中国医学伦理学2025，Vol.38Issue(12)：1577-1585,9.DOI:10.12026/j.issn.1001-8565.2025.12.08
代际经济支持视角下新农保对农村老年人医疗服务利用的影响研究
Research on the effect of the new rural social pension insurance on the utilization of medical services for the rural elderly from the perspective of intergenerational economic support
摘要
Abstract
Objective:To examine how the new rural social pension insurance(NRSPI)influences the utilization of medical services for rural elderly from the perspective of family intergenerational economic support,and to provide a decision-making basis for improving their health status.Methods:Based on the data from the 2018 China Health and Retirement Longitudinal Study,the fuzzy regression discontinuity design was used to explore the effect of the NRSPI on the utilization of medical services for the rural elderly from the perspective of intergenerational economic support.Results:Participation in the NRSPI significantly increased the utilization level of medical services for the rural elderly.The effect of NRSPI was greater on inpatient services utilization than on outpatient services utilization.There was a synergistic effect between the NRSPI and family intergenerational economic support in promoting the utilization of medical services for the rural elderly.The effect of the NRSPI varied among different rural elderly groups.Conclusion:To improve the utilization level of medical services for the rural elderly,it is necessary to enhance the protection of NRSPI,strengthen health awareness and health literacy of the rural elderly,safeguard the function of family intergenerational economic support,and provide greater policy support to vulnerable elderly groups.关键词
代际经济支持/新农保/医疗服务利用/断点回归Key words
intergenerational economic support/new rural social pension insurance/utilization of medical services/regression discontinuity design分类
医药卫生引用本文复制引用
CHEN Feng,LUO Min..代际经济支持视角下新农保对农村老年人医疗服务利用的影响研究[J].中国医学伦理学,2025,38(12):1577-1585,9.基金项目
教育部人文社会科学研究规划项目"健康老龄化背景下家庭代际支持对老年人医疗服务利用的影响研究"(22YJAZH078) （22YJAZH078）
江苏省社会科学基金项目"代际支持对老年人养老模式选择的影响研究"(23SHB013) （23SHB013）
