在我国老龄化程度不断加深的背景下,长期护理保险是积极应对失能老人护理需求的关键措施之一。本文基于中国健康与养老追踪调查（CHARLS）数据库,采用倾向得分匹配双重差分法（PSM-DID）研究长期护理保险对我国中老年健康满意度的影响。研究表明,受长期护理保险政策实施的影响,中老年健康满意度显著提升了8.2%（P<0.01）;通过控制协变量及固定效应进行倾向得分匹配后,政策实施效应为7.5%（P<0.01）,在一系列稳健性检验后仍得到证实;通过异质性分析发现,该政策效应在年龄、居住地、子女关照程度层面存在丰富的异质性,长期护理保险对农村、中低龄及子女几乎不关照的中老年健康满意度产生显著正向影响。本文研究结论对加快我国长期护理保险试点城市扩面和提升制度保障的公平性等具有一定借鉴意义。
Abstract
In the context of the increasing population aging in China, long-term care insurance is a key measure to actively deal with the nursing needs for disabled elderly people. This article is based on the China Health and Retirement Longitudinal Study (CHARLS) database and uses the propensity score matching-difference in differences (PSM-DID) method to study the impact of long-term care insurance on the health satisfaction of middle-aged and elderly people in China. Research shows that the implementation of long-term care insurance policies significantly improved the health satisfaction of 8.2% (P<0.01) of middle-aged and elderly people. After controlling covariates and fixed effects for propensity score matching, the policy implementation effect was 7.5% (P<0.01), which was still confirmed after a series of robust tests. Through the heterogeneity analysis, it was found that the policy effect has rich heterogeneity in terms of age, place of residence, and level of child care. Long-term care insurance has a significant positive impact on the health satisfaction of middle-aged and elderly people in rural areas, middle and young age groups, and those with almost no child care. The research conclusion of this article can be the reference when accelerating the expansion of long-term care insurance pilot cities in China and improving the fairness of institutional guarantee.
关键词
长期护理保险 /
健康满意度 /
老龄化 /
PSM-DID
Key words
long-term care insurance /
health satisfaction /
aging /
PSM-DID
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基金
广西壮族自治区自治区级创新项目“分级诊疗背景下社区医院居民首诊意愿及其引导研究——基于桂林市的调查数据”的阶段性成果（20110602330）
