没有医疗保险的成长:来自中国农村的证据
Guanfu Fang1, Xin Li2, Tianyu Tang3
1School of Business, Shanghai University of International Business and Economics, Shanghai, China.
Health economics
|November 7, 2023
概括
中国农村儿童的医疗保险改善了成人教育水平. 这与减少财务压力和更好的营养有关,而不是增加医疗保健使用.
科学领域:
- 卫生经济学 卫生经济学
- 发展经济学 发展经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 了解医疗保险对人力资本发展的长期影响至关重要.
- 中国的新农村合作医疗计划 (NRCMS) 为评估医疗保险影响提供了一个独特的案例研究.
研究的目的:
- 调查早期生命健康保险对儿童教育成绩的长期影响.
- 在发展中国家的背景下,确定将医疗保险与教育成果联系在一起的因果机制.
主要方法:
- 在中国农村地区利用了NRCMS的分阶段,县级实施.
- 采用经验方法来分析保险风险与成人教育程度之间的关系.
主要成果:
- 早期接触NRCMS显著改善了成年人的教育成就.
- 短期增加的医疗保健利用率并没有被确定为主要的因果道.
- 有证据表明,家庭财务负担减少和营养支出增加是关键途径.
结论:
- 医疗保险计划可以对教育成果产生持久的积极影响.
- 财政保护和改善儿童营养是医疗保险影响人力资本的关键机制.
- 在制定社会保护计划时,政策干预应考虑这些长期利益.
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