共同富裕导向下医疗保障待遇补偿对居民收入差距的影响  

A Study on the Impact of Medical Security Compensation on the Income Gap of Residents under the Guidance of Common Prosperity

作　　者：张鑫 石龙 ZHANG Xin;SHI Long(School of Marxism,Dongbei University of Finance and Economics,Dalian,116025;School of Public Policy and Management,Dongbei University of Finance and Economics,Dalian,116025)

机构地区：[1]东北财经大学马克思主义学院 [2]东北财经大学公共管理学院

出　　处：《中国经济问题》2024年第2期45-60,共16页China Economic Studies

基　　金：国家社会科学基金一般项目(23BSH094)。

摘　　要：本文以改善收入分配格局和扎实推进共同富裕为落脚点,基于“二维导向”和“三重进路”研究视角,使用中国家庭追踪调查数据,探析医疗保障待遇补偿与居民收入差距的内在联系。研究结论表明:提高医疗保障待遇补偿水平能够显著缩小居民收入差距,对巩固脱贫攻坚成果和推进共同富裕具有积极作用。异质性分析表明,医疗保障待遇补偿在改善收入分配的同时,也存在个体健康、医院等级和区域特征等方面的影响差异;机制分析表明,健康绩效和经济成本是医疗保障待遇政策影响收入差距的重要渠道,可通过缩小健康差距、降低自付费用和缓释大病负担等途径缓解收入差距。This paper focuses on improving the income distribution pattern and solidly promoting common prosperity.Based on the research perspectives of"two-dimensional orientation"and"triple approach",this paper adopts China Family Panel Studies(CFPS)data and examines the inherent relationship between healthcare security compensation and the income gap.The findings are as follows:improving the compensation level of healthcare security benefits can signif-icantly narrow the income gap,and have a positive effect on consolidating the achievements of poverty alleviation and pro-moting common prosperity.Heterogeneity test shows that while healthcare insurance compensation improves income distribu-tion,there are also differences in the impact of individual health,hospital level,and regional characteristics;Mechanism analysis shows that health performance and economic costs are important channels for healthcare benefits policies to affect income inequality,which can be alleviated by narrowing the health gap,reducing out of pocket expenses,and mitigating the burden of major illnesses.

关 键 词：医疗保障 待遇机制 收入差距 共同富裕 

分 类 号：R197.1[医药卫生—卫生事业管理] F124.7[医药卫生—公共卫生与预防医学]