精准扶贫对农村人口医疗保健支出的影响研究——基于倾向得分匹配(PSM)的实证研究

Empirical Research on the Influence of Targeted Poverty Alleviation on Rural Population’s Medical and Health Expenditure Based on Propensity Score Matching Method

目的:考察精准扶贫政策对农户医疗保健支出的影响。方法:运用OLS模型和倾向得分匹配法(PSM)进行数据分析。结果:OLS模型结果显示精准扶贫政策福利能使农户医疗保健支出上升5.4%(P<0.05);纠正变量间内生性后,PSM结果显示精准扶贫政策福利能使农户医疗保健支出上升7.7%(P<0.05)。结论:精准扶贫政策显著影响农户医疗保健支出,且不同群组之间影响程度存在差异,慢性病和自评健康状况是影响农户医疗保健支出的重要因素。扶贫工作应从物质和思想层面引导农户的医疗保健支出,提升整体健康水平,助力于健康中国目标的实现。

Objective To investigate the influence of targeted poverty alleviation policies on rural households’healthcare expenditures.Methods OLS model and propensity score matching method(PSM)were used to analyze the data.Results The results of OLS model showed that targeted poverty alleviation policy benefits can increase their health care expenditure by 5.4%(P<0.05).After correcting the variable endogenity,the PSM results showed that targeted poverty alleviation policy benefits can increase the farmers’health care expenditure by 7.7%(P<0.05).Conclusion Targeted poverty alleviation policies can significantly affect rural households’healthcare expenditures,and the degree of impact varies among different groups.Chronic diseases and self-rated health status are important factors to affect rural households’healthcare expenditures.Poverty alleviation work should stimulate farmers’health care expenditures from the material and ideological levels,improve their overall health,and help achieve the goal of Healthy China.