Research on Anti-poverty Effect of Basic Medical Insurance for Urban Residents Based on PSTR Model

doi:10.19546/j.issn.1674-3830.2022.10.002

China Health Insurance ›› 2022, Vol. 0 ›› Issue (10) : 11-18. DOI: 10.19546/j.issn.1674-3830.2022.10.002

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Research on Anti-poverty Effect of Basic Medical Insurance for Urban Residents Based on PSTR Model

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Abstract

Objective: The paper analyzes the nonlinear correlation between basic medical insurance and relative poverty of urban residents. Methods: We collect the panel data of 17 provinces in China from 2010 to 2019, taking the per capita disposable income of urban residents as the conversion variable, using the panel smooth transmition (PSTR) model. Results: When the per capita disposable income is less than 25058 yuan, the basic medical insurance can not slow down the occurrence of urban relative poverty rate. The anti-poverty effect of basic medical insurance began to appear when it was above 25058 yuan. The conversion coefficient between basic hospital insurance is 1.2487, and the conversion process is a smooth asymptotic state. Conclusion: When making policy of basic medical insurance treatment, government should consider the income of residents, carry out classification policy, and improve basic medical security for the elderly in view of the large demand for medical and health services and high vulnerability to poverty.

Key words

PSTR / urban resident basic medical insurance / urban relative poverty rate / classification policy

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Research on Anti-poverty Effect of Basic Medical Insurance for Urban Residents Based on PSTR Model[J]. China Health Insurance. 2022, 0(10): 11-18 https://doi.org/10.19546/j.issn.1674-3830.2022.10.002

References

[1] 陈宗胜,沈扬扬,周云波.中国农村贫困状况的绝对与相对变动——兼论相对贫困线的设定[J].管理世界,2013(1):67-75,77,76,187-188.
[2] 陈宗胜,黄云. 中国相对贫困治理及其对策研究[J]. 当代经济科学,2021(5):1-19.
[3] Amy Finkelstein, Sarah Taubman, Bill Wright,Mira Bernstein, Jonathan Gruber, Joseph P. Newhouse, Heidi Allen, Katherine Baicker, and Oregon Health Study Group. The Oregon Health Insurance Experiment: Evidence from the First Year[J]. Quarterly Journal of Economics, 2012, 127(3): 1057.
[4] B. D. Sommers, D. Oellerich.The poverty-reducing effect of Medicaid[J]. Journal of Health Economics, 2013, 32(5): 816-832.
[5] 黄宵,向国春,李婷婷,等.医疗保障对降低城市贫困家庭慢性病经济风险的效果研究[J].卫生经济研究,2017(8):51-53.
[6] 周杨,秦江梅,唐景霞,等.不同医疗保险覆盖人群获得政府医疗补助的受益归属及公平性研究[J].中国全科医学,2016,19(22):2710-2713.
[7] Tal Gross A, Matthew J. Notowidigdo B.Health insurance and the consumer bankruptcy decision: Evidence from expansions of Medicaid[J]. Journal of Public Economics, 2011, 95(7): 767-778.
[8] A. Wagstaff, M. Lindelow.Can insurance increase financial risk? The curious case of health insurance in China - ScienceDirect[J]. Journal of Health Economics, 2008, 27(4): 990-1005.
[9] 于大川,李培祥,杨永贵.农村医疗保险制度的增收与减贫效应评估——基于CHNS(2015)数据的实证分析[J].农业经济与管理,2019(5):35-45.
[10] 王怡欢,张楚.农村贫困家庭灾难性卫生支出风险及影响因素研究——基于2018年CHARLS数据[J].中国卫生政策研究,2021,14(1):44-49.
[11] 叶慧,刘玢彤.不同收入等级农村城乡居民基本医疗保险受益公平性研究——基于湖北省少数民族贫困县的调查[J].社会保障研究,2020(1):23-32.
[12] 俞彤. 贫困基线、住院决策与个人现金卫生支出——基于Heckman样本选择模型[J].卫生经济研究,2018(2):7-11.
[13] 李华,李志鹏.城乡居民医保整合缓解农村因病致贫了吗[J].现代经济探讨,2021(7):31-39.
[14] 鲍震宇,赵元凤.农村居民医疗保险的反贫困效果研究——基于PSM的实证分析[J].江西财经大学学报, 2018(1): 90-105.
[15] Andres Gonzalez, Timo Teräsvirta, Dick Van Dijk, et al.Panel Smooth Transition Regression Models[J]. Sse/efi Working Paper, 2005.
[16] G. Datt,M. Ravallion.Growth and redistribution components of changes in poverty measures[J]. Journal of Development Economics, 1992, 38(2): 275-295.
[17] 胡联,缪宁,姚绍群,等.中国农村相对贫困变动和分解:2002~2018[J].数量经济技术经济研究,2021,38(2):132-146.
[18] 李莹,于学霆,李帆.中国相对贫困标准界定与规模测算[J].中国农村经济,2021(1):31-48.
[19] 汪晨,万广华,吴万宗.中国减贫战略转型及其面临的挑战[J].中国工业经济,2020(1):5-23.
[20] 胡永远. 社会救助再就业人群与城镇职工的工资差距研究[J].数量经济技术经济研究,2014,31(6):131-141.
[21] 赵为民. 社会医疗保险对农村居民收入的冲击效应与传导机制——来自新农合大病保险的经验证据[J].财经论丛,2021(6):56-66.
[22] 周坚. 基本医疗保险:劫富济贫还是劫贫济富[J].金融经济学研究,2019,34(2):147-160.
[23] 齐良书. 新型农村合作医疗的减贫、增收和再分配效果研究[J].数量经济技术经济研究,2011,28(8):35-52.
[24] 刘明霞,仇春涓.医疗保险对老年人群住院行为及负担的绩效评价——基于中国健康与养老追踪调查的实证[J].保险研究,2014(9):58-70.
[25] 高山宪之,王新梅.日本公共医疗保险制度的互助共济机制[J].社会保障评论,2020,4(1):48-66.
[26] 兰剑,慈勤英.后脱贫攻坚时代农村社会救助反贫困的困境及政策调适[J].西北农林科技大学学报(社会科学版),2019,19(3):63-68.
[27] 杨立雄. “一揽子”打包,还是单项分类推进?——社会救助立法的路径选择[J].社会保障评论,2020,4(2):56-69.