| 引用本文：和红,段颖,张良文,等.大病保险能否纾解中老年健康贫困多维动态追踪与健康需求收入弹性的调节效应[J].中国卫生政策研究,2026,19(1):66-75 |
|
| 大病保险能否纾解中老年健康贫困多维动态追踪与健康需求收入弹性的调节效应 |
| 投稿时间：2025-10-30 修订日期：2026-01-18 PDF全文浏览 HTML全文浏览 |
| 和红1,2,3，段颖1,2，张良文4，方亚4 |
| 1中国人民大学人口与发展研究中心 北京 100872;2中国人民大学人口与健康学院 北京 100872;3中国人民大学健康科学研究所 北京 100872;4厦门大学公共卫生学院老年健康研究中心 卫生技术评估福建省高校重点实验室 福建厦门 361100 |
| 摘要:目的 从多维视角综合评估我国中老年人健康贫困状况，精准识别大病保险的减贫效应。方法 基于中国健康与养老追踪调查2011—2020年五期数据，采用A-F法测度中老年人多维健康贫困；运用多时点双重差分法评估政策实施前后中老年人多维健康贫困是否存在差异及其群体异质性；并引入健康需求收入弹性指标，检验其对政策效果的调节作用。结果 2011—2020年，中老年人多维健康贫困指数从0.434下降至0.091，多维健康贫困状况显著改善；大病保险使中老年人的多维健康贫困发生率显著降低7.20%，且对东部地区、农村户籍及资产规模较高群体的减贫效应更高。健康需求收入弹性对大病保险的减贫效应具有正向调节作用。结论与建议：大病保险在改善中老年人多维健康贫困中具有一定的作用。建议强化对弱势地区的政策倾斜以促进健康机会公平，关注居民不同层次的健康需求以优化政策设计，助力消除老年健康贫困。 |
| 关键词:城乡居民大病保险 健康贫困 收入弹性 中老年人 |
| 基金项目:教育部人文社会科学青年基金项目（24YJC840049）；福建省自然科学面上基金项目（2024J01044） |
|
| Can urban and rural residents' critical illness insurance alleviate health poverty among middle-aged and elderly individuals：Multi-dimensional dynamic tracking and the modulating effects of health demand income elasticity |
| HE Hong1,2,3, DUAN Ying1,2, ZHANG Liang-wen4, FANG Ya4 |
| 1China Population and Development Research Center， Renmin University of China， Beijing 100872， China;2School of Population and Health， Renmin University of China， Beijing 100872， China;3Institute of Health Sciences， Renmin University of China， Beijing 100872， China;4Center for Geriatric Health Research， School of Public Health， Xiamen University； Fujian Provincial Key Laboratory of Health Technology Assessment， Xiamen Fujian 361100， China |
| Abstract:Objective To assess multidimensional health poverty among middle-aged and elderly individuals in China， and to accurately identify the poverty-reduction effects of critical illness insurance.Methods Using 2011—2020 data from the China Health and Retirement Longitudinal Study， we measured multidimensional health poverty via the A-F method. A Time-varying Difference-in-difference approach was employed to evaluate policy impacts and heterogeneity， while income elasticity of health demand was tested as a moderator.Results From 2011 to 2020， the multidimensional health poverty index decreased significantly from 0.434 to 0.091， indicating improvement in multidimensional health poverty. Critical illness insurance substantially reduced the incidence of multidimensional health poverty in this group by 7.20%， with the strongest poverty reduction effects observed in eastern regions， among rural households and among individuals with higher asset levels. Health demand income elasticity positively moderated the poverty reduction effect of critical illness insurance. Conclusions and suggestions： Critical illness insurance plays a role in alleviating multidimensional health poverty among middle-aged and elderly individuals. It is recommended that policies favor disadvantaged regions to promote equitable access to health opportunities and address residents' health needs at different levels to optimize policy design and contribute to the elimination of health poverty among the elderly. |
| Key words:Urban and rural residents' critical illness insurance Health poverty Income elasticity Middle-aged and elderly population |
| 摘要点击次数: 60 全文下载次数: 40 |
|
|
|
