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本文利用中国健康与养老调查(CHARLS)2013年全国追踪数据,采用反事实的倾向评分匹配方法,评估中国农村贫困老年人口的潜在医疗需求。研究结果显示,农村贫困老年人患病后是否选择就医与收入约束没有显著的关系,即使是最贫困的老年人假设他们的收入模式类似于最富有的老年人,患病后是否就医也并没有发生显著的改变,患病后是否就医取决于老年人的年龄和健康状况。但是就医后的医疗支出则显著受到收入的影响。首先被压抑的是门诊需求,随着匹配对象进入高收入组,住院需求的压抑也显现出来。并且50-59岁的贫困老年群体相对于其他老年群体,面临着最为严重的医疗需求压抑。
In this paper, we use the CHARLS 2013 national tracking data to evaluate the potential medical needs of China’s rural poor elderly population by using counterfactual propensity score matching method. The results of the study show that there is no significant relationship between the choice of medical treatment and income constraint after the illness of the elderly poor in rural areas. Even the poorest elderly assume that their income pattern is similar to that of the richest elderly, and whether they seek medical treatment after the illness or not Significant changes occur, depending on the age of the elderly and health status. However, medical expenses after medical treatment are significantly affected by income. First pent-up was outpatient needs, and as the match-ups entered the high-income group, the pent-up demand for hospitalization also emerged. And the 50-59-year-old poor elderly are facing the most serious medical needs depression compared to other older people.