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医疗保险、健康风险与家庭金融资产配置:来自中国家庭金融调查的证据。

Medical insurance, health risks, and household financial asset allocation: evidence from China household finance survey.

机构信息

School of Economics, Minzu University of China, Beijing, China.

China Institute for Vitalizing Border Areas and Enriching the People, Minzu University of China, Beijing, China.

出版信息

Front Public Health. 2023 Dec 22;11:1268470. doi: 10.3389/fpubh.2023.1268470. eCollection 2023.

Abstract

There is a lack of micro evidence on whether medical insurance may optimize the household financial asset allocation by transferring health risk, despite the fact that health risk is a significant component driving families' precautionary savings. This article empirically examines the impact of health risk and social medical insurance on household risky financial asset allocation using a Probit model, based on data from the 2015-2019 China Household Finance Survey (CHFS). The findings indicate that social medical insurance, with its lower level of security, reduces the likelihood, but it can alter households' preferences for risk by lowering marginal effect of health risk. According to the findings of the heterogeneity analysis, people who live in rural and less developed areas are more likely to experience the risk-inhibiting effects of social medical insurance and health risk. The eroding and risk-suppressing impacts of social medical insurance are likewise less pronounced for households headed by women and older people, as is the health risk's suppressive influence on household involvement in risky financial markets. Compared with social medical insurance, commercial medical insurance with a higher level of coverage can dramatically increase household participation in riskier financial markets. This article provides micro-empirical evidence for the household asset allocation effect of medical insurance.

摘要

尽管健康风险是家庭预防性储蓄的重要驱动因素之一,但关于医疗保险是否可以通过转移健康风险来优化家庭金融资产配置,微观证据仍然缺乏。本文利用 2015-2019 年中国家庭金融调查(CHFS)的数据,采用 Probit 模型实证检验了健康风险和社会医疗保险对家庭风险金融资产配置的影响。研究结果表明,保障程度较低的社会医疗保险降低了家庭参与风险金融市场的可能性,但可以通过降低健康风险的边际效应来改变家庭的风险偏好。根据异质性分析的结果,生活在农村和欠发达地区的人群更有可能受到社会医疗保险和健康风险的抑制作用。对于女性和老年人为户主的家庭,社会医疗保险的侵蚀和风险抑制作用也不明显,健康风险对家庭参与风险金融市场的抑制作用也较弱。相比之下,保障程度更高的商业医疗保险可以显著增加家庭参与风险金融市场的程度。本文为医疗保险对家庭资产配置的影响提供了微观实证证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4354/10771844/b02d9384472d/fpubh-11-1268470-g001.jpg

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