Duckett Jane, Munro Neil
University of Glasgow.
J Health Polit Policy Law. 2022 Jun 1;47(3):375-409. doi: 10.1215/03616878-9626894.
Over the last two decades a growing body of research has shown that authoritarian regimes are trying to increase their legitimacy by providing public goods. But there has so far been very little research on whether or not these regimes are successful.
This article analyzes data from a 2012-2013 nationally representative survey in China to examine whether health care provision bolsters the Communist regime's legitimacy. Using multivariate ordinal logistic regression, we test whether having public health insurance and being satisfied with the health care system are associated with separate measures of the People's Republic of China's regime legitimacy: support for "our form of government" (which we call "system support") and political trust.
Having public health insurance is positively associated with trust in the Chinese central government. Health care system satisfaction is positively associated with system support and trust in local government.
Health care provision may bolster the legitimacy of authoritarian regimes, with the clearest evidence showing that concrete benefits may translate into trust in the central government. Further research is needed to understand the relationship between trends in health care provision and legitimacy over time and in other types of authoritarian regime.
在过去二十年里，越来越多的研究表明，威权政权试图通过提供公共产品来增强其合法性。但迄今为止，关于这些政权是否成功的研究非常少。
本文分析了2012年至2013年中国全国代表性调查的数据，以检验医疗保健服务是否增强了共产党政权的合法性。我们使用多元有序逻辑回归，检验拥有公共医疗保险和对医疗保健系统感到满意是否与中华人民共和国政权合法性的不同衡量标准相关：对“我们的政府形式”的支持（我们称之为“系统支持”）和政治信任。
拥有公共医疗保险与对中国中央政府的信任呈正相关。医疗保健系统满意度与系统支持以及对地方政府的信任呈正相关。
提供医疗保健服务可能会增强威权政权的合法性，最明显的证据表明，具体的利益可能转化为对中央政府的信任。需要进一步研究以了解医疗保健服务趋势与合法性之间随时间推移以及在其他类型威权政权中的关系。
