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退休对医疗保健利用的影响:来自中国的证据。

The effect of retirement on healthcare utilization: Evidence from China.

机构信息

CentER, Tilburg University, the Netherlands.

Netspar, Tilburg University, the Netherlands.

出版信息

J Health Econ. 2018 Nov;62:165-177. doi: 10.1016/j.jhealeco.2018.09.009. Epub 2018 Oct 9.

DOI:10.1016/j.jhealeco.2018.09.009
PMID:30390499
Abstract

We examine the effect of retirement on healthcare utilization in China using longitudinal data. We use a nonparametric fuzzy regression discontinuity design, exploiting the statutory retirement age in urban China as a source of exogenous variation in retirement. In contrast to previous results for developed countries, we find that in China retirement increases healthcare utilization. This increase can be attributed to deteriorating health and in particular to the reduced opportunity cost of time after retirement. For the sample as a whole, income is not a dominating mechanism. People with low education, however, are more likely to forego recommended inpatient care after retirement.

摘要

我们利用纵向数据考察了退休对中国医疗保健利用的影响。我们使用非参数模糊回归不连续设计,利用中国城市法定退休年龄作为退休的外生变化源。与发达国家的先前结果相比,我们发现退休在中国增加了医疗保健的利用。这种增加可以归因于健康状况的恶化,特别是退休后时间的机会成本降低。对于整个样本,收入并不是一个主要机制。然而,受教育程度低的人在退休后更有可能放弃推荐的住院治疗。

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