农村医疗保险的减贫效应研究——基于CFPS 2018的实证分析  

Poverty Reduction Effect of Rural Medical Insurance:An Empirical Analysis Based on CFPS 2018 Data

作　　者：罗文剑[1] 罗梁秀 LUO Wenjian;LUO Liangxiu(School of Public Policy and Administration,Nanchang University,Nanchang Jiangxi 330031,China)

机构地区：[1]南昌大学公共政策与管理学院,江西南昌330031

出　　处：《北京航空航天大学学报（社会科学版）》2024年第1期101-107,共7页Journal of Beijing University of Aeronautics and Astronautics：Social Sciences edition Edition

基　　金：江西省高校人文社会科学重点研究基地项目(JD21015);江西省社会科学基金重点专项课题(22ZXQH27);南昌大学中国乡村振兴研究院项目(XCZX006)。

摘　　要：基于中国家庭追踪调查2018年(CFPS 2018)的数据,以相对贫困线作为贫困标准,采用二元Logistic模型实证评估农村医疗保险制度的减贫效应及其异质性。整体样本回归结果表明,农村医疗保险减贫效应显著,在相对贫困线标准下降低了43.0%的贫困发生率。异质性分析结果表明,农村医疗保险减贫效应在年龄、性别方面存在差异:在年龄方面,农村医疗保险对于中老年人的减贫效应更为显著;在性别方面,农村医疗保险对于女性的减贫效应总体高于男性。为了充分发挥农村居民医疗保险减贫的制度效能,建议:优化医疗保险内部制度设计,强化经济绩效;下沉优质医疗卫生资源,提高健康绩效;建立长效机制,提高医疗保险减贫效应精准性。Based on the data of China Family Panel Studies in 2018(CFPS 2018),this paper empirically evaluates the poverty reduction effect of rural medical insurance system and its heterogeneity by using binary Logistic model with relative poverty line as a poverty standard.The results of total sample analysis show that rural medical insurance has a significant effect on poverty reduction,reducing the incidence of poverty by 43.0%under the relative poverty line.The results of heterogeneity analysis show that there are differences in the poverty reduction effect of rural medical insurance in terms of age and gender.As for age,the poverty reduction effect is more significant for the middle-aged and elderly people.With regard to gender,the poverty reduction effect on women is generally higher than that on men.In order to give full play to the effectiveness of rural residents’medical insurance in poverty reduction,we should optimize the internal system design of medical insurance to strengthen its economic performance,and sink more high-quality health care resources toward the rural areas to enhance health performance.In addition,we should establish a long-term mechanism to improve the accuracy of medical insurance for poverty reduction.

关 键 词：农村居民 医疗保险 减贫 相对贫困 绩效 

分 类 号：D63[政治法律—政治学] F840.684[政治法律—中外政治制度]