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私人医疗保险与西班牙的财务风险承担——主观风险承受能力的调节作用。

Private Health Insurance and Financial Risk Taking in Spain-The Moderating Effect of Subjective Risk Tolerance.

机构信息

Department of Financial Economics and Accounting, Faculty of Economy, Business and Tourism, University of Las Palmas de Gran Canaria (Spain), 35001 Las Palmas, Spain.

出版信息

Int J Environ Res Public Health. 2022 Dec 5;19(23):16248. doi: 10.3390/ijerph192316248.

DOI:10.3390/ijerph192316248
PMID:36498322
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9741262/
Abstract

This study focuses on the effect of private health insurance on financial risk taking in Spanish households. According to the arguments related to the background risk, we propose two hypotheses: the first predicts a positive relationship between health insurance and risk taking and the second asserts that attitude to risk moderates this relationship. Spain is a good laboratory because it has a National Health System (NHS) that offers healthcare coverage to the entire population, which could eliminate the effect of health insurance on risk taking. Based on a sample of 6110 households obtained from the Household Finance Survey (EFF), our results confirm both hypotheses. Specifically, we show that private health insurance significantly increases a household's portfolio risk, especially in households with greater risk aversion. The results are concordant with the scarce amount of previous empirical evidence obtained in other contexts and are robust for different subsamples and estimation methods.

摘要

本研究聚焦于私人医疗保险对西班牙家庭财务风险承担的影响。根据与背景风险相关的论点,我们提出了两个假设:第一个假设预测医疗保险与风险承担之间存在正相关关系,第二个假设则断言风险态度会调节这种关系。西班牙是一个很好的实验室,因为它拥有一个全民医疗保健系统(NHS),为全体民众提供医疗保障,这可能会消除医疗保险对风险承担的影响。基于从家庭金融调查(EFF)中获得的 6110 户家庭样本,我们的研究结果证实了这两个假设。具体来说,我们表明私人医疗保险显著增加了家庭的投资组合风险,尤其是在风险规避程度较高的家庭中。这些结果与其他背景下获得的先前实证证据相吻合,并且在不同的子样本和估计方法下都是稳健的。

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本文引用的文献

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Health Econ. 2021 May;30(5):1239-1246. doi: 10.1002/hec.4235. Epub 2021 Feb 26.
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Saved by Wealth? Income, Wealth, and Self-Perceived Health in Spain during the Financial Crisis.《金融危机期间西班牙的收入、财富与自我感知健康:财富的救赎?》
Int J Environ Res Public Health. 2020 Sep 25;17(19):7018. doi: 10.3390/ijerph17197018.
3
Income and wealth as determinants of voluntary private health insurance: empirical evidence in Spain, 2008-2014.收入和财富对自愿私人健康保险的决定因素:西班牙 2008-2014 年的经验证据。
BMC Public Health. 2020 Aug 19;20(1):1262. doi: 10.1186/s12889-020-09362-5.
4
The impact of health insurance on stockholding: A regression discontinuity approach.健康保险对股票持有情况的影响:一种回归断点法。
J Health Econ. 2020 Jan;69:102246. doi: 10.1016/j.jhealeco.2019.102246. Epub 2019 Nov 16.
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Spain: Health System Review.西班牙:卫生系统评估
Health Syst Transit. 2018 May;20(2):1-179.
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Portfolio choice in retirement: Health risk and the demand for annuities, housing, and risky assets.退休后的投资组合选择:健康风险与年金、住房及风险资产需求
J Monet Econ. 2016 Jun;80:17-34. doi: 10.1016/j.jmoneco.2016.04.008. Epub 2016 Apr 30.
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The Role of Medical Expenditure Risk in Portfolio Allocation Decisions.医疗支出风险在投资组合分配决策中的作用。
Health Econ. 2017 Nov;26(11):1447-1458. doi: 10.1002/hec.3437. Epub 2016 Oct 9.
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J Appl Econ (Chichester Engl). 2013 Jun 1;28(4):527-550. doi: 10.1002/jae.2278.
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J Bank Financ. 2012 May;36(5):1320-1335. doi: 10.1016/j.jbankfin.2011.11.025.
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