摘要
在健康贫困问题突出和新农合大病保险全面推开的背景下,首次实证检验新农合大病保险对农村家庭贫困脆弱性的影响。实证研究发现,在中国贫困线标准下,实施新农合大病保险使农村家庭贫困脆弱性发生率显著降低7.28%;并且在考虑不同贫困概率阈值和政策实施效果滞后性等情形下,实证结果仍然具有稳健性。机制分析发现,新农合大病保险使医疗费用占家庭总消费支出比例显著减少0.0334个单位,抑制了疾病对家庭消费的挤出,进而缓解了贫困脆弱性。异质性分析发现,新农合大病保险对中西部地区效果大于东部,同时对重大病样本的效果弱于非重大病样本。最后,提出各地区统一新农合大病保险保障内容、完善筹资机制、探索个人支出封顶线机制,进一步缓解农村家庭长期贫困。
In the context of the prominent health poverty problem and the comprehensive introduction of the new rural cooperative major illness insurance,this is the first empirical test of the impact of the new rural medical insurance on the vulnerabilityto poor of rural households.The empirical study found that under China’s poverty line standards,the implementation of the new rural cooperative major illness insurance has significantly reduced the incidence of vulnerability of rural households by 7.28%;and considering the different thresholds of poverty probability and the lagging effect of policy implementation,the empirical results remain robust.Mechanism analysis found that the new rural cooperative major illness insurance significantly reduced the proportion of medical expenses in total household consumption expenditure by 0.0334 units,suppressed the crowding out of household consumption caused by diseases,and thereby alleviated poverty vulnerability.Heterogeneity analysis found that the new rural cooperative major illness insurance has a greater effect on the central and western regions than in the east,while the effect on samples of major diseases is weaker than that of non-critical diseases.Finally,it is proposed to unify the content of the new rural cooperative major illness insurance in all regions,improve the financing mechanism,and explore the mechanism of personal expenditure ceiling to further alleviate the long-termpoverty of rural households.
作者
高健
丁静
Gao Jian;Ding Jing
出处
《兰州学刊》
CSSCI
2021年第4期170-181,共12页
基金
2018年国家社会科学基金项目“城乡居民大病保险精准治理健康贫困的效果研究”(项目编号:18BGL240)。
关键词
新农合
大病保险
长期贫困
贫困脆弱性
New Rural Cooperative System
major illness insurance
long-termpoverty
vulnerability to poor
