| Objective:Through the comparison of medical insurance system at home and abroad,we can obtain the excellent development experience of foreign medical insurance to improve the shortcomings of China’s current basic medical insurance system.By evaluating the improvement effect and mechanism of the current basic medical insurance system on residents’ health,this paper clarifies the key contents of medical insurance system reform in the process of promoting’ Healthy China’Methods:Through horizontal comparison of the operation mechanism of medical insurance system at home and abroad and longitudinal understanding of the development history of medical insurance system in China,this paper examines the shortcomings of the current medical insurance system in China.Based on the personal data of 2016 and 2018 in the ’China Family Panel Studies ’,this paper uses the method of propensity score matching and double difference to analyze the change of residents ’ health level after participating in basic medical insurance.This paper uses counterfactual test and replacement regression method to verify the robustness of the estimation results of the health promotion effect of basic medical insurance to ensure the scientific nature of the statistical results;This paper compares and analyzes the differentiated results of the impact of basic medical insurance on the self-rated health level of different groups of residents.This paper uses the mediating effect to study the path of basic medical insurance to improve residents ’ health.The data collation and statistical regression in this paper are completed by STATA 16.0 software.Results:Compared with the domestic and foreign medical insurance systems,the types of basic medical insurance in China are relatively single and the classification standards are relatively rough.The participation of commercial medical insurance in China’s medical insurance market is insufficient,and the government lacks the participation of social governance in the governance of the medical insurance market.The legal system construction in the field of medical insurance in China is still vacant,and the relevant legal system construction is not perfect.Analysis of the health improvement effect of basic medical insurance on residents shows that basic medical insurance can significantly improve the self-rated health level of insured persons(r=0.455,P<0.05);the effect of basic medical insurance on improving the health level of the elderly and poor people was more obvious(r=0.608,P<0.05).r=0.643,P<0.05);basic medical insurance can significantly strengthen the positive health behavior of insured residents.Conclusion:Basic Medical Insurance is an Important Tool to Improve Residents ’ Health Level,Promote Health Equity and Improve Residents ’ Health Behavior in China.Therefore,the construction of ’ Healthy China ’ is inseparable from the deepening reform of the basic medical insurance system.To improve the overall health level of residents,it is necessary to improve the medical insurance system,alleviate the health differences among different groups,and shape a good social health range. |