摘要
文章基于2016年12个省36个县1 212份调查数据,采用因子分析和Ordinal Logistic回归模型,实证分析了传统保障、医疗保险对农村老年人疾病风险担心度的影响。结果显示,农村老年人的疾病风险担心度相对较高。传统保障中的个体保障条件、家庭保障资源和社区保障环境,对农村老年人的疾病风险担心度有显著影响。其中,健康状况越差、家庭收入越低、中西部地区和非平原地区的农村老年人疾病风险担心度越高;年龄越大、已婚、村经济情况越差、交通便利性越差和女儿数量越少的农村老年人疾病风险担心度越低。医疗保险综合保障能力、政策目标实现度、补偿机制合理性和就医问题缓解度对农村老年人疾病风险担心度有正向影响。从影响机制看,补偿机制合理性是医疗保险影响农村老年人疾病风险担心度的决定性因素。补偿比例、补偿范围和报销手续是决定补偿机制合理性的3个主要因素,也是提高医疗保险保障能力的关键着力点。
Based on the 2016 survey data on 1 212 rural individuals from 36 counties,12 provinces,this paper uses factor analysis and ordinal logistic models to analyze the impact of traditional security and medical insurance on the Chinese rural elder’s degree of fear for disease risks.The results show that the degree of fear for disease risks is relatively high.Traditional security factors,including individual resources,family support and community environment,have significant influences on rural elder’s fear for disease risk.The elderly with poorer health condition,lower family income,or living in central and western or mountainous regions have higher degrees of fear on average.The elderly who are older,married,living in the villages with poorer economic condition or transportation,and those having fewer daughters expressed lower degrees of fear.Medical insurance factors,including its comprehensive security capacity,gap between policy target and realization,rationality of compensation mechanism,and degree of medical problem relief,also have positive influences.Among the influence mechanisms,the rationality of compensation mechanism is the key factor.The ratio,scope and procedure of reimbursement are the three main factors that determine the rationality of compensation mechanism,and are important to the medical insurance capability.
出处
《中国人口科学》
CSSCI
北大核心
2018年第4期93-104,128,共13页
Chinese Journal of Population Science
基金
国家社科基金一般项目"慢性病对农村老年贫困影响的效应与机制研究"(编号:18BSH050)的阶段性成果
