养老保险待遇对民办养老机构服务定价的影响研究

江西财经大学学报 ›› 2024, Vol. 0 ›› Issue (3): 49-63.

养老保险待遇对民办养老机构服务定价的影响研究

李全伦, 夏雪晴

中南财经政法大学公共管理学院,湖北武汉 430073

收稿日期:2023-10-09 出版日期:2024-05-25 发布日期:2024-06-13
通讯作者: 夏雪晴,中南财经政法大学博士研究生,主要从事养老服务和养老保险政策研究,联系方式xiaxueqing36@163.com。
作者简介:李全伦,中南财经政法大学教授,博士生导师,主要从事社会保障、劳动就业和社区社会治理研究。
基金资助:
2023年部省共建项目“就业补助专项资金协同效果及其优化对策研究”（31713111001）

A Study on the Impact of Pension Insurance Benefits on the Service Pricing of Private Elderly Care Institutions

LI Quan-lun, XIA Xue-qing

Zhongnan University of Economics and Law, Wuhan 430073, China

Received:2023-10-09 Online:2024-05-25 Published:2024-06-13

摘要/Abstract

摘要： 利用2022年“安养帮”网络平台数据和2018年中国健康与养老追踪调查数据,研究城镇职工基本养老保险待遇提高对民办养老机构服务价格的影响。研究发现,城镇职工养老保险待遇每提高1%,民办机构养老服务最低价格和最高价格分别上升0.48%和0.36%。养老保险待遇提高,增加了城镇老年人养老机构服务需求,进而提升了养老服务价格。此外,养老保险待遇提高对大型、市辖中心区内和开业时间较短的民办养老机构服务价格的影响作用更大。推动养老服务体系改革,可通过制定民办养老机构服务价格指引、整合养老保险待遇与养老服务政策以及优化民办养老机构补贴机制,促进民办养老机构的可持续发展。

关键词: 养老保险待遇, 民办养老机构, 养老服务价格, 机构养老需求

Abstract: By making use of the data from “An-yang-bang”platform in 2022 and China Health and Retirement Longitudinal Study in 2018, this paper estimates the impact of the improvement of the basic pension benefits of urban workers on the prices of elderly care services of private institutions. The findings show that an average increase of 1% in the basic pension benefits of urban workers would result in an increase of 0.48% and 0.36% in the minimum and maximum prices of the elderly care services of the private institutions, respectively. The increase of the pension benefits would increase the demand for institutional care services for the elderly in urban areas, which in turn increases the price of private institutional care services. In addition, the increase of the pension benefits will have a greater impact on the prices of private institutions that are larger, located in central urban areas, and operating for a shorter time. The reform of the elderly care service system can be promoted by establishing pricing guidelines for private elderly care institutions, integrating pension insurance benefits with elderly care service policies, and optimizing subsidy mechanisms for private elderly care institutions, so as to facilitate the sustainable development of these institutions.

Key words: pension insurance benefits, private elderly care institution, price of institutional elderly care services, institutional elderly care demand

中图分类号:

F840.612

李全伦, 夏雪晴. 养老保险待遇对民办养老机构服务定价的影响研究[J]. 江西财经大学学报, 2024, 0(3): 49-63.

LI Quan-lun, XIA Xue-qing. A Study on the Impact of Pension Insurance Benefits on the Service Pricing of Private Elderly Care Institutions[J]. Journal of Jiangxi University of Finance and Economics, 2024, 0(3): 49-63.

参考文献

[1] “河南省养老服务需求基线调查”课题组.构建公平、适度普惠、可持续发展的城镇养老服务体系——以河南省五地市为例[J].社会工作,2015,(2):71-86.
[2] 杨雨萱,肖珍英,刘派诚.“一床难求”与“半数空置”——养老机构入住率差异研究[J].中国公共政策评论,2021,(3):155-177.
[3] Scanlon W.J. A Theory of the Nursing Home Market[J]. Inquiry, 1980, 17(1): 25-41.
[4] Nyman J.A. The Effects of Market Concentration and Excess Demand on the Price of Nursing Home Care[J]. The Journal of Industrial Economics, 1994, 42(2): 193-204.
[5] Cellini R., Siciliani L., Straume O.R. A Dynamic Model of Quality Competition with Endogenous Prices[J]. Journal of Economic Dynamics and Control, 2018, 94: 190-206.
[6] Huang S.S., Banaszak H. J., Yuan S. Determinants and Variation of Nursing Home Private-Pay Prices: Organizational and Market Structure[J]. Medical Care Research and Review, 2021, 78(2): 173-180.
[7] Forder J., Allan S.The Impact of Competition on Quality and Prices in the English Care Homes Market[J]. Journal of Health Economics, 2014, 34(34C): 73-83.
[8] Allan S., Gousia K., Forder J.Exploring Differences Between Private and Public Prices in the English Care Homes Market[J]. Health Economics, Policy and Law, 2021, 16(2): 138-153.
[9] 沈勤,树佳伟.我国民办养老机构服务质量和价格研究——以上海市为例[J].价格理论与实践,2018,(6):58-61.
[10] Clement J.P., Bazzoli G. J., Zhao M. Nursing Home Price and Quality Responses to Publicly Reported Quality Information[J]. Health Services Research, 2012, 47(1): 86-105.
[11] Huang S.S., Hirth R. A. Quality Rating and Private-Prices: Evidence from the Nursing Home Industry[J]. Journal of Health Economics, 2016, 50: 59-70.
[12] Yong J., Yang O., Zhang Y., Scott A.Ownership, Quality and Prices of Nursing Homes in Australia: Why Greater Private Sector Participation Did Not Improve Performance[J]. Health Policy, 2021, 125(11): 1475-1481.
[13] 冯华,邱雨如,黄宇.养老服务补贴研究:补需方比补供方更好吗?[J].中国管理科学,2023,(9):266-277.
[14] Gargett S.The Introduction of A Targeted User-Pays Approach to Funding High-Level Residential Aged Care in Australia: An Empirical Investigation of the Impact on Price[J]. Health Economics, Policy and Law, 2010, 5(4): 481-508.
[15] 付诚,韩佳均.我国养老服务产业化发展的现实困境与改进策略[J].经济纵横,2015,(12):26-31.
[16] 方颖,纪衎,赵扬.中国是否存在“资源诅咒”[J].世界经济,2011,(4):144-160.
[17] 王丹利,陆铭.农村公共品提供:社会与政府的互补机制[J].经济研究,2020,(9):155-173.
[18] 杨团. 中国长期照护的政策选择[J].中国社会科学,2016,(11):87-110.
[19] Kemper P.The Use of Formal and Informal Home Care by the Disabled Elderly[J]. Health Services Research, 1992, 27(4): 421-451.
[20] 程令国,张晔,刘志彪.“新农保”改变了中国农村居民的养老模式吗?[J].经济研究,2013,(8):42-54.
[21] 郭瑜,张寅凯.代际关系、养老保险与中国城镇养老新图景[J]. 社会学研究,2021,(2):160-180.
[22] 田北海,王彩云.城乡老年人社会养老服务需求特征及其影响因素——基于对家庭养老替代机制的分析[J].中国农村观察,2014,(4):2-17.
[23] 王琼. 城市社区居家养老服务需求及其影响因素——基于全国性的城市老年人口调查数据[J].人口研究,2016,(1):98-112.