“新农保”对农村老人就医行为的溢出效应研究

The Spillover Effect of NRSP on the Treatment-Seeking Behavior of China Rural Elderly

本文利用CHARLS跟踪调查数据和断点回归方法研究了"新农保"对农村老人就医行为的影响。研究结果表明,"新农保"明显提高了较低收入农民生病后的就诊意愿,增加了他们的就诊概率,但没有显著提高他们的医疗支付能力;对于较高收入的农民,"新农保"不但提高了他们的就诊意愿,而且也提高了他们的支付意愿。总体上看,"新农保"正在使农民的健康意识从"小病靠拖,大病靠抗"向"有病必治"转变,"新农保"对农民的就医行为具有正向的"溢出效应"。本文的研究结论同时也折射出较低的收入水平和较高的医疗费用依然是制约农村老人就医行为的重要因素。因此,双管齐下,进一步完善"新农合"和"新农保"制度才能解决人口老龄化背景下中国农村老人的就医困境。

This paper uses data from CHARLS 2013 Follow-Up and studies the effect of NRSP on the treatment-seeking behavior of China rural elderly. The results show that for those with a relatively higher income,NRSP significantly increases the elderly willing to seek treat after they are ill,but the effect on their medical expenditure is not significant. For those with a relatively higher income,NRSP both increase their willing to seek treatment and their medical expenditure. Generally NRSP have a positive spillover effect on treatment-seeking behavior of the rural elderly. However,these findings also reflect that economic status is still the main constrain on the treatment-seeking behavior of the rural elderly.The implication of this article is further building up the NRSP and NRCM is the effective way to cope with the treatment-seeking of China rural elderly.