医保扶贫政策对农村低收入人口医疗服务利用的影响研究  

The Impact of Medical Insurance Poverty Alleviation Policies on the Utilization of Medical Services for Rural Low-income Population

作　　者：陈钰晓 赵绍阳[2] 卢历祺 CHEN Yuxiao;ZHAO Shaoyang;LU Liqi

机构地区：[1]郑州大学政治与公共管理学院 [2]四川大学经济学院 [3]浙江大学经济学院 [4]郑州大学公共管理研究中心 [5]郑州大学当代资本主义研究中心

出　　处：《中国农村观察》2022年第6期122-141,共20页China Rural Survey

基　　金：国家自然科学基金面上项目“老年人医疗保障、医疗支出与储蓄问题研究”(编号:71773080)、国家自然科学基金面上项目“临终前医疗支出水平及其经济效率的实证评价”(编号:72273094);郑州大学青年人才创新团队支持计划项目“乡村振兴对县级政府治理能力的影响及对策研究”的阶段性成果。

摘　　要：有效发挥社会医疗保障的贫困阻断功能,是巩固拓展脱贫攻坚成果、增强脱贫地区和脱贫群众内生发展动力的重要基础。本文基于中国家庭追踪调查2014年、2016年和2018年三期数据,通过构建双重差分模型,评估医保扶贫政策对农村低收入人口医疗服务利用的影响。实证结果表明:医保扶贫政策通过提高医保待遇水平,显著增加了农村低收入人口的医疗服务利用。通过一系列稳健性和安慰剂检验,此结论依然稳健。医保扶贫政策能够显著促进农村低收入家庭成年人的医疗服务利用,而对农村低收入家庭儿童的医疗服务利用没有明显影响。低收入家庭缺乏与儿童相关的健康知识和技能可能导致了这种异质性影响。因此,要保障低收入人口医保待遇,强化对低收入人口的健康教育。Effectively playing the poverty-blocking function of social medical insurance is an important foundation for consolidating and expanding the achievements of poverty eradication and enhancing the endogenous development momentum of areas out of poverty and people out of poverty. Based on the data of CFPS three tracking surveys in 2014, 2016 and 2018, this article uses a difference-in-differences model to evaluate the impact of medical insurance poverty alleviation policies on the utilization of medical care services by rural low-income households. The empirical results show that medical insurance poverty alleviation policies have significantly increased medical services utilization by rural low-income population through increasing the level of medical insurance benefits. This conclusion remains robust through a series of robustness and placebo tests. Further analysis shows that medical insurance poverty alleviation policies can significantly promote medical services utilization by rural low-income adults, but they have no obvious impact on medical service utilization by rural low-income children. A lack of children-related health knowledge and skills in low-income families may contribute to this heterogeneous impact. Therefore, it is necessary to guaranteemedical insurance benefits oflow-incomepeople and strengthen their healtheducation.

关 键 词：医保扶贫 医疗服务利用 健康状况 健康素养 

分 类 号：F323.89[经济管理—产业经济] F842.684