首頁 資訊 動態(tài)健康沖擊下的中老年家庭金融風險評估

動態(tài)健康沖擊下的中老年家庭金融風險評估

來源:泰然健康網(wǎng) 時間:2024年12月24日 05:57

財經(jīng)研究 2022 年 第 48 卷第 02 期, 頁碼:153 - 168  DOI:10.16538/j.cnki.jfe.20210813.201

摘要

盡管健康沖擊對家庭金融風險具有顯著影響,但現(xiàn)有研究在健康類型、影響程度以及影響機制等方面還存在不同結(jié)論。文章基于家庭資產(chǎn)負債表,構(gòu)建包含財務(wù)邊際和償付能力在內(nèi)的家庭金融脆弱性指標來衡量家庭金融風險,并分析了四種健康沖擊對中老年家庭金融脆弱性的影響及傳導機制。研究發(fā)現(xiàn):我國中老年家庭金融脆弱性上升趨勢明顯,而健康沖擊進一步加大了中老年家庭金融脆弱性,尤其是中等收入家庭和農(nóng)村家庭,但不同種類健康沖擊對中老年家庭金融脆弱性的影響程度具有顯著異質(zhì)性。其中,重大疾病對中老年家庭金融脆弱性的影響程度是其他健康沖擊的4倍。上述效應(yīng)的傳導機制是,健康沖擊通過降低家庭收入或增加家庭支出顯著提高了中老年家庭金融風險。但不同健康沖擊的影響機制存在差異,一般健康沖擊主要通過支出增加提高中老年家庭金融風險,而重大疾病通過支出增加和收入減少共同提高中老年家庭金融風險,表明中老年家庭應(yīng)重點防范重大疾病引發(fā)的金融風險。進一步討論發(fā)現(xiàn),社會醫(yī)療保險對提高家庭應(yīng)對健康風險沖擊的作用有限,而商業(yè)健康保險可以顯著提高家庭償付能力,彌補社會醫(yī)療保險的不足部分,尤其是重大疾病風險。因此,我國應(yīng)加大稅優(yōu)型商業(yè)健康險的優(yōu)惠力度,放寬健康險的年齡界限,提高家庭商業(yè)醫(yī)療險的持有量,強化中老年家庭對健康風險沖擊的應(yīng)對能力,進而降低中老年家庭的金融脆弱水平。

1 丁繼紅,應(yīng)美玲,杜在超. 我國農(nóng)村家庭消費行為研究?基于健康風險與醫(yī)療保障視角的分析[J]. 金融研究,2013,(10):154?166.

2 費孝通. 鄉(xiāng)土中國[M]. 上海: 上海人民出版社, 2019.

3 高夢滔,姚洋. 健康風險沖擊對農(nóng)戶收入的影響[J]. 經(jīng)濟研究,2005,(12):15?25.

4 何興強,史衛(wèi). 健康風險與城鎮(zhèn)居民家庭消費[J]. 經(jīng)濟研究,2014,(5):34?48.

15 Ampudia M, van Vlokhoven H, ?ochowski D. Financial fragility of euro area households[J]. Journal of Financial Stability,2016,27: 250?262. DOI:10.1016/j.jfs.2016.02.003

16 Benjamin D, Brandt L, Fan J Z. Ceaseless toil? Health and labor supply of the elderly in rural China[R]. William Davidson Institute Working Paper No. 579, 2003.

18 Bernheim B D, Forni L, Gokhale J, et al. The mismatch between life insurance holdings and financial vulnerabilities: Evidence from the health and retirement study[J]. American Economic Review,2003,93(1): 354?365. DOI:10.1257/000282803321455340

19 Breslaw J A, Stelcner M. The effect of health on the labor force behavior of elderly men in Canada[J]. Journal of Human Resources,1987,22(4): 490?517. DOI:10.2307/145694

20 Cai L X, Kalb G. Health status and labour force participation: Evidence from Australia[J]. Health Economics,2006,15(3): 241?261. DOI:10.1002/hec.1053

22 Coile C C. Health shocks and couples’ labor supply decisions[R]. NBER Working Paper No. 10810, 2004.

23 Disney R, Emmerson C, Wakefield M. Ill health and retirement in Britain: A panel data based analysis[J]. Journal of Health Economics,2006,25(4): 621?649. DOI:10.1016/j.jhealeco.2005.05.004

24 French E, Jones J B. The effects of health insurance and self-insurance on retirement behavior[J]. Econometrica,2011,79(3): 693?732. DOI:10.3982/ECTA7560

25 Gertler P, Gruber J. Insuring consumption against illness[J]. American Economic Review,2002,92(1): 51?70. DOI:10.1257/000282802760015603

26 Hamid S A, Roberts J, Mosley P. Can micro health insurance reduce poverty? Evidence from Bangladesh[J]. Journal of Risk and Insurance,2011,78(1): 57?82. DOI:10.1111/j.1539-6975.2010.01402.x

27 Hugonnier J, Pelgrin F, St-Amour P. Health and (other) asset holdings[J]. The Review of Economic Studies,2013,80(2): 663?710. DOI:10.1093/restud/rds033

28 Ligon E, Schechter L. Measuring vulnerability[J]. The Economic Journal,2003,113(486): C95?C102. DOI:10.1111/1468-0297.00117

29 Lusardi A, Schneider D J, Tufano P. Financially fragile households: Evidence and implications[R]. NBER Working Paper No.17072, 2011.

30 Mansuri G, Healy A. Vulnerability prediction in rural Pakistan[R]. IFPRI-World Bank Conference on Risk and Vulnerability: Estimation and Policy Implications, Washington, DC, 2002.

31 Merton R C. Lifetime portfolio selection under uncertainty: The continuous-time case[J]. The Review of Economics and Statistics,1969,51(3): 247?257. DOI:10.2307/1926560

32 Mete C, Schultz T P. Health and labor force participation of the elderly in Taiwan[R]. Yale University Economic Growth Center Discussion Paper No. 846, 2002.

33 Mian A, Rao K, Sufi A. Household balance sheets, consumption, and the economic slump[J]. The Quarterly Journal of Economics,2013,128(4): 1687?1726. DOI:10.1093/qje/qjt020

34 Mian A, Sufi A. House prices, home equity—based borrowing, and the US household leverage crisis[J]. American Economic Review,2011,101(5): 2132?2156. DOI:10.1257/aer.101.5.2132

35 Mitra S, Palmer M, Mont D, et al. Can households cope with health shocks in Vietnam?[J]. Health Economics,2016,25(7): 888?907. DOI:10.1002/hec.3196

36 Rosen H S, Wu S. Portfolio choice and health status[J]. Journal of Financial Economics,2004,72(3): 457?484. DOI:10.1016/S0304-405X(03)00178-8

37 Schultz T P, Tansel A. Wage and labor supply effects of illness in C?te d'Ivoire and Ghana: Instrumental variable estimates for days disabled[J]. Journal of Development Economics,1997,53(2): 251?286. DOI:10.1016/S0304-3878(97)00025-4

38 Strauss J, Thomas D. Health, nutrition and economic development[J]. Journal of Economic Literature,1998,36(2): 766?817.

39 Townsend R M. Risk and insurance in village India[J]. Econometrica,1994,62(3): 539?591. DOI:10.2307/2951659

40 Wagstaff A, Lindelow M, Jun G, et al. Extending health insurance to the rural population: An impact evaluation of China's new cooperative medical scheme[J]. Journal of Health Economics,2009,28(1): 1?19. DOI:10.1016/j.jhealeco.2008.10.007

41 Yaari M E. Uncertain lifetime, life insurance, and the theory of the consumer[J]. The Review of Economic Studies,1965,32(2): 137?150. DOI:10.2307/2296058

引用本文

張冀, 史曉, 曹楊. 動態(tài)健康沖擊下的中老年家庭金融風險評估[J]. 財經(jīng)研究, 2022, 48(2): 153-168. 

導出參考文獻,格式為:    

相關(guān)知識

中宏保險:以養(yǎng)老金融驅(qū)動銀發(fā)經(jīng)濟,以數(shù)字金融賦能健康管理
生態(tài)環(huán)境健康風險評估.docx
健康風險評估包括()
健康風險評估報告健康風險評估報告八篇
如何守護你的金融健康
金融風險防控取得重大成效
第三講 健康風險評估
解讀健康風險評估和疾病風險評估
健康風險評估論文
健康風險評估和分析是()

網(wǎng)址: 動態(tài)健康沖擊下的中老年家庭金融風險評估 http://m.gysdgmq.cn/newsview766278.html

推薦資訊