公共医疗保险质量与个人消费结构升级：来自中国的证据
Quality of public health insurance and individuals' consumption structure upgrades: evidence from China.
作者信息
Zhang Pengfei, Gao Jinghua
机构信息
School of Labor and Human Resources, Renmin University of China, No 59, Zhongguancun Street, Beijing, 100872, China.
Centre for Social Investment (CSI), Heidelberg University, Bergheimer Str. 58, 69115, Heidelberg, Germany.
出版信息
Health Econ Rev. 2021 Dec 3;11(1):45. doi: 10.1186/s13561-021-00343-x.
BACKGROUND
The aim of this study was to investigate the relationship between the quality of public health insurance and individuals' consumption structure upgrades in China.
METHODS
This study was conducted using data from a population of 6430 Chinese individuals aged 18 to 70 y from the 2017 Chinese Social Survey. We used multiple linear regression models and the two-stage least-squares model to explore the impact and heterogeneity of the quality of public health insurance on individuals' consumption structure upgrades. Furthermore, we performed structural equation modelling to clarify the mediation effects of the impact.
RESULTS
The quality of public health insurance was significantly correlated with individuals' consumption structure upgrades (β = 0.368, SD = 0.084), and the impact of the quality of public health insurance on individuals' hedonic consumption in urban regions was significantly higher than that in rural regions (β = 0.499, SD = 0.218). Furthermore, the quality of public health insurance could promote upgrades to individuals' consumption structure by reducing the burden of medical expenses and stabilizing or increasing individuals' expectations regarding the future economic level.
CONCLUSION
The results indicated that developing countries should implement additional measures to enhance the quality of public health insurance, which would not only help protect the health of individuals but also stimulate individuals' consumption to achieve rapid economic growth.
背景
本研究旨在探讨中国公共医疗保险质量与个人消费结构升级之间的关系。
方法
本研究使用了2017年中国社会调查中6430名年龄在18至70岁的中国个体的数据。我们使用多元线性回归模型和两阶段最小二乘法模型来探讨公共医疗保险质量对个人消费结构升级的影响和异质性。此外，我们进行了结构方程建模以阐明这种影响的中介效应。
结果
公共医疗保险质量与个人消费结构升级显著相关（β = 0.368，标准差 = 0.084），公共医疗保险质量对城市地区个人享乐消费的影响显著高于农村地区（β = 0.499，标准差 = 0.218）。此外，公共医疗保险质量可以通过减轻医疗费用负担以及稳定或提高个人对未来经济水平的预期来促进个人消费结构升级。
结论
结果表明，发展中国家应采取额外措施提高公共医疗保险质量，这不仅有助于保护个人健康，还能刺激个人消费以实现经济快速增长。
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