首页|综合医疗制度改革对中国家庭财务脆弱性的影响

综合医疗制度改革对中国家庭财务脆弱性的影响

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健康风险作为背景风险的重要组成部分,会给一般家庭造成明显的财务脆弱性.医疗制度作为重要的社会保障基础,可以为家庭提供关键的健康保障,从而有效缓解家庭财务脆弱性.引入2010-2020年中国家庭追踪调查数据(CFPS),构建准自然实验研究体系,采用双重差分法检验了综合医改政策对家庭财务脆弱性的影响特征及其作用机制.研究发现,综合医改政策的实施显著缓解了家庭财务脆弱性,并且这一效应在城镇家庭、有老年人的家庭、儿童健康风险高的家庭、弱社会网络家庭、使用互联网的家庭以及社会信任度高的家庭中表现更加明显.同时,综合医改政策可以通过降低家庭医疗负担、提升家庭劳动参与、改变家庭风险态度等途径缓解家庭财务脆弱性.本文为评估综合医改政策及其对家庭财务影响的有效性提供了新视角,为进一步从微观层面深化医疗卫生体制改革提供了重要的政策启示.
The Impact of Comprehensive Healthcare System Reform on the Financial Fragility of Chinese Households
As an important component of background risk,health risk can cause significant financial vulner-ability to the general household.The medical system,as an important social security foundation,can provide critical health protection for families,thereby effectively alleviating their financial vulnerability.Using data from the China Household Tracking Survey(CFPS)from 2010 to 2020,this paper constructs a quasi natural experimental research system,and uses the double difference method to test the impact characteristics and mechanism of comprehensive healthcare reform policies on household financial vulnerability.Research has found that the implementation of comprehensive healthcare reform policies has significantly alleviated the financial vulnerability of households,and this effect is more pronounced in urban households,households with the elderly,households with high risk of children's health,households with strong social networks,households using the Internet,and households with high social trust.Meanwhile,comprehensive healthcare reform policies can alleviate family financial fragility through three ways:reducing family medical burden,increasing family labor participation,and changing family risk attitudes.The paper provides a new perspec-tive for evaluating the effectiveness of comprehensive healthcare reform policies,providing important policy insights for further deepening healthcare system reform at the micro level.

medical systemhealth riskscomprehensive medical reformhousehold financial fragility

逯进、张倬赫

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青岛大学经济学院(山东 青岛 266071)

医疗制度 健康风险 综合医改 家庭财务脆弱性

2024

中国地质大学学报(社会科学版)
中国地质大学

中国地质大学学报(社会科学版)

CSTPCDCSSCICHSSCD北大核心
影响因子:1.69
ISSN:1671-0169
年,卷(期):2024.24(3)
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