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社会网络关系对我国家庭医疗支出的影响--基于CFPS微观数据的验证

Influence of Social Network on Medical Expenditure in China:Verification Based on CFPS Micro-data
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摘要 基于中国家庭动态跟踪调查数据(CFPS),从家庭角度检验了社会网络关系对医疗支出的影响。首先利用Tobit模型,从个体、家庭、社区三个维度,系统分析医疗支出的影响因素,继而加入社会网络关系变量,研究社会网络关系对家庭医疗支出的影响。在此基础上,为避免选择性偏误运用倾向值匹配法(PSM),分析社会网络关系对医疗支出的影响差异,并且探究了社会网络关系对医疗支出影响的群体异质性。研究发现:社会网络关系可以显著抑制家庭医疗支出。具体而言,亲戚关系、邻里关系抑制家庭医疗支出,社会关系促进家庭医疗支出;参保、住院、高教育组家庭的医疗支出显著高于未参保、未住院、低教育组家庭。随着居民对健康问题的日益关注,本研究有助于帮助政府机关更好地制定医疗政策,让更多家庭受惠于医疗政策。 Based on the data of Chinese family dynamic tracking survey( CFPS),this paper examines the influence of social network on medical expenditure from the perspective of family. Firstly,Tobit model was used to systematically analyze the influencing factors of medical expenditure from the three dimensions of individual,family and community. Social network relationship variables were added to study the influence of social network relationship on family medical expenditure. In order to avoid the selective bias,the PSM was used to analyze the difference of the influence of social network on medical expenditure. Finally,the group heterogeneity of the influence of social network on medical expenditure was studied. The research found that social network relationship can significantly inhibit family medical expenditure. Specifically,relatives and neighbors restrain family medical expenditure,and social relations promote family medical expenditure. The medical expenditure of the insured,hospitalized and high education group was significantly higher than that of the uninsured,hospitalized and low education group. With the growing concern about health issues of the residents,this study can help government agencies formulate medical policies better,and consequently more families can benefit from medical policies.
作者 肖琴 李玉婷 田甜铭梓 XIAO Qin;LI Yuting;TIAN Tianmingzi(Faculty of Management and Economics,Kunming University of Science and Technology,Kunming 650093,Yunnan,China)
出处 《昆明理工大学学报:社会科学版》 2019年第3期65-74,共10页 Journal of Kunming University of Science and Technology(Social Sciences)
基金 国家自然科学基金项目“家庭经济脆弱性框架下基于教育视角的妇女生育率陷阱形成机理和应对策略研究”(71863022) 教育部人文社会科学规划青年基金项目“我国西部地区‘教育补助陷阱’的形成机理和应对策略研究”(15XJC790014) 云南省应用基础研究计划项目“引入社会资本促进云南省页岩气产业发展的路径研究”(KKSY201608057) 昆明理工大学东盟研究中心项目“中小企业对缅直接投资金融支持体系研究”(2018TY0101).
关键词 社会网络关系 医疗支出 TOBIT模型 倾向得分匹配 social network relationship health expenditure Tobit model PSM
作者简介 肖琴(1984-),女,副教授,博士,主要从事宏观经济学研究;通信作者:田甜铭梓(1987-),女,讲师,博士,主要从事金融学研究.
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