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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Do Health Insurance Schemes Heterogeneously Affect Income and Income Distribution? Evidence from Chinese Agricultural Migrants Survey
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Do Health Insurance Schemes Heterogeneously Affect Income and Income Distribution? Evidence from Chinese Agricultural Migrants Survey

机译：健康保险计划会不同程度地影响收入和收入分配吗？中国农业移民调查的证据

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摘要

Currently, the particularity of Chinese agricultural migrants groups determines that they can participate in various types of public health insurance schemes, i.e., the New Cooperative Medical Scheme (NCMS), Urban Residents Basic Medical Insurance (URBMI), and Urban Employees Basic Medical Insurance (UEBMI). The goal of this paper is to shed light on whether and how these health insurance schemes affect the agricultural migrants’ income and income distribution. A dataset of 86,660 individuals is obtained from China Migrants Dynamic Survey implemented by the National Health Commission. The study uses the basic ordinary least squares regression to assess association between health insurance schemes and income and uses the propensity score matching method to estimate the income effect. In addition, we further use the quantile regression method to explore heterogeneous effects of health insurance schemes on income distribution. We find that UEBMI and URBMI have significant increased monthly net income of agricultural migrants, while NCMS does not. The income-increasing effect of UEBMI is greater than that of URBMI. The income-increasing effect of UEBMI is most obvious in the low-income group. While URBMI has a significant role in increasing income with its income-increasing effect being obvious for the lowest and highest income groups. We suggest that China’s health insurance system needs further reforms in order to reduce income inequality of agricultural migrants.
机译：目前，中国农业移民群体的特殊性决定了他们可以参加各种类型的公共健康保险计划，即新合作医疗计划（NCMS），城市居民基本医疗保险（URBMI）和城市雇员基本医疗保险（ UEBMI）。本文的目的是阐明这些医疗保险计划是否以及如何影响农业移民的收入和收入分配。从国家卫生委员会实施的“中国移民动态调查”中获得了86,660个人的数据集。该研究使用基本的普通最小二乘回归法来评估健康保险计划与收入之间的关联，并使用倾向得分匹配法来估计收入效应。此外，我们进一步使用分位数回归方法来探索健康保险计划对收入分配的异质性影响。我们发现，城镇居民基本医疗保险和城镇居民基本医疗保险显着增加了农业移民的每月净收入，而新农合则没有。城镇居民基本医疗保险的增收效应大于城镇居民基本医疗保险。 UEBMI的增收效应在低收入群体中最为明显。尽管城镇居民基本医疗保险在增加收入方面起着重要作用，但对于最低和最高收入群体而言，其增加收入的作用是显而易见的。我们建议中国的医疗保险制度需要进一步改革，以减少农业移民的收入不平等。

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