长期护理保险对医疗保健消费结构的影响——基于荆门市城镇居民的合成控制研究

蒋雯静

中国医疗保险 ›› 2024, Vol. 0 ›› Issue (2) : 31-41.

中国医疗保险 ›› 2024, Vol. 0 ›› Issue (2) : 31-41. DOI: 10.19546/j.issn.1674-3830.2024.2.004
专题分析

长期护理保险对医疗保健消费结构的影响——基于荆门市城镇居民的合成控制研究

  • 蒋雯静
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Research on the Impact of Long-Term Care Insurance on Healthcare Consumption Structure——Synthetic Control Studies Based on Urban and Rural Residents in Jingmen City

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摘要

随着人口老龄化、高龄化加剧,建立长期护理保险制度成为越来越迫切的社会需求。一定程度上,长期护理保险制度的发展对促进医疗保健消费结构升级、释放内需潜力和改善民生具有重要意义。本文利用12个城市的面板数据,采用合成控制法评估了长期护理保险对医疗保健消费结构的政策效果。研究发现,长期护理保险对荆门市城镇居民医疗保健消费结构产生了优化效应。需求侧的收入效应、需求效应和供给侧的产业效应为长期护理保险优化医疗保健消费结构提供了解释。长期护理保险制度为居民服务消费提质扩容以及供给侧和需求侧改革提供了思路:推动长期护理保险制度与其他制度的衔接,依托新技术创新长期照护服务供给模式,培育护理服务消费惠民增长点。

Abstract

Under the background of population aging, establishing a long-term care insurance system has become an increasingly urgent social demand. To a certain extent, the development of the long-term care insurance system is of great significance in promoting the upgrading of healthcare consumption structure to release the potential of domestic demand and improve people's livelihood. Using panel data from 12 cities, the policy effect of long-term care insurance on healthcare consumption structure was evaluated by synthetic control method. It is found that long-term care insurance has an optimal effect on the consumption structure of urban and rural residents in Jingmen City. The income effect and demand effect on the demand side, and industrial effect on the supply side provides explanations for the optimization of healthcare consumption structure of long-term care insurance. The long-term care system provides ideas related to improving the quality and expansion of residents' service consumption as well as the supply-side and demand-side reform, such as promoting the connection between the long-term care insurance system and other systems, relying on new technologies to innovate the supply model of long-term care services, and cultivating growth points for nursing service consumption benefiting the people.

关键词

长期护理保险 / 医疗保健 / 消费结构 / 合成控制法

Key words

long-term care insurance / healthcare / consumption structure / synthetic control method

引用本文

导出引用
蒋雯静. 长期护理保险对医疗保健消费结构的影响——基于荆门市城镇居民的合成控制研究[J]. 中国医疗保险. 2024, 0(2): 31-41 https://doi.org/10.19546/j.issn.1674-3830.2024.2.004
Research on the Impact of Long-Term Care Insurance on Healthcare Consumption Structure——Synthetic Control Studies Based on Urban and Rural Residents in Jingmen City[J]. China Health Insurance. 2024, 0(2): 31-41 https://doi.org/10.19546/j.issn.1674-3830.2024.2.004
中图分类号: F840.684    C913.7   

参考文献

[1] 杨赞,赵丽清,陈杰.中国城镇老年家庭的消费行为特征研究[J].统计研究,2013,30(12): 83-88.
[2] 刘利.人口老龄化与居民消费结构:基于CFPS2016数据验证[J].统计与决策,2020,36(14): 70-74.
[3] 都阳,王美艳.中国城市居民家庭的消费模式——对老年家庭的着重考察[J].人口研究, 2020, 44(06):20-34.
[4] 元惠连,夏庆杰,王志伟.中国城镇居民消费需求分析[J].经济科学,2016(04):54-64.
[5] 汪伟,刘玉飞.人口老龄化与居民家庭消费结构升级——基于CFPS2012数据的实证研究[J].山东大学学报(哲学社会科学版),2017(05):84-92.
[6] 周先波,田凤平.中国城镇和农村居民医疗保健消费的差异性分析——基于面板数据恩格尔曲线模型的非参数估计[J].统计研究,2009, 26(03):51-58.
[7] 孟佶贤,方毅.居民消费中“教育文娱”、“医疗保健”的支出差距——基于泰尔指数的测算和分解分析[J].北京交通大学学报(社会科学版), 2020, 19(02):68-76.
[8] 范庆祝,吴宇凤,刘淑彦.新农合、健康异质性与保健消费——基于我国农村留守中老年人的分析[J].农村经济,2022,(02):117-125.
[9] 何晖,李小琴.新农保政策对农村居民消费的影响评估[J].江西财经大学学报,2020,(03): 61-72.
[10] 肖立.基于Panel Data模型的农村居民消费结构及变动趋势分析[J].宏观经济研究,2012,(09): 93-99.
[11] 谢邦昌,韩静舒.社会基本医疗保险对家庭消费的影响[J].商业经济与管理,2015(05):79-87.
[12] GAO Q, ZHAI F, YANG S, et al.Does welfare enable family expenditures on human capital? evidence from China[J].World development, 2014, 64: 219-231.
[13] FONTAINE R.The effect of public subsidies for formal care on the care provision for disabled elderly[eople in France[J].Économie publique/public economics, 2012, (28-29): 271-304.
[14] ROQUEBERT Q, Tenand M.pay less, consume more? the price elasticity of home care for the disabled elderly in France[J].Health economics, 2017, 26(9): 1162-1174.
[15] VAN HOUTVEN C H, COE N B, SKIRA M M.The effect of informal care on work and wages[J].Journal of health economics, 2013, 32(1): 240-252.
[16] FU R, NOGUCHI H, KAWAMURA A, et al.Spillover effect of Japanese long-term care insurance as an employment promotion policy for family caregivers[J].Journal of health economics, 2017, 56: 103-112.
[17] 于新亮,黄俊铭,康琢,等.老年照护保障与女性劳动参与——基于中国农村长期护理保险试点的政策效果评估[J].中国农村经济,2021, (11): 125-144.
[18] MOTEL-KLINGEBIEL A, TESCH-ROEMER C, VON KONDRATOWITZ H-J.Welfare states do not crowd out the family: evidence for mixed responsibility from comparative analyses[J].Ageing and society, 2005, 25: 863-882.
[19] 于新亮,刘慧敏,杨文生.长期护理保险对医疗费用的影响——基于青岛模式的合成控制研究[J].保险研究,2019(02):114-127.
[20] KIM H B, LIM W.Long-term care insurance, informal care, and medical expenditures[J].Journal of public economics, 2015, 125: 128-142.
[21] RAPP T, GRAND A, CANTET C, et al.Public Financial support receipt and non-medical resource utilization in alzheimer's disease results from the plasa study[J].Social science and medicine, 2011, 72(8): 1310-1316.
[22] 陈杰.日本的护理保险及其启示[J].市场与人口分析,2002(02):69-73.
[23] 孙建娥,王慧.中国老年长期护理产业发展路径研究[J].湖南师范大学社会科学学报,2012, 41(02):5-8.
[24] 翟绍果,郭锦龙.构建和完善老年人长期照料服务体系[J].中州学刊,2013(09):68-72.
[25] 马超,俞沁雯,宋泽,等.长期护理保险、医疗费用控制与价值医疗[J].中国工业经济,2019,(12): 42-59.
[26] HAN N-K, JEONG U-J, KIM R, et al.Effect of the long-term care insurance policy on medical expenditures for the elderly[J].Health policy and management, 2013, 23(2): 132-144.
[27] ARIIZUMI H.Effect of public long-term care insurance on consumption, medical care demand, and welfare[J].Journal of health economics, 2008, 27(6): 1423-1435.
[28] FERNANDEZ J-L, FORDER J.Consequences of local variations in social care on the performance of the acute health care sector[J].Applied economics, 2008, 40(12): 1503-1518.
[29] GAUGHAN J, GRAVELLE H, SICILIANI L.Testing the bed-blocking hypothesis: does nursing and care home supply reduce delayed hospital discharges?[J].Health economics, 2015, 24(S1): 32-44.
[30] COSTA-FONT J, JIMENEZ-MARTIN S, VILAPLANA C.Does long-term care subsidization reduce hospital admissions and utilization?[J].Journal of health economics, 2018, 58: 43-66.
[31] 王贞,封进.长期护理保险对医疗费用的替代效应及不同补偿模式的比较[J].经济学(季刊), 2021,21(02):557-576.
[32] 王美娇,朱铭来.商业健康保险对居民消费及其结构的影响——基于理性预期和家庭资产结构分析[J].保险研究,2015,(06):19-31.
[33] 问锦尚,姚志,郑志浩.双循环下农村居民消费需求弹性测算与结构变化预测——基于QUAIDS模型的应用[J].经济问题探索,2021(03):61-70.
[34] 张红凤,黄璐.产业结构升级与家庭消费升级——基于CHIP微观数据的经验分析[J].当代经济科学,2022:1-19.
[35] 肖攀,李连友,苏静.农村社会保障对消费结构影响的门槛效应——基于pstr模型的分析[J].经济经纬,2016,33(05):36-41.
[36] 魏勇.社会保障、收入门槛与城镇居民消费升级[J].社会保障评论,2017,1(04):21-35+126.
[37] 杨红燕,陈鑫,聂梦琦,等.地方政府间“标尺竞争”“参照学习”与机构养老床位供给的空间分布[J].中央财经大学学报,2020,(02): 106-116.
[38] ABADIE A, GARDEAZABAL J.The economic costs of conflict: a case study of the basque country[J].American economic review, 2003, 93(1): 113-132.
[39] 刘甲炎,范子英.中国房产税试点的效果评估:基于合成控制法的研究[J].世界经济,2013, 36(11):117-135.
[40] ABADIE A, DIAMOND A, HAINMUELLER J.Synthetic control methods for comparative case studies: estimating the effect of california's tobacco control program[J].Journal of the American statistical association, 2010, 105(490): 493-505.

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