| 引用本文：张航空, 马琦峰, 李慧慧.城乡居民医保、老年人健康与医疗服务利用——来自五期CLHLS数据的证据[J].中国卫生政策研究,2023,16(9):56-63 |
|
| 城乡居民医保、老年人健康与医疗服务利用——来自五期CLHLS数据的证据 |
| 投稿时间：2023-06-19 修订日期：2023-07-26 PDF全文浏览 HTML全文浏览 |
| 张航空1, 马琦峰1, 李慧慧2 |
1. 中国人民大学人口与发展研究中心/交叉科学研究院 北京 100872;
2. 首都经济贸易大学劳动经济学院 北京 100070 |
| 摘要:医疗保险作为我国社会保险制度的重要组成部分，其能否有效改善参保人的健康水平及医疗服务利用状况一直是国内外学者们争论的焦点。本研究基于2005—2018年中国老年健康影响因素跟踪调查的五期平衡面板数据，运用固定效应模型等方法，分析城乡居民医保对参保老年人健康水平及医疗服务利用状况的影响。研究发现，参加城乡居民医保并不能有效改善老年人的健康水平，但却可以改善他们的医疗服务利用状况，且对身体健康状况出现恶化的老年人影响更大。除此之外，本文并未发现支持城乡居民医保影响存在滞后的证据。基于此，本文认为我国城乡居民医保制度的实际效果与其预期目标间仍存在一定的差距。在我国医保扩面工作已取得长足进展的基础上，未来我国的城乡居民医保制度建设应将重心转移至进一步提高保障水平、实现可持续发展上，提升城乡居民医保的综合待遇，重视发挥医保的疾病预防功能。 |
| 关键词:城乡居民医保 老年人健康 医疗服务利用 |
| 基金项目:国家社会科学基金重大项目(20&ZD173) |
|
| Medical insurance for urban and rural residents, health and utilization of medical services for the elderly: Evidence from CLHLS data |
| ZHANG Hang-kong1, MA Qi-feng1, LI Hui-hui2 |
1. Population Development Studies Center, School of Interdisciplinary Studies, Renmin University of China, Beijing 100872, China;
2. School of Labor Economics, Capital University of Economics and Business, Beijing 100070, China |
| Abstract:Being an important part of China's social insurance system, whether medical insurance can effectively improve the health level of the insured and the utilization of medical services has been intensively discussed among scholars at home and abroad. Based on the five-phase balanced panel data of the Chinese Longitudinal Healthy Longevity Survey from 2005 to 2018, the effects of the medical insurance for urban and rural residents on the health level and medical service utilization of the insured elderly are analyzed by the time-fixed effect model and other methods. The study shows that participating in medical insurance for urban and rural residents does not effectively improve the health level of the elderly, but improves their utilization of medical services, and it effects greater on the elderly whose have deteriorating health conditions. In addition, the paper does not find evidence to support the lag effect of the impact of medical insurance. Therefore, the paper argues that there is still a certain gap between the actual effect of the medical insurance system for urban and rural residents and its expected goals. Given that great progress has been made in expanding the coverage of medical insurance, the construction of the medical insurance system for urban and rural residents in the future should shift the focus to further improving the level of protection and achieving sustainable development, improving the comprehensive treatment of rural residents' medical insurance, and attaching importance to the disease-prevention function of medical insurance. |
| Key words:Medical insurance for urban and rural residents Elderly health Utilization of medical services |
| 摘要点击次数: 1183 全文下载次数: 378 |
|
|
|
|
|
