【摘要】 随着中国老龄化、高龄化时代的到来，临终医疗支出的影响不仅在临终痛苦，也使得社会医疗保险基金面临巨大的压力。本研究主要分析临终医疗支出对老年人临终痛苦的影响，为和缓医疗制度的实施提供实证研究基础。研究根据中国健康与养老追踪调查(CHARLS)2013年退出样本全国追踪数据，通过普通最小二乘法(OLS)检验受访者临终前的医药费用、住院费用和总医疗费用分别对临终痛苦频率和临终痛苦症状的影响，并借助医疗报销金额作为工具变量(IV)解决内生性相应的问题。结果表明，临终前的各项医疗花销会显著加深人们的临终痛苦。本文在一定程度上弥补了中国临终医疗全国性微观数据经济学研究的不足。更多还原

【Abstract】 With the advent of China′s aging society, the impact of end of life medical expenditure is not only limited to end of life pain, but also puts tremendous pressure on the social medical insurance fund.This study mainly analyzes the impact of end of life medical expenses on the pain of the dying elderly and provides an empirical research basis for the implementation of the palliative care system.The study is based on the China Health and Retirement Longitudinal Study(CHARLS),which withdrew from the national tracking data in 2013,and examines, by the ordinary least squares(OLS) method, the impacts of medical expenses, hospitalization expenses, and total medical expenses of the respondents before the end of life on the painful frequency and symptoms of dying.It uses medical reimbursement amount as an instrumental variable(IV) to solve the problem of endogeneity.The results of the study show that the medical expenses before the end of life will significantly deepen people′s dying pain.To a certain extent, this paper makes up for the shortcomings of the national micro-data economics research on China′s hospice care.更多还原