| 引用本文：郭庆, 吴忠.城乡居民医保制度统筹会产生促健防贫效用？——基于PSM-DID方法的研究[J].中国卫生政策研究,2020,13(7):7-14 |
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| 城乡居民医保制度统筹会产生促健防贫效用？——基于PSM-DID方法的研究 |
| 投稿时间：2020-04-20 修订日期：2020-06-14 PDF全文浏览 HTML全文浏览 |
| 郭庆1, 吴忠2 |
1. 上海工程技术大学管理学院 上海 201620;
2. 上海理工大学管理学院 上海 200093 |
| 摘要:目的：考察城乡居民医保制度统筹带来的健康绩效和防贫绩效。方法：采用2014年和2016年两期中国劳动力动态调查（CLDS）平衡面板数据，分别选用自评健康状况和贫困脆弱性指标衡量个体健康水平和贫困风险抵御能力，使用倾向得分匹配双重差分法分析城乡医保制度统筹的促健防贫效用。结果：基准回归结果和稳健性分析都表明，城乡医保制度统筹能够显著提升个人的健康水平和贫困风险抵御能力；异质性分析发现，城乡医保制度统筹对流动人口并无显著有效的促健防贫效用。结论：城乡医保制度统筹工作的推进应促进区域间和人群间的医疗服务资源合理配置，实现健康平等；施行健康防贫政策；以健康为导向，完善多层次医疗保障体系。 |
| 关键词:城乡医保制度统筹 健康绩效 防贫绩效 贫困脆弱性 PSM-DID模型 |
| 基金项目:国家社会科学基金项目（16ASH013）；国家社会科学基金项目（16BJY001） |
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| Will overall planning of urban and rural health insurance systems have effect on health promotion and poverty alleviation: Research based on PSM-DID method |
| GUO Qing1, WU Zhong2 |
1. School of Management, Shanghai University of Engineering and Technology, Shanghai 201620, China;
2. School of Management, University of Shanghai for Science and Technology, Shanghai 200093, China |
| Abstract:Under the background of healthy China strategy and post-poverty alleviation era, in order to investigate the health performance and poverty prevention performance brought about by the coordination of urban and rural medical insurance system, this paper uses the balanced panel data of China Labor Force Dynamic Survey (CLDS) conducted during the period from 2014 to 2016, selects self-rated health status and poverty vulnerability indicators to measure individual health level and poverty risk resistance ability, and analyzes the health promotion and poverty alleviation effectiveness of the overall planning of urban and rural medical insurance systems using the propensity score (PS) and the matching double difference (DID) methods. The benchmark regression results and robust analysis showed that the overall planning of urban and rural medical insurance system can significantly improve the individual's health status and poverty risk resistance ability. Heterogeneity analysis also found that, for the floating population, the overall planning of urban and rural medical insurance system has no significant effect on health promotion and poverty alleviation. Based on this, the promotion of urban and rural medical insurance system should promote the rational allocation of medical service resources among regions and people to achieve health equity; implement health and poverty alleviation policies, and enhance the health-oriented multi-level medical security system. |
| Key words:Overall planning urban and rural medical insurance Health performance Poverty alleviation performance Poverty vulnerability risk PSM-DID method |
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