摘要
文章根据中国老年人健康影响因素跟踪调查(CLHLS)2008—2011年两期面板数据,利用Heckman模型、两部模型、面板Logit模型和排序模型等方法,在系统控制老年人医疗支出的内生性和样本选择偏误的基础上,实证检验了我国医疗保险对老年人医疗服务需求与健康的影响。研究发现:(1)医疗保险促进了老年人的医疗服务利用,增加了老年人的医疗费用总支出,提高了老年人的及时就医概率;(2)医疗保险虽然显著改善了老年人的医疗服务利用和健康状况,但是医疗保险对老年人的医疗服务利用尚存在显著的城乡和地区差异;(3)医疗保险对老年人的健康状况有明显的促进作用;(4)医疗保险显著降低了老年人的家庭医疗负担。
Through the panel data of Chinese Longitudinal Healthy Longevity Survey(CLHLS)from 2008 to 2011,this paper employs Heckman,two-part,panel Logit and order models to make an empirical study of the effect of health insurance on the demand of the elderly for medical services and the elderly health based on the systematic control of endogeneity and sample selection bias of the elderly medical expenditure.It comes to the conclusions as follows:firstly,health insurance promotes the elderly health services utilization and medical expenditure of the elderly;health insurance improves timely hospitalization probability of the elderly;secondly,health insurance significantly improves the elderly medical services utilization and health,but the effect of health insurance on the elderly health service utilization yet varies widely with cities &villages and regions;thirdly,health insurance plays a significantly positive role in the elderly health;fourthly,health insurance for the elderly significantly reduces the elderly family medical burden.
出处
《财经研究》
CSSCI
北大核心
2014年第12期65-75,共11页
Journal of Finance and Economics
基金
教育部人文社科规划基金项目(13YJAZH091)
关键词
医疗保险
医疗支出
老年人健康
医疗服务利用
health insurance
medical expenditure
the elderly health
medical services utilization
