中国养老与医疗保障的城乡协调水平实证研究

发布时间：2018-05-20 04:00

本文选题：养老保障 + 医疗保障　；参考：《辽宁大学》2017年博士论文

【摘要】：中国养老保障、医疗保障城乡协调发展这一研究课题,必须置于中国社会经济长期发展进程(工业化与城镇化)的宏大场景中去系统思考和研究,这是正确认识和有效解决这一问题的关键。中国城乡社会保障体系的不协调发展不仅会影响社会的稳定与和谐发展,还会导致城乡收入差距拉大、社会分配不均等社会问题和社会矛盾。以此为前提,加快城乡社会保障体系改革,促进社会保障的城乡协调发展,在理论上和实践上都有着重大意义。养老保障和医疗保障作为社会保障中最主要的组成部分,有必要对其城乡协调发展水平进行量化和分析。量化社会保障城乡协调度有利于综合评价城乡社会保障体系的发展水平,并为全面建立覆盖城乡居民的养老和医疗保障体系,并逐步实现城乡融合与统一提供科学依据,从而促进城乡经济社会统筹、协调与可持续发展。因此,在中国全面建设小康社会、实现中华民族伟大复兴的过程中,系统研究城乡社会保障体系协调发展,具有必要性、紧迫性及十分重要的现实意义。本文对中国养老和医疗保障体系城乡协调水平的研究,主要是从城乡社会保障体系发展现状和中国工业化与城镇化发展进程出发,着手于养老保障和医疗保障体系城乡协调发展的理论与实践,结合国内外已有的二元经济理论、社会保障理论、库茨涅茨城乡差距倒U型理论等,运用科学的研究方法和翔实的数据分析,构建中国城乡养老和医疗保障体系协调度模型,提出实现城乡养老和医疗保障体系协调水平的测度,以两种城乡社会保障协调度为测度来综合评价养老和医疗保障城乡发展的协调水平,并分析宏观因素变动与协调水平的关系,同时分析未来城乡养老和医疗保障协调水平的提高对收入再分配、就业、人口结构等的影响。主要包含以下研究内容:城乡协调度模型的构建。明确协调度模型的内涵和本质;根据我国城乡养老、医疗保障发展现状及评价指标选取原则,选定计算养老保障和医疗保障城乡协调度的基础指标;引进欧氏距离和余弦距离,分别构建了以养老保障和医疗保障城乡协调度评价指标为基础的城乡绝对协调度和相对协调度模型,并给出了以聚类分析为基础的协调度评价方法。中国养老保障和医疗保障城乡协调度的测定与评价。测算了养老保障、医疗保障城乡协调度模型的各基础指标,并分析其变化趋势及原因;根据协调度模型对我国连续16年(医疗保障为11年)及各省市地区连续5年的养老保障和医疗保障协调度进行了实际测算,运用聚类分析的方法给出了适合我国城乡协调度实际数据的评价标准;运用含有虚拟变量的面板数据回归模型分别对养老保障和医疗保障的协调度计算结果进行了地区差异性检验;最后根据就算结果对养老保障、医疗保障城乡协调发展水平进行了综合评价。养老保障、医疗保障城乡协调度的效应分析。利用面板数据PVAR模型(主要包括脉冲响应分析及格兰杰因果检验的误差修正模型)重点分析了养老保障城乡协调度的提高对缩小城乡收入差距和拉动就业水平带来的效应,还有医疗保障城乡协调度的提高对人口预期寿命的提高和缩小城乡收入差距是否有效。影响养老保障、医疗保障城乡协调度的因素分析。以现有研究成果为基础,运用面板数据回归模型从经济增长因素、政策偏向因素、人口因素、其他控制性因素四个方面来分析城乡养老保障城乡协调度、医疗保障城乡协调度的影响因素;同时运用面板模型检验了养老保障城乡协调度对经济增长的U形曲线。主要结论与政策建议。总结论文的结论和主要观点,并结合文章结果就如何提高养老保障和医疗保障的城乡协调度给出了有针对性的政策建议。
[Abstract]:The research topic of China's old-age security and the coordinated development of urban and rural health care must be put into systematic thinking and research in the grand scenario of China's long-term social and economic development (industrialization and urbanization). This is the key to correct understanding and effective solution to this problem. The uncoordinated development of the social security system in urban and rural areas in China will not only reflect the development of the urban and rural social security system. The stability and harmonious development of the society will lead to the widening of the income gap between urban and rural areas, the unequal social problems and social contradictions. On this basis, it is of great significance in both theory and practice to accelerate the reform of the urban and rural social security system and promote the coordinated development of urban and rural social security. It is necessary to quantify and analyze the level of the coordinated development of urban and rural areas. Quantifying the coordination degree of urban and rural social security is conducive to the comprehensive evaluation of the development level of the urban and rural social security system, and for the comprehensive establishment of the old-age and medical security system covering urban and rural residents, and the gradual realization of the integration and unification of urban and rural areas. Scientific basis, thus promoting urban and rural economic and social co-ordination, coordination and sustainable development. Therefore, in the process of building a well-off society in an all-round way and realizing the great rejuvenation of the Chinese nation, it is necessary, urgent and ten important practical significance to systematically study the coordinated development of the urban and rural social security system. The research on the level of urban and rural coordination in the barrier system is mainly from the current situation of the development of urban and rural social security system and the process of China's industrialization and urbanization, starting with the theory and practice of the coordinated development of urban and rural areas in the old-age security and medical security system, and combining the existing two yuan economic theory, the social security theory and the gap between the urban and rural areas of the Chinese and foreign countries. On the basis of inverted U theory, using scientific research methods and detailed data analysis, the coordination degree model of urban and rural pension and medical security system in China is constructed, and the measurement of the coordination level of urban and rural pension and medical security system is put forward. The coordination of two urban and rural social security coordination is measured to evaluate the coordination of urban and rural development of pension and medical security. Level, and analyze the relationship between macro factor changes and coordination level, and analyze the impact of the improvement of the coordination level of urban and rural pension and medical security on income redistribution, employment, and population structure in the future. The main contents are as follows: the construction of urban and rural coordination degree model. The present situation of the development of medical security and the selection principle of evaluation index, and selecting the basic indexes for calculating the urban and rural coordination degree of the old-age security and medical security, and introducing the Euclidean distance and the cosine distance, constructed the urban township absolute coordination degree and relative coordination degree model based on the evaluation index of the urban and rural coordination degree of the old-age security and medical support respectively. The coordination degree evaluation method based on cluster analysis. The measurement and evaluation of the urban and rural coordination degree of China's old-age security and medical security. The basic indexes of the old-age security, the urban and rural coordination degree model were calculated, and the change trend and reason were analyzed. According to the coordination degree model for 16 years (medical security for 11 years) and the provinces in China The coordination degree of old-age security and medical security in the city area for 5 years has been calculated, and the evaluation criteria for the actual data of urban and rural coordination in China are given by the method of cluster analysis, and the calculation results of the coordination degree of the old-age security and medical support are carried out by the panel data regression model containing the virtual variables. In the end, according to the result, the level of urban and rural coordinated development was evaluated synthetically. The effect analysis of the urban and rural coordination degree of medical security was analyzed. The PVAR model of panel data (mainly including impulse response analysis and error correction model of Grainger causality test) was used to analyze the endowment insurance. The improvement of urban and rural cooperative scheduling has the effect on reducing the income gap between urban and rural areas and pulling the level of employment, as well as whether the improvement of urban and rural coordination degree is effective on improving the life expectancy of the population and reducing the income gap between urban and rural areas. Using panel data regression model from four aspects of economic growth factor, policy bias factor, population factor, and other control factors, this paper analyzes the urban and rural coordination degree of urban and rural old-age security and the influencing factors of urban and rural coordination degree of medical security. At the same time, it uses panel model to test the U curve of urban and rural coordination degree to economic growth. The conclusion and main points of the paper are summarized and the results of the article are combined with the results of the article to give some pertinent policy suggestions on how to improve the urban and rural coordination of old-age security and medical security.
【学位授予单位】：辽宁大学
【学位级别】：博士
【学位授予年份】：2017
【分类号】：F842.684;F842.67

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