基本医疗保险是否能促进公众健康?来自中国家庭追踪调查的证据。

Does basic medical insurance promote public health? Evidence from China family panel study.

机构信息

Department of Public Administration, Central South University, Changsha, China.

Centre of Population and Development Policy Studies, Fudan University, Shanghai, Shanghai, China.

出版信息

Front Public Health. 2023 Dec 14;11:1269277. doi: 10.3389/fpubh.2023.1269277. eCollection 2023.

Abstract

BACKGROUND

To promote common prosperity, China government has devoted much financial resources to the basic medical insurance system, it is of great significance to improve the health level of the insured groups to prevent them from returning to poverty due to illness. Whether or not the basic medical insurance can improve health status is an important policy issue after China has win the absolute poverty alleviation movement.

METHODS

Based on the data of China Family Panel Studies this paper constructs a strong balanced panel data with two levels information, which including variables from family level and personal level. This paper uses the panel data fixed effect model and propensity score matching model to analysis.

RESULTS

This paper finds that after controlling the family and personal confounding variables, the basic medical insurance has positive effect toward health status. With propensity score matching model, this paper finds that there is causality between basic medical insurance and public health.

CONCLUSION

Basic medical insurance has a significant health effect, that is, basic medical insurance has a significant positive impact on individual self-rated health. Participating in basic medical insurance can significantly improve the ability of families to face risk shocks, promote the accumulation of health capital in families, promote the diversification of livelihood strategies, and effectively prevent the occurrence of returning to poverty due to illness.

摘要

背景

为促进共同富裕,中国政府投入大量财政资源用于基本医疗保险制度,提高参保人群的健康水平,防止因病返贫,意义重大。基本医疗保险能否改善健康状况是中国打赢脱贫攻坚战后的一个重要政策问题。

方法

本研究基于中国家庭追踪调查(CFPS)数据,构建了一个具有两层信息的强平衡面板数据,包括家庭层面和个人层面的变量。本文采用面板数据固定效应模型和倾向得分匹配模型进行分析。

结果

本研究发现,在控制家庭和个人混杂变量后,基本医疗保险对健康状况有积极影响。通过倾向得分匹配模型,本研究发现基本医疗保险与公众健康之间存在因果关系。

结论

基本医疗保险具有显著的健康效应,即基本医疗保险对个体自评健康有显著的正向影响。参加基本医疗保险可以显著提高家庭应对风险冲击的能力,促进家庭健康资本的积累,促进生计策略的多样化,有效防止因病返贫的发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b49a/10755903/d555163fa67d/fpubh-11-1269277-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索