城乡居民基本医疗保险缓解老年贫困的效应分析——基于双重贫困的视角  

An Analysis of the Effect of the Basic Medical Insurance for Urban and Rural Residents on Alleviating Old Age Poverty in China: From the Perspective of Dual Poverty

作　　者：黄庆林 李婷 HUANG Qinglin;LI Ting(School of Marxism,Guangdong University of Technology,Guangzhou,Guangdong,510520,China)

机构地区：[1]广东工业大学马克思主义学院,广东广州510520

出　　处：《社会工作与管理》2022年第5期78-86,共9页Social Work and Management

摘　　要：基于“中国老年健康长寿影响因素跟踪调查”(CLHLS)2018年数据,建立Logistic模型,从绝对贫困和相对贫困双重视角,实证分析城乡居民基本医疗保险的参与和保障水平对老年贫困的影响。第一,参与城乡居民基本医疗保险具有减缓老年贫困效应。总体样本中,参与城乡居民基本医疗保险显著降低老年绝对贫困率。在城乡分样本中,参与城乡居民基本医疗保险对城镇与农村老年居民的相对贫困发生率影响作用不一致。第二,总体样本与城乡分样本均表示城乡居民基本医疗保险保障水平提升,老年贫困率降低。基于此提出了建立健全老年相对贫困的精准识别机制,合理提高保障水平,实现公共服务均等化、创新梯度帮扶机制,实行差异化待遇、强化医疗保障与社会救助的协同作用等建议。Based on the CLHLS(2018) data, a Logstic model was established to empirically analyze the effect of basic medical insurance for urban and rural residents on elderly poverty from the perspectives of absolute poverty and relative poverty. The results show that, first of all, the basic medical insurance for urban and rural residents has an effect of alleviating poverty among urban and rural elderly residents. In the total sample,participation in the basic medical insurance for urban and rural residents can effectively reduce the incidence of absolute poverty. In the sub sample, the basic medical insurance for urban and rural residents has different effects on the incidence of relative poverty among urban and rural elderly residents. In addition, the improvement of the level of insurance can significantly reduce the incidence of poverty. Based on the conclusions of the paper, some suggestions are proposed. First, an accurate identification mechanism for elderly relative poverty should be established imminently and improved gradually. In addition, the government need to achieve the equalization of urban and rural public services as well as reasonable increasing in the level of security. What’s more, a gradient assistance mechanism should be innovated and differentiated treatments are supposed to implement. Finally, the coordination between medical security and social assistance need to be strengthened.

关 键 词：城乡居民基本医疗保险 老年贫困 绝对贫困 相对贫困 

分 类 号：C916[经济管理]