雷咸胜.社会资本对基本医疗保险参与的影响——基于CGSS(2015)数据的实证分析[J].华中农业大学学报(社科),2019,(5):146-155
社会资本对基本医疗保险参与的影响——基于CGSS(2015)数据的实证分析
The Impact of Social Capital on Basic Medical Insurance Participation——An Empirical Analysis Based on CGSS (2015) Data
  
DOI:
中文关键词:社会资本  医保参与  社会规范  社会信任  社会网络
英文关键词:social capital  medical insurance participation  social norms  social trust  social network
基金项目:国家社会科学基金青年项目“社会医疗保险‘新卑斯麦’改革模式的国际比较研究”(18CSH060);中国人民大学2018年度拔尖创新人才培育资助计划成果(2017000300)。
作者单位
雷咸胜 中国人民大学 公共管理学院北京 100872 
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中文摘要:
      基于2015年中国综合社会调查数据,分析社会资本对基本医疗保险参与的影响。研究发现:社会资本对全体居民的医保参与有促进作用,但社会资本各项的影响是有区别的,对全体居民医保参与的影响程度由高到低依次是社会信任、社会规范和社会网络;社会资本对城市居民和农村居民医保参与的影响存在差异,社会规范和社会网络对农村居民医保参与有促进作用,而对城市居民医保参与的影响不显著;社会信任对城乡居民医保参与都有显著影响,但影响城市居民医保参与的是陌生人信任,影响农村居民医保参与的是熟人信任。因此,新时代背景下,为了实现真正意义上的全民医保,助力中国特色医疗保障制度的形成,需要培育良好的社会信任、增强医保的实际保障效果和创新城乡医保融合路径。
英文摘要:
      Based on the data of Chinese General Social Survey in 2015,this paper analyses the impact of social capital on the participation of basic medical insurance.The results show that social capital promotes the participation of all residents in health insurance,but the impacts of different types of social capital vary.The impacts of social capital on residents’ participation in medical insurance are in turn social trust,social norms and social networks.At the same time,the impact of social capital on the participation of urban residents differs from that of rural residents.Social norms and social networks can promote the participation of rural residents,but have no significant impact on the participation of urban residents.Social trust has a significant impact on both urban and rural residents’ participation in health insurance,but strangers’ trust affects urban residents and acquaintances’ trust affects rural residents.Therefore,to realize the universal health insurance and the formation of the Chinese-style medical security system in the new era,it is necessary to cultivate good social trust,enhance the actual security effect of medical insurance and innovate the integration path of urban and rural medical insurance.
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