| Under the realistic background of steadily advancing the "Healthy China" strategy,strengthening the anti-poverty effect of medical security and alleviating relative poverty,the study on the poverty reduction effect of medical insurance in rural areas fits the policy background and the reality of rural residents.In 2016 and the new rural cooperative medical insurance for urban residents medical insurance merged into a unified urban and rural residents basic medical insurance,income in absolute poverty and relative poverty income standard of rural medical insurance of poverty reduction effect,can not only examine system integration after the implementation of the results,and be able to have what level of medical insurance system provide empirical support poverty reduction effect.With the theoretical support of medical insurance poverty reduction theory,Grossman’s health demand theory model and welfare economics theory,this paper constructs two ways of rural medical insurance poverty reduction: one is to provide economic compensation for disease occurrence by reimbursement of medical expenses to reduce the economic burden;The second is to promote employment by improving individual health level,which has good human capital accumulation effect.Based on the data of China Family Tracking survey in 2018,the binary logistic regression model was used for empirical analysis.The results show that: rural medical insurance has a significant effect on poverty reduction,reducing the incidence of poverty by 0.635 and 0.432 units respectively under the two poverty standards;The results of heterogeneity analysis showed that the poverty reduction effect of rural medical insurance was different in terms of age and gender.In terms of age,rural medical insurance has a more significant effect on poverty reduction of middle-aged and elderly people.In terms of gender,the poverty reduction effect of rural medical insurance on women is generally higher than that of men.In conclusion,the medical insurance system has a good effect on poverty reduction in rural areas,but there are still some problems,such as persistent insufficient system effect,inadequate and unbalanced development of medical and health services,and inadequate connection.Based on the empirical research results and the practical background of rural areas,the policy suggestions are as follows:optimize internal design and strengthen economic performance;Balanced allocation of medical and health resources to improve health performance;Establishing multi-level medical security system and giving play to synergetic effect;We will establish a long-term mechanism to make policies more precise. |
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