医疗保险对预防贫困的影响:来自中国基本医疗保险计划的证据
Xinyue Yuan1, Xujin Yang2, Xianhua Zhou3
1School of Journalism, Communication University of China, Beijing, China.
Frontiers in public health
|May 9, 2025
概括
中国的基本医疗保险 (BMI) 显著降低了贫困风险,特别是在农村地区. 然而,收入较高的群体受益更多,需要一个分层补贴政策,以公平地预防贫困.
科学领域:
- 卫生经济学 卫生经济学
- 社会政策 社会政策 社会政策
- 公共卫生 公共卫生
背景情况:
- 中国的基本医疗保险 (BMI) 旨在减轻因疾病造成的贫困.
- 在BMI系统中存在的不平等需要调查和政策改进.
研究的目的:
- 评估BMI在预防家庭贫困方面的有效性.
- 发现BMI对贫困的影响背后的机制.
- 提出一个优惠补贴政策来解决不平等问题.
主要方法:
- 利用了2010-2018年中国家庭小组研究 (CFPS) 的小组数据.
- 采用了Probit和Heckman模型来分析BMI入学对贫困可能性的影响.
- 评估了农村和城市的差异,医疗保健总支出和自费支出.
主要成果:
- 体重指数 (BMI) 登记显著降低了贫困概率,在农村地区的影响更大.
- 医疗保健总支出在入学后增加,但开放式医疗保健支出可能会增加,特别是对于城市居民来说.
- 高收入群体从BMI中获益更多;低收入家庭面临利用障碍.
结论:
- 体重指数 (BMI) 改善了健康结果,但面临着道德风险的担忧,特别是在城市地区.
- 一个分层,逐步补贴的政策可以加强低收入家庭的预防贫困.
- 改进保险政策至关重要,以确保弱势群体获得公平的福利.
相关概念视频
Levels of Health Promotion and Illness Prevention
11.2K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
11.2K
Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
Preventive Healthcare Services
946
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
946
Methods Of Healthcare Delivery System
3.1K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.1K
Introduction To Health Care Delivery System
2.5K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.5K
Models of Health Promotion and Illness Prevention II
1.5K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.5K


