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延迟退休倡议与多层次社会医疗保险制度对中国老年人身体健康的交互影响。

The interaction of delayed retirement initiative and the multilevel social health insurance system on physical health of older people in China.

机构信息

School of Tourism Management, Sun Yat-sen University, Guangzhou, China.

Institute of Advanced Studies in Humanities and Social Sciences, Beijing Normal University, Zhuhai, China.

出版信息

Int J Health Plann Manage. 2022 Jan;37(1):452-464. doi: 10.1002/hpm.3352. Epub 2021 Oct 13.

DOI:10.1002/hpm.3352
PMID:34647355
Abstract

With many social challenges posed by an ageing population, the delayed retirement initiative has received wide attention from policymakers. However, China's current multi-level social health insurance system seems not perfect and not ready for the delayed retirement initiative. The public are generally concerned that the benefits of late retirees cannot be well guaranteed. Using data from China Health and Retirement Longitudinal Study (CHARLS) and the chorological design (CHARLS-2015 and -2018 waves), this study finds that (1) late retirement could be beneficial for physical health among older adults; (2) there have disparities between the effects of different social health insurances on physical health among older adults; (3) social health insurances could weaken the benefits of late retirement to physical health among older adults. Results imply that China's current multi-level social medical insurance system may lag behind the proposed delayed retirement initiative and have policy limitations for late retirees.

摘要

随着人口老龄化带来的诸多社会挑战,延迟退休倡议受到了政策制定者的广泛关注。然而,中国现行的多层次社会医疗保险体系似乎并不完善,还没有为延迟退休倡议做好准备。公众普遍担心,退休晚的人的利益无法得到很好的保障。本研究利用中国健康与养老追踪调查(CHARLS)和时间序列设计(CHARLS-2015 年和 2018 年)的数据,发现:(1)延迟退休可能有益于老年人的身体健康;(2)不同类型的社会医疗保险对老年人身体健康的影响存在差异;(3)社会医疗保险可能会削弱延迟退休对老年人身体健康的益处。研究结果表明,中国现行的多层次社会医疗保险制度可能滞后于拟议的延迟退休倡议,并且对退休晚的人有政策限制。

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