不同筹资渠道的卫生支出对农村中老年居民健康影响的差异——基于CHARLS数据的经验分析  

The Difference of Health Expenditure of Different Financing Channels on the Health of Rural Elderly Residents——Empirical Analysis Based on CHARLS

作　　者：卫龙宝[1] 毛文琳[1] WEI Longbao;MAO Wenlin

机构地区：[1]浙江大学管理学院

出　　处：《农业技术经济》2019年第10期53-63,共11页Journal of Agrotechnical Economics

摘　　要：本文基于Grossman的健康需求模型,以CHARLS数据库中2011和2013年的数据为实证支持,分析了中国医疗卫生体制深入改革阶段不同筹资渠道的卫生支出对于农村居民健康影响的差异。本文利用顺序概率模型和面板非线性随机模型进行估计,研究结果表明:农村地区居民的个人卫生支出增加会降低居民的个人健康自评良好概率,医疗保险费用支出增加会提高健康自评良好的概率;政府财政支出以及村庄基础设施对于居民健康的改善有显著正效应。此外,收入水平对于健康的影响呈"U"型关系,教育水平以及儿童时期的健康水平对于个体的健康状况影响均显著。Based on Grossman’s health demand model and supported by the data in CHARLS database in 2011 and 2013, this paper analyzes the difference of health expenditure of different financing channels on the health of rural residents in the in-depth reform of China’s medical and health system. In this paper, sequential probability model and panel nonlinear stochastic model are used for estimation. The research results show that the increase of personal health expenditure in rural areas will reduce the probability of good self-assessment of personal health, and the increase of medical insurance expense will increase the probability of good self-assessment of health. Government financial expenditure and village infrastructure have significant positive effects on the improvement of residents’ health. In addition, the influence of income on health is U-shaped, and education level and childhood health level have significant influences on individual health status.

关 键 词：居民健康 政府卫生支出 个人卫生支出 医疗保险支出 

分 类 号：F32[经济管理—产业经济]