【作者】 王伟；

【导师】 董黎明；

【作者基本信息】 安徽财经大学 ， 公共管理， 2022， 硕士

【摘要】 促进老年人健康老龄化是积极应对人口老龄化的重要措施。生理和心理的多维健康是衡量健康水平的主要指标,基本医疗保险是保障老年人健康权益的重要影响因素。当前,我国的人口老龄化趋势严重,医疗保险为推进城乡一体化、缩小保障差距,整合城乡居民基本医疗保险。立足于生命周期,相较于其他群体,老年人作为弱势群体,基本医疗保险对保障其健康质量至关重要。因此,研究基本医疗保险与老年人健康之间的影响效应,厘清社会基本医疗保险对老年人健康的区别影响,对于提高医疗保障水平、增进老年人健康福祉,促进新时代人口健康老龄化具有重要意义。在充分阐述研究背景和意义的基础上,本文主要探讨社会基本医疗保险与老年人健康的影响关系。首先,通过梳理国内外学者的研究成果,对本研究所涉及的关键概念进行界定,继而阐述理论基础。其次,对本文涉及的主要两种基本医疗保险进行制度分析;再次,基于2018年中国健康与养老追踪调查数据,实证检验基本医疗保险与老年人健康的影响效应;最后,基于研究结论,提出促进基本医疗保险制度的完善,提高老年人健康水平的政策建议。研究发现,第一,参加城镇职工基本医疗保险对老年人身体健康和心理健康产生显著促进作用。第二,参加城乡居民基本医疗保险对老年人身心健康的回归系数为正但未产生显著影响。第三,基本医疗保险对老年人健康在年龄和社交上存在差异影响。第四,基本人口学特征、健康行为因素、医疗服务因素在本文的理论指导下基本显著影响了老年人健康。为保证老年人的健康老龄化和健全多层次的医疗保险体系,本文提出以下相关建议。第一,提高医疗保险的统筹层次,缩小医疗保险在筹资、报销方面的待遇差距;第二,多层面共同加强老年疾病预防工作,老年人身体健康和心理健康得到双重重视;第三,普及终身教育理念,鼓励参加身心健康知识的老年健康教育;第四,提供正式和非正式社会支持,推动多主体发展老年服务业;第五,从主体和信息层面加大宣传力度,提高居民对医疗保险的认知度。更多还原

【Abstract】 Promoting healthy aging among the elderly is an important measure to actively combat population aging.Multidimensional physiological and psychological health is a key indicator of health,and basic health insurance is an important factor affecting the protection of the health rights of the elderly.Considering the current serious trend of aging population in China,health insurance combines urban and rural residents in basic health insurance to close the protection gap.Considering the life cycle,the elderly,as a vulnerable group compared to other groups,are important for basic health insurance to ensure their health quality.Therefore,it is important to study the impact of basic health insurance and the health of the elderly,and to clarify the different effects of social basic health insurance policies on the health of the elderly,in order to increase the level of medical protection,improve the health and well-being of the elderly,and promote healthy aging of the population in this new era.Against this background,this paper focuses on the effects of social basic health insurance schemes on the health of the elderly.Firstly,the key concepts involved in this study are defined by combing through the research findings of scholars at home and abroad,followed by an elaboration of the theoretical basis.Secondly,the two main types of basic medical insurance covered in this paper are analyzed systematically;again,the impact effects of basic medical insurance and the health of the elderly are examined empirically based on data from the 2018 China Health and Pension Tracking Survey;finally,based on the findings,policy recommendations are put forward to improve the basic medical insurance system and improve the health of the elderly.The study found that,firstly,participation in basic medical insurance for urban workers had a significant contribution to the physical health and mental health of older people.Secondly,the regression coefficient of participation in basic medical insurance for urban and rural residents was positive but did not have a significant effect on the physical and mental health of the elderly.Thirdly,there were differences in the effects of basic medical insurance on the health of the elderly in terms of age and socialization.Fourth,basic demographic characteristics,health behavior factors and medical service factors basically significantly influenced the health of older people under the theoretical guidance of this paper.To ensure healthy ageing and a sound multi-level health insurance system for the elderly,this paper makes the following relevant recommendations.Firstly,raise the level of coordination of medical insurance and narrow the treatment gap between medical insurance in terms of funding and reimbursement;secondly,strengthen the prevention of diseases in the elderly together at multiple levels and attach importance to the physical health of the elderly along with mental health;thirdly,popularize the concept of lifelong education and encourage participation in elderly health education on physical and mental health knowledge;Fourth,provide formal and informal social support and promote the development of a multidisciplinary elderly services industry;Fifth,increase publicity efforts from the subject and information levels to improve residents’ awareness of medical insurance.更多还原