摘要
在新型农村合作医疗(简称"新农合")政策下,农村居民的教育程度如何影响其健康状况引起了广泛关注,但是基于微观数据的实证研究却不多见。通过1997、2000、2004以及2006年间的中国健康与营养调查(CHNS)的农村个体调查对象的面板数据,我们可以了解农村居民个体的教育程度通过参保"新农合"的渠道对健康状况产生影响的机理,以及农村居民当前存在的"参保冷漠"现象和"新农合逆向选择"困局。总体上看,教育程度对"新农合"存在单一门限效应(门限值为5),即只有当学龄大于5年时,"新农合"才能发挥提高农村居民健康水平的作用;而且,"新农合"对影响农村居民健康的因果效应并不明显。因此,要从根本上解决农村居民健康问题,不仅需要建立更完善的医疗保险体系,还需要加强农村教育和人力资本积累。
There are considerable concerns and debates of the effect of rural education on the health of rural residents under the new rural cooperative medical system（NCMS）, yet few researchers provide empirical study. Using the panel data from 1997 to 2006 of the China Health and Nutrition Survey（CHNS）, we explore the transition from rural residents＇ education to their health under NCMS by building micro-econometric panel data model and panel threshold model. We thus analyze the ＂NCMS indifference＂ and ＂adverse selection＂ paradox. Generally, there exists single threshold effect of education on NCMS. Only for those rural residents with more than 5 years＇ schooling, NCMS can improve health condition effectively. And the causal effect of NCMS on rural residents;health is not significant. Therefore, in order to improve health of rural residents, we need not only better rural medical insurance system, but also more investment on rural education and human capital accumulation.
出处
《武汉大学学报（哲学社会科学版）》
CSSCI
北大核心
2016年第6期35-49,共15页
Wuhan University Journal：Philosophy & Social Science
基金
国家社会科学基金重大招标项目(011&ZD006)
国家社会科学基金重点项目(010AZD013)
关键词
新型农村合作医疗政策
教育程度
农村居民健康
面板门限模型
new rural cooperative medical system
education attainment
rural residents＇ health
panel threshold model
