The Effects of Urban-Rural Medical Insurance Integration on Rural Households'Catastrophic Health Expenditure
- VernacularTitle:城乡居民医保整合对农村家庭灾难性卫生支出的影响研究
- Author:
Mingming XIE
1
;
Yizhe YANG
;
Mingxin ZHOU
Author Information
1. 郑州大学商学院 郑州 450001
- Keywords:
urban-rural medical insurance integration;
catastrophic health expenditure;
rural household
- From:
Chinese Health Economics
2024;43(3):16-19
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of urban-rural integrated medical insurance on rural households'catastrophic health expenditure(CHE),thereby proposing targeted optimization strategies for the integration.Methods:Based on the five tracking data of the China Household Tracking Survey(CFPS)from 2010 to 2018,Process Specification Model-Dynamic Integrity Dimension(PSM-DID)was used to empirically test the impact of urban-rural integrated medical insurance on rural households'catastrophic health expenditures.Results:The urban-rural integrated medical insurance system significantly reduces the incidence of CHE in ru-ral households.Mechanism testing indicates that health levels,human capital expenditures,and household asset accumulation are important channels of action.Conclusion:It is suggested to continuously promote the urban-rural integrated medical insurance sys-tem,formulate comprehensive policies for medical insurance according to local conditions,and incorporate catastrophic health indi-cators into the detection and warning indicator system for rural residents returning to poverty.
