医保供给与政治信任:供给水平与期望增长的速度竞赛

Health Insurance and Political Trust:the Race between the Supply Level and the Growing Expectations

近年来我国建立的医疗保障体系受到广泛认可,被视为增进政治信任的重要途径。利用两项全国性调查数据对中国医保的研究发现,民众对政府在医保中的政策绩效评价和政府责任期望都会显著提升其中央政府政治信任水平。但随着民众政府责任期望的上升,政策绩效评价对中央政府信任的边际效应呈下降趋势,使医保供给在发挥中央政治信任功能上面临着供给水平与民众对政府责任期望的速度竞赛。因此,医保供给与体系建设需要纳入对民众期望的有效管理。

China5s newly founded health insurance system is widely recognized as an important way to generate political trust.Using the data from two national surveys in 2010 and 2014,this paper finds that both public^evaluation to government^policy performance and the expectation to government responsibility in health insurance would generate political trust to central government.However,the marginal effect of policy performance to central government trust would get diminished when the expectation grows.Therefore,the health insurance's effects on central government trust faces the race between supply level and growing expectations.So it should pay attention to the expectation growth when governments provides health insurance.