity and medical innovation;(2)In the path of income distribution affecting medical innovation,the development of private health insurance is one of the influencing mechanisms;(3)Under different income disparity levels,income disparity has different effects on medical innovation,which is manifested as a threshold effect.After the first threshold,the effect turns from negative to positive,and after the second threshold,the effect turns to negative again.It is due to that there is also a threshold effect between income disparity and private health insurance.The research conclusion is still valid after endogenous analysis and robustness test.The research conclusions can provide evidence support for policy recommendations such as facing the positive social significance of income disparity,driving middle income groups to purchase private health insurance,and forming effective demand for innovative drugs.It has important reference value for enlarging the middle-income class group to promote the development of medical innovation in China.

income disparityprivate health insurancemedical innovationthreshold effect

康蕊、朱恒鹏

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中国社会科学院社会发展战略研究院

中国社会科学院经济研究所

收入差距 商业医保 医药创新 门槛效应

中国社会科学院"青启计划"资助国家社会科学基金青年项目

2024QQJH16120CRK012

2024

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CHSSCD
影响因子:0.339
ISSN:2095-5073
年,卷(期):2024.(1)
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