Author(s)

Li Yang ¹, Chu Fuling ¹

Affiliation(s)

¹ Central University of Finance and Economics, Beijing, China

Corresponding Author

Li Yang

ABSTRACT

Health issues have become one of the most important issues for the elderly in their later years. Especially with the aging of our country, "Healthy China" has become a hot issue for the government and academia. Based on the CLHLS 2014 survey data, this paper uses a structural equation model for analysis. The study found that both old-age security and medical security significantly improve the subjective health indicators of the elderly in their own evaluation of health, evaluation of health by others, health change, and life satisfaction. reducing two-week discomfort in the elderly and two years of severe illness indicators of objective health levels. In general, old-age security and medical security have improved the health of the elderly, but compared to old-age security, medical security produces better health efficiency. The possible reasons for this result are: firstly, the improvement of the health level brought by medical security is more intuitive. Secondly, the elderly's health needs remain at a lower level that can cure diseases, and the health benefits brought by old-age security are mainly reflected in disease prevention. Therefore, in guaranteeing the current level of medical security and the level of protection, we should vigorously develop old-age security, so that the elderly's focus on health level awareness is shifted to disease prevention, from passive treatment to active prevention, thereby improving the national health level.

KEYWORDS

Pension security, Medical security, Structural equation, Efficiency comparison

CITE THIS PAPER

Li Yang, Chu Fuling, Comparison of health efficiency between Pension security and Medical security for the elderly. Financial Engineering and Risk Management (2020) 3: 1-13. DOI: http://dx.doi.org/10.23977/ferm.2020.030101.

REFERENCES

[1] The Sate Council. ,Outline of "Healthy China 2030".
[2] National Bureau of Statistics. Statistical Communiqué of the People's Republic of China on National Economic and Social Development 2017.
[3] Ministry of Finance Press Conference on Financial Revenue and Expenditure in the First Half of 2018. 
[4] Jersey Liang., et al., Socioeconomic gradient in old age mortality in Wuhan, China. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 2000, 55(4): p.S222-S233.
[5] CA Echevarría,A Iza. Life expectancy, human capital, social security and growth. Journal of Public Economics, 2006, 90 (12) :p.2323-2349.
[6] Zeng Xianxin. et al., The Effects of Social-Economic Status on the Mortality Hazard of Chinese Elderly. POPULATION＆ECONOMICS,2007 (5) :p.53-58.
[7] Huang Feng. ,et al., Estimating the Effects of Public Health Insurance on Mortality of the Elderly in Urban China. NANKAI ECONOMIC STUDIES, 2009 (6) :p.126-137.
[8] Zhang Su., et al., Healthy Aging and Service System for the Elderly. Teaching and Research 2013, V47 (11) :p.21-24.
[9] Wang Jun.,et al., A Review of Economics Analysis on the Elderly Health. Economic Research Journal, 2012 (1):p.134-150.
[10] Huang Jun. Research on the Relationship between Social and Economic Status, Social Security Treatment and Elderly Health—Based on the Dataset of China Household Income Survey. Social Security Studies, 2017 (6) :p.46-52.
[11] D Card., et al., The Impact of Nearly Universal Insurance Coverage on Health Care Utilization: Evidence from Medicare. American Economic Review, 2008 , 98 (5) :p.2242-2258.
[12] Huang Feng. ,et al., Excess Demand or Appropriate Demand?——Health Insurance, Medical Care and Mortality of the Elderly in Urban China. Economic Research Journal, 2010 (6) :p.105-119.
[13] Culter,D.M,E.R.Vigdor.,The Impact of Health Insurance on Health :Evidence from People Experiencing Health Shocks. NBER Working Paper,2005,p.16417.
[14] A Finkelstein,R Mcknight., What did Medicare do? The initial impact of Medicare on mortality and out of pocket medical spending.Journal of Public Economics, 2008, 92 (7) :p.1644-1668.
[15] Wang Xin jun.,et al., The Impact of Health Insurance on Medical Expenditure and Health of the Elderly. Journal of Finance and Economics .2014, 40 (12):p.65-75.
[16] Levy., et al., The Impact of Health Insurance on Health[J]. Annual Review of Public Health, 2008, 29 (29):p.399.
[17] Zhao Zhong.,et al., Health Demand in Urban China and Grossman Model :
Evidence from Cross-sectional Analysis. Economic Research Journal, 2005 (10) :p.79-90.
[18] Pan Jie.,et al., Does Health Insurance Lead to Better Health?. Economic Research Journal, 2013 (4):p.130-142.
[19] Wu Lian can.,et al. Empirical Study on the Impact of New Rural Cooperative Medical System on Farmers' Health. INSURANCE STUDIES, 2010 (6) :p.60-68.
[20] H Wang., et al., The impact of rural mutual health care on health status: evaluation of a social experiment in rural China [J]. Health Economics, 2010, 18 (S2) :p.S65-S82.
[21] S Stringhini., et al., Association of socioeconomic position with health behaviors and mortality [J]. Jama, 2010, 303 (12):p.1159-1166.
[22] RG Wilkinson,. et al., Mortality, the Social Environment, Crime and Violence[J]. Sociology of Health & Illness, 2010, 20 (5):p.578-597.
[23] Sudhir A nand., et al., Measuring disparities in health:Methods and Indicators[J]. Oxford University Press, 2001, p.49-67.
[24] Zhang Chong., et al., The Influences of Social Activities on Urban Elderly People’ s Health:Based on CHARLS 2011 ..POPULATION &ECONOMICS, 2016 (5) :p.55-63.
[25] N Sirven,T Debrand. Social participation and healthy ageing: an international comparison using SHARE data[J]. Social Science & Medicine, 2008, 67 (12) :p.2017-2026.
[26] Liu Chang ping., et al., Research on the Impact of Socioeconomic Status on the Health Status of the Elderly Chinese Journal of Population Science,2017 (5) :p.40-50.

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