Chencan Liu, Lecturer, School of Public Administration, North China University of Water Resources and Electric Power, Zhengzhou, Henan Province, China.
Aolong Liu, Associate Professor, School of Economics, Henan University, Kaifeng, China;, Email:
Am J Health Behav. 2022 Jun 23;46(3):248-258. doi: 10.5993/AJHB.46.3.4.
We conducted this study to make an empirical test of the influence of China's overall planning for urban and rural medical insurance on citizen health. Using the data of the China Labor-force Dynamics Survey (CLDS) 2018, self-rated health was chosen as the proxy variable of citizen health status, and the obvious heterogeneity of the influence was measured by the ordered logit model. After participating in the unified urban-rural medical insurance, the probability for citizens' self-rated health to increase by one or more levels grew by 0.21 times (OR = 1.21, p = .004). Further analysis revealed that after participating in the unified urban-rural medical insurance, the probability for males' self-rated health to increase by one or more levels grew by 0.23 times (OR = 1.23, p = .022); the probability for females' self- rated health to increase by one or more levels grew by 0.22 times (OR = 1.22, p = .045); the probability for rural citizens' self-rated health to increase by one or more levels grew by 0.25 times (OR = 1.25, p = .006); and, the probability for eastern China's citizens' self-rated health to increase by one or more levels grew by 0.28 times (OR = 1.28, p = .007). Participating in the unified urban-rural medical insurance program had a greater positive impact on the self-rated health of males than of females, on rural residents versus urban residents, and on eastern residents than central and western residents.
我们开展这项研究是为了实证检验中国城乡医疗保险统筹对公民健康的影响。利用 2018 年中国劳动力动态调查(CLDS)的数据,我们选择自感健康作为公民健康状况的代理变量,使用有序逻辑回归模型衡量影响的明显异质性。在参加统一的城乡医疗保险后,公民自感健康状况提高一个或多个等级的概率增加了 0.21 倍(OR=1.21,p=0.004)。进一步的分析表明,在参加统一的城乡医疗保险后,男性自感健康状况提高一个或多个等级的概率增加了 0.23 倍(OR=1.23,p=0.022);女性自感健康状况提高一个或多个等级的概率增加了 0.22 倍(OR=1.22,p=0.045);农村居民自感健康状况提高一个或多个等级的概率增加了 0.25 倍(OR=1.25,p=0.006);东部地区居民自感健康状况提高一个或多个等级的概率增加了 0.28 倍(OR=1.28,p=0.007)。参加统一的城乡医疗保险计划对男性自感健康的积极影响大于女性,对农村居民的积极影响大于城镇居民,对东部居民的积极影响大于中部和西部居民。