医学与社会2024,Vol.37Issue(10) :68-76.DOI:10.13723/j.yxysh.2024.10.011

基本医疗保险实际报销比例对我国老年人家庭非医疗消费支出的影响机制

Influence Mechanism of Actual Reimbursement Ratio of Basic Medical Insurance on Non-medical Consumption Expenditure of Elderly Households in China

胡培杰 王一伊 李勇
医学与社会2024,Vol.37Issue(10) :68-76.DOI:10.13723/j.yxysh.2024.10.011

基本医疗保险实际报销比例对我国老年人家庭非医疗消费支出的影响机制

Influence Mechanism of Actual Reimbursement Ratio of Basic Medical Insurance on Non-medical Consumption Expenditure of Elderly Households in China

胡培杰 1王一伊 1李勇1
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作者信息

  • 1. 中国药科大学国际医药商学院,江苏南京,211198
  • 折叠

摘要

目的:分析基本医疗保险实际报销比例对我国老年人家庭非医疗消费支出的影响机制,为进一步完善我国基本医疗保险制度和发展银发经济提供参考.方法:利用2020 年中国家庭追踪调查数据,通过多重线性回归模型分析基本医疗保险实际报销比例对我国老年人家庭年非医疗消费支出和家庭消费相对剥夺程度的影响,并运用中介效应模型及分组回归分别探究该影响的潜在机制和异质性.结果:当我国老年人基本医疗保险的实际报销比例提高 1%,其家庭用于非医疗消费的支出额将显著增加 0.148%(β=0.148,P<0.01),能够缓解老年人家庭的消费相对剥夺水平(β=-0.045,P<0.01).结论:老年人基本医疗保险实际报销比例的提高能够对我国老年人家庭的非医疗消费支出产生促进效应,有助于缓解其消费相对剥夺水平,降低其不平等性.未来应该持续优化责任均衡的多元筹资结构,保证对基本医疗保险的财政投入和资金补贴,适当提高基本医疗保险保障水平,以改善居民消费能力,增进民生福祉.

Abstract

Objective:To analyze the influence mechanism of the actual reimbursement ratio of basic medical insurance on the non-medical consumption expenditure of elderly households in China,so as to provide reference for further improving China's basic medical insurance system and developing the silver economy.Methods:Based on the data of China family panel survey in 2020,the multiple linear regression model was used to analyze the impact of the actual reimbursement ratio of basic medical insurance on the annual non-medical consumption expenditure and the relative deprivation degree of household consumption of the elderly in China,and the mediating effect model and group regression were used to explore the potential mechanism and heterogeneity of the impact.Results:When the actual reimbursement ratio of the basic medical insurance for the elderly in China increases by 1%,the household expenditure on non-medical consumption will increase significantly by 0.148%(β=0.148,P<0.01),which can allevi-ate the relative consumption deprivation level of the elderly family(β=-0.045,P<0.01).Conclusion:The increase in the actual reimbursement ratio of basic medical insurance for the elderly can promote the non-medical consumption expenditure of the elderly families in China,which is helpful to alleviate the relative deprivation level of consumption and reduce its inequality.In the future,we should continue to optimize the multi-financing structure of balanced responsibility,ensure financial investment and financial subsidies for basic medical insurance,and appropriately improve the level of basic medical insurance protection,so as to improve the consumption capacity of residents and enhance the well-being of people's livelihood.

关键词

基本医疗保险/报销/非医疗消费支出/老年人

Key words

Basic Medical Insurance/Reimbursement/Non-medical Consumption Expenditure/Older Adult

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基金项目

教育部人文社会科学研究青年基金项目(19YJC790070)

江苏省教育厅高校哲学社会科学专题研究项目(2022ZTYJ03)

江苏省社科联江苏省社科应用研究精品工程课题(22SYA-009)

出版年

2024
医学与社会
华中科技大学同济医学院

医学与社会

CSTPCDCHSSCD北大核心
影响因子:1.178
ISSN:1006-5563
参考文献量22
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