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Evaluation Of The Effect Of Basic Medical Insurance Policy

Posted on:2019-07-20Degree:DoctorType:Dissertation
Country:ChinaCandidate:A Q C ShiFull Text:PDF
GTID:1369330551450184Subject:Finance
Abstract/Summary:PDF Full Text Request
Hospitals,doctors,and medical care run through everyone’s life from everybody’s birth to leaving the world.With the progress of the society,the medical services that people enjoy are increasing and the corresponding medical expenses are also rising.There are health risk and medical expense uncertainty,which has become an important source of eco nomic risk of the modern family.Because of the background risk,the possibility of health risks will lead to the current and future economic losses,thereby increasing the risk of economic wealth of the family.Thus,family members of illness will affect the economic situation of the whole fami ly.Especially for China’s low income groups the health risk has greater impact,42.1% of households are poverty by the end of 2014,which is in no hurry for the “2020 aim” full for al eviating the risk fal ing into or falling back to poverty because of catching diseases.As an important part of social security,basic medical insurance is an important safety net about people’s livelihood.As a formal insurance mechanism,medical insurance risk sharing in the wide range of medical services in order to share the economic losses of the minority or economic entity and to avoid or reduce the people caused by diseases and treatment of economic risk,is a positive way to prevent risk in advance.Since the first more than 10 years of the twenty-first century,the basic medical insurance system in China has undergone profound changes.Seen from the previous study,it is found that the medical insurance can inhibit the health risk caused by the loss fluctuation,make stable psychological expectations of people,and help push and stable effect on the domestic economy.This paper make research on the influence of medical insurance on the welfare of the family from the direct economic effect of medical insurance for family medical burden and indirect economic effect--the influence on family consumption and investment funds and the impact on the economy,from a health risk,precautionary savings and risk attitude angle.At the same time,we used the Beijing Normal University China residents’ income survey data(CHIPS)and the Peking University Chinese family follow-up survey(CFPS)data,and tried to accurately assess the value of social basic medical insurance for the family from the micro level family,in order to realize the function and mechanism of medical insurance solutions and to provide the basis for further reform and improve the social medical insurance system.Specifically,this article includes the following parts:Firstly,it is the role of medical insurance for medical burden.this chapter uses the "China income survey data"(CHIPS)from 2008 to 2009,to make empirical study on burden of NCMS households,and make robustness test by the lag effect;furthermore,through the use of funds of the NCMS reimbursement in order to study the influence of different types of families and to explore the heterogeneity of different income families for assessing the helping effect of the new rural cooperative medical policy.Secondly,this paper examines the improvement of the quality of life of the residents from the dimension of household consumption and consumption structure.Specifically,we make use of the medical insurance for urban residents to expand the pilot before and after to study the effect on medical insurance for household consumption,and make household consumption divided into specific survival consumption and the development of consumption,and make use of micro data--China household tracking survey data in 2008 and 2009 "(CFPS)by using the PSM-DID method.We study the effect of the city home insurance for urban low-income families and non-medical consumption,from survival consumption to the development of consumption and consumption trend,and explore the heterogeneity of consumer city ranks of different level of family life,and explore the influence of medical insurance consumption and the consumption structure of the channel.Thirdly,it is the effect of medical insurance on the family investment.Family investment in this chapter will compose of the investment in financial assets and assets of industrial investment,by the China Family Panel Studies in 2014(CFPS),to build an empirical study on effect of the safety net of social medical insurance on whether participating in the family investment and how much to invest.Furthermore,we study the effect of the social medical insurance for different age families’ investment,in order to explore the investment effect of different social basic medical insurance.Fourthly,it is the effect of medical insurance for family income.This chapter uses the data of China Family Panel Studies in 2010 and 2014(CFPS)to investigate the overall impact of the medical insurance on the low-income urban household,and to make the hierarchical analysis of the heterogeneity.We make the analysis of the regional effect of the regional income divided further based on the regional development and people’s livelihood index(Development and Life Index,referred to as DLI),and evaluate the medical insurance for urban residents falling into or falling back to poverty because of catching diseases.Through the discussion of the impact of medical insurance on domestic medical burden,consumption,investment and economic income,the innovational parts are made in the following.Firstly,in the context of the universal medical insurance,this paper not only makes research on whether to participate in the social medical insurance of medical insurance policy,but also explore the security level change for family medical burden and investment.Secondly,we make the use of micro data rich through empirical methods to make study and robustness test.Thirdly,through the study benefits of different types of the families from the medical insurance medical insurance,we explore the income heterogeneity,age hetero geneity,regional heterogeneity.Fourthly,through the analysis of the channel,we make a clearer understanding the impact path of medical insurance on the consumption and investment.Fifthly,we make further study on the poverty al eviation and back to poverty effect of medical insurance.This paper starts from the perspective of family,makes analysis of medical insurance function,and explores the effects of different security levels and different coverage of medical insurance for the insured family life of different levels,in order to provide reference for China’s reform of the medical insurance system,and to improve China’s medical insurance system,which is helpful to provide effective path to solve China’s high savings,low consumption,and low financial market participation rate,and to curb the impoverishment,in order to provide empirical support for China financial market reform and the reform of medical system.The health of the family members and the affluence of the family is the ultimate goal of medical insurance,which is helpful to achieve a comprehensive wel-off society.
Keywords/Search Tags:Basic Social Medical Insurance, Medical burden, Consumption, Investment, Income, Poverty alleviation
PDF Full Text Request
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