Illness-induced poverty remains a major issue on a global scale. China has initiated the model of integration of elderly care and medical services in community (2014-18), this article examines the effects of IEMC on illness-induced poverty among older adults in China. Findings show that IEMC has reduced the incidence of illness-induced poverty among older adults by improving their health level, promoting outpatient service utilisation and increasing income from spouses' labour market participation and offspring transfers. This article recommends a comprehensive development of the IEMC model and enhancing its service capacity.

At present, China has become one of the fastest growing countries in terms of junk food consumption. However, there has been less previous evidence for the effect of endowment insurance on dietary health. Using the data China Family Panel Studies (CFPS) from 2014, this paper exploits a policy, the New Rural Pension System (NRPS), that only the older adults who have reached 60 years old can receive pensions and conduct a fuzzy regression discontinuity (FRD) to address endogeneity and examine the causal effect of the NRPS on the intake of junk food among rural older adults in China. We find that the NRPS can significantly reduce junk food intake among them, which remains robust after a series of robustness tests. In addition, heterogeneity analysis shows that the female, low-educated, unemployed, and low-income groups are more sensitive to the pension shock from the NRPS. The result of our study provides insights to effectively improve people's dietary quality and related policy formulation.

中国社会救助制度进入定型发展新阶段,创新将是推动社会救助制度定型发展的动力.文章对5届全国"社会救助领域创新实践活动"的55个获奖案例进行内容分析和多值集定性比较分析,发现获奖案例在东部地区、县级行政单位和非全国性试点地区占比较大,救助主体以政府和社会力量为主,创新方式丰富,创新内容以"建立健全分层分类的社会救助体系""深化'放管服'改革"为主,"促进社会力量参与"逐步受到重视.使获奖案例有高度影响力的条件组合有7种,其中"全国性试点地区"和"县级或乡级行政单位"是重要条件,条件组合"县级或乡级行政单位、东部地区、服务创新"的解释力较高.建议坚持改革创新方向,提升社会救助创新案例的扩散效果;以目标和问题为导向,增强今后社会救助创新案例的引领性.

目的 分析江苏省流动农民工参保城镇职工医保现状,探究参保影响因素及参与城镇职工医保对就医行为的影响,为提高我国流动农民工医疗保障水平提供理论依据.方法 基于2019年4-8月在江苏省13个地市开展的江苏省农民工市民化发展状况重点调查数据,运用stata 15.0进行统计分析.结果 与江苏省城镇劳动者相比,流动农民工参保城镇职工医保的比率较低(P<0.001).Mlogit回归分析结果显示,年龄为21～50岁、文化程度较高、中等收入、雇员、流入打工地3年以上,以及城镇户籍样本更有可能参与城镇职工医保.logit回归分析结果显示,参与城镇职工医保的流动农民工在打工地门诊就诊的可能性更大(OR=3.635).结论 要减小城乡医疗保障差距,提高农民工收入水平.重视农民工健康教育,增强流动农民工健康保障意识,提高流动农民工参保城镇职工基本医疗保险的比率,提升农民工医疗保障水平.

由于中国居民医疗费用快速增长,仅依靠医疗保险并不足以缓解过重的居民医疗负担.本文发现,作为一项保障中国农村老年居民收入的社会保障制度,新农保可以显著缓解医疗负担.本文采用中国健康与养老追踪调查2015年数据,利用老年人超过60岁可以领取养老金这一自然实验,使用断点回归方法考察了领取养老金对医疗负担的因果效应.结果 显示,获得新农保可以显著降低自负医疗费用在收入中的比例,并显著降低灾难性医疗支出发生的概率.在此基础上,本文通过建立理论模型讨论了为什么在缓解医疗负担上,新农保做到了新农合没做到的事.因为医疗保险待遇的提高会因道德风险而不能有效降低自负医疗费用,而养老保险可以通过收入效应缓解医疗负担.这一解释也得到了样本数据和数值模拟的验证.最后,从更一般的社会总福利视角看,医疗保险虽然在缓解医疗负担上效果不明显,但其强大的共济性可以在很大程度上提升社会总福利.