Does Integration of Medical Insurance Reduce the Medical Burden of Poor Urban and Rural Residents? ——Analysis Based on the Difference in Difference Method

›› 2018, Vol. 34 ›› Issue (8): 22-31.

Previous Articles Next Articles

Does Integration of Medical Insurance Reduce the Medical Burden of Poor Urban and Rural Residents? ——Analysis Based on the Difference in Difference Method

LIU Li¹, LIN Haibo²

1. Wealth Management Institute,Ningbo Dahongying University, Ningbo 315175, China;
2. Business School, Dalian University of Foreign Languages, Dalian 116044, China

Received:2017-12-16 Online:2018-08-10 Published:2018-08-23

医保一体化降低了健康状况不佳城乡居民的医疗负担吗？——基于分位数倍差法的分析

刘莉¹,林海波²

1.宁波大红鹰学院财富管理学院,浙江宁波 315175;
2.大连外国语大学商学院,辽宁大连 116044

作者简介:刘莉(1964-),女,陕西西安人,宁波大红鹰学院财富管理学院教授;林海波(1971-),男,辽宁大连人,大连外国语大学商学院副教授,通讯作者。
基金资助:
浙江省哲学社会科学研究基地规划重点课题(16JDGH008);宁波市软科学项目(2015A10038)

Abstract

Abstract: Based on the two tracking panel data of CHARLS in 2011 and 2013, this paper uses the difference in difference method to examine the impact of integration of medical insurance on the original high medical burden groups and the gap of burden between them and the other groups. The results show that medical insurance integration reduces the medical burden of the whole group compared with the new rural cooperative medical insurance and residents' medical insurance, but the decline in the medical expenditure ratio of the original high-burden group is smaller than that of the other groups. Although the economic performance of the new rural cooperative medical system based on the actual medical expenditure and the incidence of serious illness expenditure is not significant, if it can improve the health performance and the degree of protection of the beneficiaries, the policy effect is also desirable.

Key words: Medical Burden Equalization, Health Performance, Policy Evaluation

摘要： 基于CHARLS 2011年和2013年近邻两期跟踪面板数据,本文运用分位数倍差法考察医保一体化对于原有高医疗负担群体的影响以及和其他群体的差距变化。结果表明:医保一体化较之新农合和居民医疗保险降低了整个收益群体的医疗负担,但原有高负担群体的医疗支出收入比的降幅小于其他群体。虽然以实际医疗支出和大病支出发生率为评价指标的新农合经济绩效并不显著,但是如果能够提高参保受益人群的健康绩效和保障程度,则政策效果也是合意的。

关键词: 医疗负担均等化, 健康绩效, 政策评估

CLC Number:

C913

LIU Li, LIN Haibo. Does Integration of Medical Insurance Reduce the Medical Burden of Poor Urban and Rural Residents? ——Analysis Based on the Difference in Difference Method[J]. , 2018, 34(8): 22-31.

刘莉,林海波. 医保一体化降低了健康状况不佳城乡居民的医疗负担吗？——基于分位数倍差法的分析[J]. 财经论丛, 2018, 34(8): 22-31.

References

[1] 欧阳志刚. 农民医疗卫生支出影响因素的综列协整分析[J]. 世界经济, 2007, (9): 47-55.
[2] 汪德华, 张琼. 公共医疗保险与居民医疗负担——全球视野下的中国“全民医保”[J]. 南京大学学报(哲学·人文科学·社会科学), 2008,(6):30-39.
[3] 金春林,王力男, 李芬. 上海市卫生总费用来源法与机构法核算结果差异原因分析[J]. 中国卫生经济, 2013, 32(8): 14-16.
[4] 王新军, 郑超. 医疗保险对老年人医疗支出与健康的影响[J]. 财经研究, 2014,(12): 65-75.
[5] 罗丽娟. 现行医疗保障体制下我国居民医疗保健支出的研究[D]. 成都:西南财经大学博士学位论文, 2012.
[6] 程令国, 张晔.“新农合”: 经济绩效还是健康绩效?[J]. 经济研究, 2012,(1): 120-133.
[7] 陈华,邓佩云.城镇职工基本医疗保险的健康绩效研究——基于 CHNS 数据[J]. 社会保障研究, 2016,(4): 44-52.
[8] 许玲丽.社会统筹支付在居民终生医疗支出中的分担作用研究——对城镇职工基本医疗保险政策的实证研究[J]. 世界经济文汇, 2011, (2): 69-86.
[9] 赵绍阳. 我国城镇医疗保险制度改革的实证研究[D]. 成都:西南财经大学博士学位论文, 2011.
[10] 贺小林. 我国城镇居民基本医疗保险政策分析与制度完善——基于9个试点城市调查数据的实证研究[D]. 上海:复旦大学博士学位论文, 2013.
[11] 胡宏伟, 张澜, 李佳怿,等.城镇居民基本医疗保险会加重老年人医疗负担吗?——基于家庭医疗负担的制度评价[J]. 老龄科学研究, 2015,(4): 51-61.
[12] Lin W, Liu G. G., Chen G. The Urban Resident Basic Medical Insurance: A Landmark Reform Towards Universal Coverage in China[J]. Health Economics, 2009, 18(S2): S83-S96.
[13] 刘国恩, 蔡春光, 李林.中国老人医疗保障与医疗服务需求的实证分析[J]. 经济研究, 2011,(3): 95-107.
[14] Wagstaff A., Yip W., Lindelow M., et al. China's Health System and Its Reform: A Review of Recent Studies[J]. Health economics, 2009, 18(S2).
[15] Brown P. H., Theoharides C. Health-seeking Behavior and Hospital Choice in China's New Cooperative Medical System[J]. Health Economics, 2009, 18(S2): S47-S64.
[16] 封进, 刘芳, 陈沁.新型农村合作医疗对县村两级医疗价格的影响[J]. 经济研究, 2010,(11): 127-140.
[17] 段婷, 高广颖,沈文生,等.新农合大病保险制度受益归属与实施效果分析——以吉林省为例[J]. 中国卫生政策研究, 2014, 7(11): 43-47.
[18] 薛琴枝.我国农村居民医疗消费的实证研究[D]. 南京:南京农业大学博士学位论文, 2009.
[19] 张琳.我国新型农村合作医疗实施效果的实证研究[D]. 济南:山东大学博士学位论文, 2013.
[20] 廖庆阳.新型农村合作医疗对农村居民医疗支出的作用以及农村居民参合的影响因素研究[D]. 上海:复旦大学博士学位论文, 2014.
[21] 方黎明.新型农村合作医疗和农村医疗救助制度对农村贫困居民就医经济负担的影响[J]. 中国农村观察, 2013,(2): 80-92.
[22] 陈庆锟, 毛阿燕,代涛.新型农村合作医疗制度对农村居民医疗负担的影响研究[J]. 中国卫生经济, 2014, (4): 46-48.
[23] 于洗河, 陈微, 赵磊,等.基于“低自付”政策的医保费用分析[J]. 中国卫生经济, 2015,(5): 32-35.
[24] 马超,赵广川,顾海. 城乡医保一体化制度对农村居民就医行为的影响[J]. 统计研究, 2016,(4): 78-85.

Does Integration of Medical Insurance Reduce the Medical Burden of Poor Urban and Rural Residents? ——Analysis Based on the Difference in Difference Method

医保一体化降低了健康状况不佳城乡居民的医疗负担吗？——基于分位数倍差法的分析

PDF

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 4

Recommended Articles

Metrics

[1]	LV Ying, LI Huiyi, CHEN Shu. Environment Uncertainty, Female Directors and Executive Internal Pay Gap [J]. Collected Essays on Finance and Economics, 2022, 38(8): 91-101.
[2]	SHAO Peizhang, ZHANG Mengwei. Will People Do More Charity Online?——An Empirical Research of “Internet+Charity” Mode's Effect on People's Charity Behaviors [J]. , 2019, 35(6): 94-103.
[3]	. Study on the relationship between employee assistance programs, work family conflict and employee turnover intention [J]. , 2016, 32(4): 90-97.
[4]	. Future Expectation and Household Asset Allocation Affected by Social Insurance——empirical study based on the survey forShanghai residents [J]. , 2015, 31(9): 27-33.