作　　者： ; (李培祥）; ;

机构地区： 广东金融学院

出　　处： 《农业经济与管理》 2019年第5期35-45,共11页

摘　　要： 实现农民增收和减贫是评估农村医疗保险制度实施效应的两个重要维度。基于2015年中国健康与营养调查(CHNS)数据,建立OLS模型和Logit模型,实证评估农村医保制度在农民增收和减贫政策效应及其群体异质性,通过Boostrap中介效应分析法检验政策效应发生机制。研究表明,农村医保制度的增收和减贫效应显著,可提高农民收入水平,降低农民致贫返贫概率;不同年龄参保农民增收和减贫效应存在差异,中年农民增收效应最大,老年农民减贫效应最强;增收效应与经济绩效相关,减贫效应与健康绩效相关。基于此,提出加强财政补贴力度、提高保障水平、扩大补偿范围、实施差别化待遇享受等政策建议。 Realization of income increase and poverty reduction is two important dimensions of rural medical insurance system effect evaluation. Based on the CHNS (2015) data, OLS model and Logit model were established to evaluate the income increase and poverty reduction effects of the rural medical insurance system, and Boostrap mediating effect analysis method was used to test the mechanism of policy effects. Research showed that the rural medical insurance system could significantly increase income and reduce poverty. There were differences on the effects among participants of age groups, which was most prominent among middle-aged farmers on income growth, and among aged group on poverty reduction. The effect of income increase was related to its economic performance, while the poverty reduction effect was related to its health performance. In order to realize income increase and porverty reduction financial subsidies should be strengthened, the level of protection should be increased, the scope of compensation should be expanded, and differentiated benefit policy should be implemented.

关 键 词： 农村医疗保险制度 减贫效应 增收效应 政策评估

领　　域： [经济管理—产业经济]