暨南学报(哲学社会科学版)

作者：陈中南, 孙圣民

单位：中国人民大学经济学院。

关键词：大病保险,减贫,双重差分,多时点DID

基金：国家自然科学基金面上项目“政府主导经济发展的历史起源、演变和得失:基于国家能力的视角”(72173124)。

2012年起,中国各省市在城镇居民医疗保险和新型农村合作医疗保险的基础上开展了大病保险改革的政策试点。各省市政策推行存在时间差异,为评估大病保险对居民家庭产生的减贫效果提供了准自然实验的条件。本文采用中国家庭追踪调查(China Family Panel Studies,CFPS)微观入户调查数据,排除了整合城乡居民医疗保险的政策干扰,创新性地使用绝对贫困和相对贫困两个维度指标,利用双重差分方法研究了大病保险对家庭贫困指标的影响,并使用倾向匹配得分法进行稳健性检验,最后运用多时点DID进行拓展分析。研究结果表明:大病保险政策会显著降低家庭处于绝对贫困的可能性,一方面通过减少患者家庭医疗开支减轻了家庭经济负担,另一方面,大病保险间接提高了家庭的劳动参与,防止家庭因为大病冲击而彻底丧失劳动能力和经济收入,因此政策的减贫效应具有时间上的延续性。本文证明大病保险有效减少了因病致贫、因病返贫的现象,是保障脱贫成果的重要制度支撑。"/>template{display:none;}.mag-rich-xref-fn { cursor: pointer;}//长视频$(document).ready(function(){if($("#showLongArticleVideo") && $("#showLongArticleVideo").length && $("#showLongArticleVideo").length>0){mag_ajax_update({ele_id:'showLongArticleVideo',url:mag_currentQikanUrl() + "/CN/article/showLongArticleVideo.do?id="+$("#articleId").val()});}});$(document).ready(function(){window.metaData = {"journal":{"issn":"1000-5072","qiKanMingCheng_CN":"暨南学报（哲学社会科学版）","id":2,"qiKanMingCheng_EN":"Jinan Journal"},"fundList_cn":["国家自然科学基金面上项目“政府主导经济发展的历史起源、演变和得失:基于国家能力的视角”(72173124)。"],"article":{"keywordList_cn":["大病保险","多时点DID","减贫","双重差分"],"juan":"44","zhaiyao_cn":"2012年起,中国各省市在城镇居民医疗保险和新型农村合作医疗保险的基础上开展了大病保险改革的政策试点。各省市政策推行存在时间差异,为评估大病保险对居民家庭产生的减贫效果提供了准自然实验的条件。本文采用中国家庭追踪调查(China Family Panel Studies,CFPS)微观入户调查数据,排除了整合城乡居民医疗保险的政策干扰,创新性地使用绝对贫困和相对贫困两个维度指标,利用双重差分方法研究了大病保险对家庭贫困指标的影响,并使用倾向匹配得分法进行稳健性检验,最后运用多时点DID进行拓展分析。研究结果表明:大病保险政策会显著降低家庭处于绝对贫困的可能性,一方面通过减少患者家庭医疗开支减轻了家庭经济负担,另一方面,大病保险间接提高了家庭的劳动参与,防止家庭因为大病冲击而彻底丧失劳动能力和经济收入,因此政策的减贫效应具有时间上的延续性。本文证明大病保险有效减少了因病致贫、因病返贫的现象,是保障脱贫成果的重要制度支撑。","endNoteUrl_en":"https://jnxb.jnu.edu.cn/skb/EN/article/getTxtFile.do?fileType=EndNote&id=6594","bibtexUrl_cn":"https://jnxb.jnu.edu.cn/skb/CN/article/getTxtFile.do?fileType=BibTeX&id=6594","abstractUrl_en":"https://jnxb.jnu.edu.cn/skb/EN/Y2022/V44/I3/24","qi":"3","id":6594,"nian":2022,"bianHao":"2022-3-24","zuoZheEn_L":"CHEN Zhongnan, SUN Shengmin","juanUrl_en":"https://jnxb.jnu.edu.cn/skb/EN/Y2022","shouCiFaBuRiQi":"2022-05-12","qiShiYe":"24","qiUrl_cn":"https://jnxb.jnu.edu.cn/skb/CN/Y2022/V44/I3","lanMu_cn":"社会保障研究","pdfSize":"1385","zuoZhe_CN":"陈中南, 孙圣民","risUrl_cn":"https://jnxb.jnu.edu.cn/skb/CN/article/getTxtFile.do?fileType=Ris&id=6594","title_cn":"大病保险的减贫效果研究——基于CFPS数据的实证分析","jieShuYe":"39","keywordList_en":["critical illness insurance","DID model","poverty reduction","TVDID model"],"endNoteUrl_cn":"https://jnxb.jnu.edu.cn/skb/CN/article/getTxtFile.do?fileType=EndNote&id=6594","zhaiyao_en":"Since 2012, local governments in China have gradually carried out a critical illness insurance policy pilot on the basis of the new rural cooperative medical insurance. 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