| Under the background of continuous economic and social development and significant shift in demographic structure,the commercial health insurance market is in a new period of development opportunities,but also facing certain challenges.As an important part of China’s social medical security system,commercial health insurance plays an increasingly important role in meeting people’s medical security needs and improving people’s living standards.In recent years,the government has put the development of commercial health insurance to an important strategic position,and actively provided policy support to promote its development.The changes of China’s demographic structure are the reflection of economic and social changes in the field of population,and it will react on the development of economy and society.With the aging of the age structure,the miniaturization of the family structure,the further optimization of the urban-rural structure,the improvement of people’s education level and the increase of the proportion of the population with spouse,the shift of the demographic structure has brought far-reaching impact on the commercial health insurance market,which not only relates to the prospect of insurance market development,but also to the realization of the role of insurance industry in economic and social development.Therefore,the research on the impact of demographic structure shift on the development of commercial health insurance market is of great significance in adjusting population policy,expanding insurance market,promoting social harmony and stability and coordinating the development of insurance and population.Based on the explanation and summary of the basic theory of demographic structure shift and commercial health insurance market,combined with the basic facts of China’s demographic structure shift and the actual situation of the development of commercial health insurance market,this paper constructs an analysis framework suitable for the development of China’s commercial health insurance market by establishing a dynamic panel data model and using GMM estimation method.This paper analyzes the influence of demographic structure change on the development of commercial health insurance market from three aspects: commercial health insurance density,commercial health insurance depth and commercial health insurance market share.This paper selects the panel data of 31 provinces(cities and autonomous regions)from 2008 to 2018,and makes an empirical analysis based on the data of natural structure,social structure and regional structure in the demographic structure.At the same time,it selects income level and social medical insurance level that have a great impact on the development of commercial health insurance market as the control variables.Based on the overall analysis of the whole sample,this paper analyzes the heterogeneity of samples according to the level of economic development,so as to explore the differences of the impact of demographic structure on the development of commercial health insurance market in different economic development level areas.Finally,according to the research conclusions,this paper puts forward countermeasures and suggestions.Empirical research shows that: firstly,the relationship between the shift of demographic structure and the demand of commercial health insurance is significant in general,shift of demographic structure will have a significant impact on the development of commercial health insurance market.Secondly,from the perspective of demographic structure,the elderly dependency ratio,family structure and urban-rural structure in the age structure have a significant impact on the development of commercial health insurance market.The increase of demographic aging and urbanization rate will promote the development of commercial health insurance market,while the miniaturization of family structure will weaken the demand for commercial health insurance,while the current children’s dependency ratio and marriage structure do not have a significant impact on the commercial health insurance market.Thirdly,for other relevant factors,the improvement of social medical insurance level will significantly promote the development of commercial health insurance market because of its complementary effect,while the increase of income level will have a more significant impact on the density of commercial health insurance.Fourthly,the change of demographic structure has different effects on the development of commercial health insurance market in regions with different levels of economic development.Based on empirical research conclusions,this paper puts forward the suggestions on the improvement of commercial health insurance market: insurance companies should seize the dividend period of demographic transformation,and improve the level of product innovation,upgrade industrial chain,improve specialization degree and promote transformation of scientific and technological achievements;government should actively adjust the population policy,strengthen the support of the commercial health insurance,further enhance the awareness of the insurance of the public,and promote the connection between the commercial health insurance and the social medical insurance. |