长期护理保险对中老年人医疗服务利用、医疗负担及健康的影响——基于双重差分法的实证研究  

Impacts from long-term care insurance on medical service utilization, medical burden and health of middle-aged and elderly people: An empirical research based on the DID method

作　　者：侯艳杰 王瑜 颜诗源 张文静 张琳 姚俊[1] HOU Yan-jie;WANG Yu;YAN Shi-yuan;ZHANG Wen-jing;ZHANG Lin;YAO Jun(School of Health Policy&Management,Nanjing Medical University,Nanjing Jiangsu 211166,China)

机构地区：[1]南京医科大学医政学院,江苏南京211166

出　　处：《中国卫生政策研究》2021年第9期35-40,共6页Chinese Journal of Health Policy

基　　金：2021年江苏省重点智库研究课题;江苏长期护理保险制度实施现状与对策研究(2021RWZK002)。

摘　　要：基于2013年、2015年、2018年CHARLS数据库,采用描述性统计和双重差分法(DID)识别策略,估计长期护理保险对13个试点城市中老年人医疗服务利用、医疗负担及健康的实际影响。研究结果显示,长期护理保险会显著减少试点城市中老年人住院次数,增加其门诊人次及费用,对其住院费用、自评健康、精神抑郁程度的影响不显著(P>0.05)。探索长期护理保险与医养结合模式有效衔接对减轻参保中老年人群医疗负担、减少"社会性住院"和改善健康状况具有重要作用。Based on the 2013, 2015 and 2018 data of the China Health and Retirement Longitudinal Study(CHARLS) Database, this Study evaluated the actual impacts from long-term care insurance on medical service utilization, medical burden and health of the middle-aged and elderly people("MAEP") in 13 pilot cities by applying the descriptive statistics method and the difference-in-difference(DID) as identification strategy. The study results showed that long-term care insurance could significantly reduce the number of hospitalization times of MAEP in pilot cities and increase their outpatient visit person-times and outpatient costs, but had no significant impact on their hospitalization costs, self-rated health and mental depression degree(P>0.05). Exploring an effective linkage between long-term care insurance and combination of medical care and pension services plays an important role in alleviating medical burden of the insured MAEP, reducing "socialized hospitalization" and improving health status.

关 键 词：长期护理保险 医疗服务利用 医疗负担 健康 

分 类 号：R197[医药卫生—卫生事业管理]