因病支出型貧困社會(huì)救助政策的減貧效果模擬——基于CFPS數(shù)據(jù)的分析
發(fā)布時(shí)間：2018-12-18 04:49
【摘要】：支出型貧困提供了一種從家庭收入和支出兩個(gè)維度看待貧困的新型視角。因病支出型貧困是支出型貧困的核心內(nèi)容,直接影響著扶貧政策的實(shí)施效果。論文基于因病致貧研究、支出型貧困研究以及各地因病支出型貧困社會(huì)救助政策文件,提出了4種因病支出型貧困的界定方法;并利用2014年中國家庭追蹤調(diào)查數(shù)據(jù),計(jì)算了不同界定方法下,中國因病支出型貧困的發(fā)生率及其家庭特征。結(jié)果發(fā)現(xiàn),在當(dāng)前主流因病支出型貧困社會(huì)救助政策的界定方法下,我國因病支出型貧困發(fā)生率和致貧率較高。因病支出型貧困戶主要是收入低、自付醫(yī)療費(fèi)用高、存款少、欠債多、家庭資產(chǎn)少且面臨較多困難的家庭,需要公共政策的支持。論文模擬測算顯示,因病支出型貧困生活救助效果優(yōu)于醫(yī)療救助效果,不設(shè)救助起付線的救助效果優(yōu)于設(shè)置救助起付線的救助效果。但是,因病支出型貧困社會(huì)救助政策對(duì)救助資金需求極高,超出了當(dāng)前社會(huì)救助制度的籌資能力。論文建議,因病支出型貧困社會(huì)救助政策應(yīng)定位于保大病,以醫(yī)療救助為主體,并設(shè)置一定的起付線;應(yīng)以基本醫(yī)療保險(xiǎn)制度為主體化解因病支出型貧困風(fēng)險(xiǎn),應(yīng)多渠道籌集資金;應(yīng)提高低保制度瞄準(zhǔn)效率以更高效、公平地利用社會(huì)救助資金化解因病支出型貧困風(fēng)險(xiǎn)。
[Abstract]:Expenditure poverty provides a new perspective from two dimensions of household income and expenditure. Expenditure poverty is the core content of expenditure poverty, which directly affects the effect of poverty alleviation policy. Based on the research of poverty caused by illness, the research of expenditure poverty and the policy documents of social assistance for poverty caused by illness, this paper puts forward four methods to define the poverty caused by illness. Based on the data of Chinese family tracking survey in 2014, the incidence and family characteristics of the poverty caused by illness and expenditure in China are calculated under different definition methods. The results show that the incidence and incidence of poverty caused by illness are high in China. The poor households with low income, high self-paid medical expenses, less savings, more debts, less assets and more difficulties are in need of public policy support. The result of simulation shows that the effect of poor life relief due to illness is better than that of medical aid, and the relief effect without the starting line is better than that of the one without the line. However, the poor social assistance policy is extremely high in demand for relief funds, which is beyond the financing capacity of the current social assistance system. The paper suggests that the poor social assistance policy should be oriented to protect the serious illness, take medical assistance as the main body, and set up a certain starting line. We should take the basic medical insurance system as the main body to resolve the poverty risk caused by illness and raise funds through many channels, and we should improve the efficiency of the system and make use of social assistance funds fairly to solve the poverty risk caused by illness.
【作者單位】： 華中師范大學(xué)公共管理學(xué)院;
【基金】：國家社科基金青年項(xiàng)目(15CGL047)
【分類號(hào)】：D632.1
，
本文編號(hào)：2385370
[Abstract]:Expenditure poverty provides a new perspective from two dimensions of household income and expenditure. Expenditure poverty is the core content of expenditure poverty, which directly affects the effect of poverty alleviation policy. Based on the research of poverty caused by illness, the research of expenditure poverty and the policy documents of social assistance for poverty caused by illness, this paper puts forward four methods to define the poverty caused by illness. Based on the data of Chinese family tracking survey in 2014, the incidence and family characteristics of the poverty caused by illness and expenditure in China are calculated under different definition methods. The results show that the incidence and incidence of poverty caused by illness are high in China. The poor households with low income, high self-paid medical expenses, less savings, more debts, less assets and more difficulties are in need of public policy support. The result of simulation shows that the effect of poor life relief due to illness is better than that of medical aid, and the relief effect without the starting line is better than that of the one without the line. However, the poor social assistance policy is extremely high in demand for relief funds, which is beyond the financing capacity of the current social assistance system. The paper suggests that the poor social assistance policy should be oriented to protect the serious illness, take medical assistance as the main body, and set up a certain starting line. We should take the basic medical insurance system as the main body to resolve the poverty risk caused by illness and raise funds through many channels, and we should improve the efficiency of the system and make use of social assistance funds fairly to solve the poverty risk caused by illness.
【作者單位】： 華中師范大學(xué)公共管理學(xué)院;
【基金】：國家社科基金青年項(xiàng)目(15CGL047)
【分類號(hào)】：D632.1
，
本文編號(hào)：2385370
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