How Do Medical Insurance and New Rural Social Pension Insurance Affect the Mental Health of the Rural Elderly?
An Empirical Study Based on China Health and Retirement Longitudinal Study
DOI:
https://doi.org/10.54691/bcpbm.v19i.842Keywords:
Medical insurance, New rural social pension insurance, Rural elderly, Mental healthAbstract
At a time when China's common prosperity has entered a new stage of development, the rapid increase in medical costs is still a major concern for some families who are "returning to poverty due to illness". Can the new rural pension and medical insurance effectively relieve the mental burden of the elderly? Based on the microdata of individuals from 2015 China Health and Retirement Longitudinal Study (CHARLS), this paper explored the effects of medical insurance and New Rural Social Pension Insurance (NRSPI) on the mental health of the rural elderly using a fixed-effects model. It was found that participation in medical insurance significantly improved the mental health of rural elderly adults, while participation in the NRSPI had no significant effect on the mental health of the elderly adults. Based on an exploratory interpretation of the relevant mechanisms, this paper makes the following recommendations: medical service resources should be actively promoted downward, rural medical subsidies should be increased, while the design of the medical insurance system should be improved to increase farmers' motivation to participate in insurance, and the construction of cultural activities and facilities in communities in rural areas should be enriched to provide rich conditions for social participation of the rural elderly and to protect their mental health.
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References
Adler, N. E., T. Boyce, M. A. Chesney, S. Cohen, S. Folkman, R. L. Kahn, and S. L. Syme, "Socioeconomic Status and Health," American Psychologist, 1994, 49 (1) ,15-24.[2]
ALMEDOM A M. Social capital and mental health: an interdisciplinary review of primary evidence [J]. Social Science and Medicine, 2005, 61 (5) : 943 - 964.
Card, David, Carlos Dobkin, and Nicole Maestas. 2008. "The Impact of Nearly Universal.Insurance Coverage on Health Care Utilization: Evidence from Medicare. "The.American.Economic.Review98 (5) : 2242-2258.
Case, A. ,and A. Deaton, "Large Cash Transfers to the Elderly in South Africa", The Economic.Journal, 1998, 108 (450) , 1330- 1361. .
Case, A. and F. Wilson, "Health and Well-Being in South Africa: Evidence from the Langeberg.Survey", Research Program in Development Studies. princeton,nj.2000.
Case, A., "Does Money Protect Health Status? Evidence from South African Pensions," Perspec-.tives on the Economics of Aging. Chicago, USA: University of Chicago Press, 2004, 287-312.[3]
Chen G,Liu G G, Xu F. The impact of the urban resident basic medical insurance on health services utilisation in China[J].Pharmacoeconomics,2014,32(3) :277-292.
Cohen S, Wills T A. Stress, social support, and the buffering hypothesis[J]. mental bulletin, 1985, 98(2): 310.
DOLAN P, TESSA P, MATHEW W. Do We Really Know What Makes Us Happy? A Review of the Economic Literature on the Factors Associated with Subjective Well -being [J]. Journal of Economic Psychology, 2008, 29(1): 94-122.
Gao S,Meng X. Health and Rural Cooperative Medical Insurance in China:An Empirical Analysis [J].Working Paper,2009(1):1-12.
Grossman. "On the Concept of Health Capital and the Demand for Health". Journal of Political Economy, 1972, 80( 2) , 223 -255.
Levy, Helen and David Meltzer. 2004. "What do We Really Know about Whether Health.Insurance Affects Health? "In Health Policy and the Uninsured, edited by Catherine G. McLaughlin.Washington, DC: The Urban Institute Press: 179-204.
Ram, R. "Government Spending and Happiness of the Population: Additional Evidence from Large Cross - Country Samples", Public Choke, 2009 Public Choke, 2009, 138: 483 - 490.
Ross C E, Mirowsky J. Does Medical Insurance Contribute to Socioeconomic Differentials in Health?[J].Milbank Quarterly,2000,78(2):291-321.
Shrout P E, Link B G, Dohrenwend B P, et al. Characterizing life events as risk factors for depression: the role of fateful loss events[J]. Journal of Abnormal Psychology, 1989, 98(4): 460.
Chen, H. Deng, P.Y. Health Effect Evaluation of the Urban Employee Basic Medical Insurance - Based on CHNS Data[J]. Social Security Studies, 2016(04):44-52.
Chen, J.R. Zhang,K.J. Tao, Y.H. Wang, Y.C. Canonical Correlation Analysis on Hospital Costs and Medical Insurance Reimbursement of Common Chronic Disease[J]. Chinese General Practice, 2013,16(40):4081-4084.
Qiu, Y.L. Zhai, S.G. Hao, J. Theory, Empirical Study and Recommendations for the Integrated Development of Urban and Rural Health Care[J]. China Soft Science, 2011(04):75-87.
Guo, J. Wu, Y.F. Wu, Q.Q. Does Basic Medical Insurance Promote Health and Subjective Fairness among Residents[J]. Social Security Studies, 2021(3):59-69. doi:10.3969/j.issn.1674-4802.2021.03.006.
Xie, E. The Influences of New Rural Pension Scheme on Elderly Labor Supply and Well-being in Rural Areas[J]. Journal of Finance and Economics, 2015, 41(08):39-49.DOI:10.16538/j.cnki.jfe.2015.08.002.
Li, J.S. Ma, W.J. Prevalence and influencing factors of depression symptom among middleaged and elderly people in China[J]. Chinese Journal of Public Health, 2017, 33(02):177-181.
Li, W.P. Shi, G. Zhao, K. The History, Current Situation and Problems of Rural Health Care in China[J]. Management World, 2003(04):33-43.DOI:10.19744/j.cnki.11-1235/f.2003.04.005.
Liu, W. Liu, C.P. Social Insurance and Rural Old-age Health: Will Participation in Social Insurance Improve the Health of the Elderly?——Empirical Study Based on Multiple Order Logistic Model[J]. Social Security Studies, 2018(02):47-53.
Liu, X.T. The Impact of Social Health Insurance on Health Outcomes among Older Adults: An Empirical Study in Zhejiang Province, China[J]. Chinese Journal of Sociology, 2014, 34(02):193-214. DOI:10.15992/j.cnki.31-1123/c.2014.02.010.
Lu, J.H. Li, Y. Zheng, B. The Relationship between Self-Reported Health and Social Participation of Chinese Elderly: Evidence from CLHLS Survey[J]. Population Research, 2017, 41(01):15-26.
Ma, C. Gu, H. Sun, X.H. The Effects of Urban-Rural Integrated Medical Insurance System on Substantial Equity of Health Care and Health——Based on Equality of Opportunity[J]. Journal of Public Management, 2017, 14(02):97-109+157. DOI:10.16149/j.cnki.23-1523.2017.02.009.
Qi, S.W. Zhou, S.F. The Influence of Income,Health and Medicare Insurance on the Happiness of the Elderly in China [J]. Journal of Public Management, 2010, 7(01):100-107+127-128.
Ren, Q. Huang, J. Empirical Analysis on the Impact of Social Pension on Old People's Health from the Perspective of Urban and Rural Differences[J]. Finance & Economics, 2015(03):109-120.
Tao, Y.C. Shen, Y. The Influence of Social Support on the Physical and Mental Health of the Rural Elderly[J]. Population & Economics, 2014(03):3-14.
Wang, X.J. Zheng, C. The Impact of Health Insurance on Medical Expenditure and Health of the Elderly[J]. Journal of Finance and Economics, 2014,40(12):65-75. DOI:10.16538/j.cnki.jfe.2014.12.003.
Xue, X.D. Jian, X.J. A review on the effects of health insurance on health status[J]. Chinese Journal of Health Policy, 2015(2):41-45.
Zhang, C. Zhang, D. The Influences of Social Activities on Urban Elderly People's Health:Based on CHARLS 2011[J]. Population & Economics, 2016(05):55-63.
Zhang, H. Guo, J.Z. Wang, R.M. Zhu, Y.H. Hu, S.J. Zhuang, L.H. Dong, Y. Luo, S. Analysis of the mental status and coping modes among elderly patients with chronic diseases[J]. Chinese Journal of Disease Control & Prevention, 2016, 20(07):659-662. DOI:10.16462/j.cnki.zhjbkz.2016.07.004.
Zhang, P.F. Impacts of Social Medical Insurance on the Health of the Elderly and its Mechanism[J]. Journal of Yunnan Nationalities University: Social Sciences, 2020, 37(2):96-103.
Zhang, Q. Wu, C.Q. Types of Medical Insurance and Health Improvement of Labor Force——Based on the evidence from CLDS empirical data[J]. Journal of Sichuan University of Science & Engineering(Social Sciences Edition), 2018, 33(5):1-16. doi:10.11965/xbew20180501.
Zhang, Y. Cheng, L.G. Liu, Z.B. Does China’s New Rural Pension Scheme Improve the Life Quality of the Rural Elderly?[J]. China Economic Quarterly, 2016, 15(02):817-844. DOI:10.13821/j.cnki.ceq.2016. 01.17.
Zhou, Q. Jiang, W.G. Guo, X. The Effect of Social Insurance on Mental Health among Rural Residence:An Empirical Analysis Based on CHARLS Data[J]. China Economic Studies, 2018(05):125-136. DOI:10.19365/j.issn1000-4181.2018.05.10.
Zhu, X.T. Xu, H.F. The Impact of Medical Insurance on Chinese Elderly Health[J]. Chinese Health Economics, 2016, 35(01):38-40.
National Healthcare Security Administration of The People's Republic of China. http://www.nhsa.gov.cn/ art/ 2021/8/17/art_26_5798.html.
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