摘要
本文构建了影响老年人参与长期照护保险意愿的四维分析框架,利用4个城市的抽样调查数据,运用多项有序Logit回归模型分析,得到代际维度中的子女数、经济维度中的家庭经济状况和挤出维度中的医疗负担均对老年人参与长期照护保险意愿有显著影响。子女数越多、医疗负担越重,老年人参保的意愿就越弱;家庭经济状况越好,老年人参保的意愿越强。而健康维度中的健康状况和控制变量均未呈现统计学意义上的显著影响。因此,需要重视推进家庭政策融入长期照护保障制度,积极发展补缺型的长期照护救助制度,不断提高贫困老年群体的医疗保障水平。
This paper constructs a four-dimensional analysis framework that influences the elderly s willingness to participate in long-term healthcare insurance.Based on the sampling survey data of four cities and using the Multivariate Ordered Logit regression modelanalysis,it was found that the number of children in the intergenerational dimension,the family economic status in economic dimension and the medical burden in crowding out dimension all had significant impacts on the elderly s willingness to participate in long-term healthcare insurance.The more the number of children and the heavier the medical burden,the weaker the willingness of the elderly to participate in the insurance;and the better the family economic situation,the stronger the elderly sinsurance participation willingness.However,the health status and control variables in the health dimension did not show statistically significant influence.Therefore,more attention should be paid to the promotion of family policy integration into long-term healthcare security system,the long-term healthcare assistance system should be actively developed,and the medical security level for the poor elderly should be constantly improved.
作者
雷咸胜
胡宏伟
LEI Xian-sheng;HU Hong-wei(School of Public Administration and Policy,Renmin University of China,Beijing 100872,China)
出处
《中国卫生政策研究》
CSCD
北大核心
2020年第7期1-6,共6页
Chinese Journal of Health Policy
基金
中国人民大学2018年度拔尖创新人才培育资助计划
北京市社科基金项目“北京市长期照护需求预测、保险方案优化与风险控制”(17SRC017)
教育部规划项目“农村失能老人照护状况调查、成本测算与综合治理体系研究”(18YJA630036)
关键词
老年群体
长期照护
参保意愿
影响因素
Elderly
Long-term healthcare
Insurance participation willingness
Influencing factors
