医疗保险制度整合是否有利于弱势群体——基于双重差分模型的实证分析  

Can System Integration of the Social Health Insurance be Beneficial to the Vulnerable Groups?——An Empirical Analysis Using DID Model

作　　者：李亚青[1] 

机构地区：[1]广东商学院金融学院

出　　处：《财经科学》2013年第2期81-90,共10页Finance & Economics

基　　金：国家社会科学基金重点项目<中国医疗保障体系的制度整合与可持续发展研究>(09AZD039)

摘　　要：制度整合是我国社会医疗保险体系正在进行的一场意义深刻的变革。弱势群体的境况能否在变革过程中得到改善,是衡量这场变革是否成功的重要尺度。但制度整合固然可以有效解决城乡之间和制度之间的公平性问题,是否必然同时解决人群之间的公平性问题呢?本文选取广东省已经完成制度整合的典型地区,运用双重差分模型的实证分析发现,制度整合在总体上缩小了不同社会经济地位群体之间的保障水平差距,有力地改善了工人和低收入者等弱势群体的保障状况。System integration is file ongoing and meaufingfifl reform of china＇ s social health insurance. Whether or not the conditions of the vulnerable groups can be improved will acts as an important measure for success of the reform. Theoretically, integration can effectively narrow the security gaps between urban and rural areas as well as between different systems, but it doesn＇ t mean the equity problem among different so- cial groups can be solved accordingly. Taking Dongguan city as an example, the paper tried to study this is- sue by adapting a difference- in- differences model. It concluded that system integration did help to narrow the security gaps among groups of different socioeconomic status in the whole and situation of the workers and low income groups had been effectively improved.

关 键 词：医疗保险 制度整合 公平性 弱势群体 

分 类 号：F842.6[经济管理—保险] F224