摘要
在绝对贫困得以消除并探索解决相对贫困长效机制的背景下,研究多维相对贫困的治理机制具有重要意义。基于2012—2016年的CLDS数据,以家庭所在城市是否试点实施农村大病保险为依据构造大病保险指标,从健康、教育、生活水平3个维度构造多维相对贫困指标,通过计量模型实证研究大病保险对农村家庭多维相对贫困的影响。实证结果发现,实施大病保险使农村家庭多维相对贫困发生率显著降低3.11%。设置虚假处理组、改变多维相对贫困计算阈值等检验,均表明实证结果具有可靠性。中介效应模型表明,农村大病保险主要通过改善健康水平和提高耐用品消费两个途径来缓解家庭多维相对贫困发生率。异质性分析发现,农村大病保险更为显著地缓解了低收入、老龄化、西部等高风险家庭的多维相对贫困发生率。为进一步缓解多维相对贫困,应拓宽大病保险的筹资来源,完善公共服务和基础设施建设,统一大病保险政策设计。
In the context of eliminating absolute poverty and exploring the long-term mechanism to solve relative poverty,it is of great significance to study the governance mechanism of multidimensional relative poverty.Based on the CLDS data from 2012 to 2016,the critical illness insurance variable is constructed according to whether rural critical illness insurance is implemented in the city where the family lived,and the multidimensional relative poverty variable is formed from the three dimensions of health,education and living standard.The econometric model is used to empirically study the impact of critical illness insurance on the multidimensional relative poverty of rural families.The empirical results show that the implementation of critical illness insurance significantly reduces the incidence of multidimensional relative poverty in rural households by 3.11%.The reliability of the empirical results is demonstrated by setting false treatment group and changing the calculation threshold of multidimensional relative poverty.The mediation effect model shows that the rural critical illness insurance can alleviate the incidence of multidimensional relative poverty by improving the health level and increasing the consumption of durable goods.Heterogeneity analysis shows that rural critical illness insurance significantly alleviates the incidence of multidimensional relative poverty among low-income,aging,western and other high-risk families.In order to further alleviate multidimensional relative poverty,it is necessary to broaden the financing sources of critical illness insurance,improve public services and infrastructure,and unify the policy design of critical illness insurance.
作者
高健
沈思远
李志鹏
GAO Jian;SHEN Siyuan;LI Zhipeng(School of History and Public Management,Yancheng Normal University,Yancheng 224007,China;Institute of Yancheng’s Regional Culture and Social Governance,Yancheng Normal University,Yancheng 224007,China;Shanghai Children’s Medical Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China;School of Qu Qiubai Government Management,Changzhou University,Changzhou 213164,China)
出处
《开发研究》
2023年第3期129-138,共10页
Research On Development
基金
国家社会科学基金青年项目“精准扶贫背景下我国因病致贫的治理效果与对策研究”(19CRK003)。
关键词
农村
大病保险
多维相对贫困
收入水平
老龄化状况
区域差异
rural area
critical illness insurance
multidimensional relative poverty
income level
aging status
regional differences