中国代际间向老年父母的转移动机：高医疗支出的后果。
The motives of intergenerational transfer to the elderly parents in China: consequences of high medical expenditure.
机构信息
China Academy of Public Finance and Public Policy, Central University of Finance and Economics, Beijing, China.
出版信息
Health Econ. 2014 Jun;23(6):631-52. doi: 10.1002/hec.2943. Epub 2013 May 16.
The support for the elderly is facing big challenges with the problem of population aging. Transfers from adult children could partly insure elderly parents against low income and high medical expenditure. There are two main motives for transfers in the literature, namely altruism and exchange. By using data from a new household survey of people aged 45 years and above in China, we estimate the transfer derivatives with the adjustment of medical expenditure in elderly parents' income. We find a large negative impact of adjusted income on transfers at the lower end of income distribution, which is consistent with the altruistic motive. Evidence on the exchange motive is found only for sons, but not for daughters. In addition, there is evidence on the 'exchange-for-service' motive, which interprets transfer as a payment to parents' family services, such as taking care of grandchildren.
随着人口老龄化问题的出现，老年人的赡养问题面临着巨大的挑战。子女的赡养可以在一定程度上确保老年父母不因收入低和医疗支出高而陷入困境。文献中有两种主要的赡养动机，即利他主义和交换。本文利用中国一项针对 45 岁及以上人群的新家庭调查数据，通过调整老年父母收入中的医疗支出，对赡养转移进行了估计。我们发现，在收入分配较低端，调整后的收入对赡养的影响很大，这与利他主义动机一致。只有在儿子身上发现了交换动机的证据，而在女儿身上则没有。此外，还有证据表明存在“交换服务”动机，即把赡养看作是对父母家庭服务的支付，例如照顾孙辈。
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