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    Healthcare Consumption among Chinese Residents: Total Expenditure and Inequality — An Analysis from the Income Sources Perspective
    Tao Chun-hai, Leng Wen-jie, Wu Shi-mei
    Journal of Jiangxi University of Finance and Economics    2026, 0 (2): 60-72.  
    Abstract68)            Save
    Exploring the relationship between residents'healthcare consumption, inequality, and income from different sources from the perspective of income sources is of great practical significance for the implementation of the“Healthy China”strategy. Based on the theory of psychological accounts, this study examines the impact of different income sources on healthcare consumption and inequality among Chinese residents. Research has found that the residents'transfer income and property income have a greater impact on healthcare consumption than their operating income and wage income. The type of work and education level of residents have a moderating effect on their marginal propensity to consume healthcare. In addition, whether the residents'transfer income includes social donations, and whether their property income includes financial investment returns, also have heterogeneous effects on their marginal propensity to consume healthcare. Medical expenses mainly manifest as the depreciation effect of health capital, while healthcare expenses mainly manifest as the income wealth effect. All types of income contribute to narrowing the inequality in healthcare consumption, but the level of inequality within urban residents is still higher than that among rural residents. The government should dynamically adjust the transfer payment standards based on the heterogeneity of income sources and guide the allocation of health financial assets. At the same time, by improving health literacy and optimizing the layout of medical resources, the gap between urban and rural areas should be precisely narrowed to promote consumption equality.
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    Can Smart and Healthy Elderly Care Products Make Seniors “Feel Younger”? Evidences from the Longitudinal Survey of the Aging Society
    Zhang Shuo, Zhao Ming, Hu Hao-yu
    Journal of Jiangxi University of Finance and Economics    2026, 0 (1): 75-87.  
    Abstract83)            Save
    Against the backdrop of deep integration between digital intelligence and aging, promoting the high-quality development of smart and healthy elderly care products is a crucial measure to achieve the digital transformation of elderly care, foster the silver economy, and enhance the quality of life for the elderly. Based on the three phases of panel data from the China Aging Social Tracking Survey (2018-2023), this study empirically examines the impact of smart and healthy elderly care products on older adults' aging age identity. The findings reveal that such products can significantly improve the aging age identity among the elderly, with more pronounced effects among middle-aged and low-aged groups, women, urban residents, and those with better self-rated health. The mediation effect tests indicate that smart and healthy elderly care products can indirectly promote the formation of the positive aging age identity by enhancing individuals' self-efficacy and fostering social participation. Further analysis shows that health management and elderly care monitoring smart products play a significant positive role in shaping positive aging age identity, with a clear“cumulative effect”—the more products used, the more positive the aging age identity of the elderly. Therefore, in advancing the demonstration and pilot projects of smart and healthy elderly care, efforts should be coordinated on both supply and demand sides. While promoting the construction of the supply-side industrial chain and improving product quality, it is essential to strengthen the elderly's awareness of product usage and digital literacy on the demand side.
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    Ability Convergence by Data: Data Factor Sharing and Corporate Social Security Payment Compliance
    Li Cong, Zheng Ya-jie, Kong Dong-min
    Journal of Jiangxi University of Finance and Economics    2025, 0 (5): 47-60.  
    Abstract84)            Save
    In the context of an aging population, facilitating the flow of data factor and encouraging enterprises to leverage public data to optimize contribution management are crucial for the sustainable development of the social security system. Taking A-share listed companies from 2007 to 2022 as samples, this study conducted a quasi natural experiment on the phased promotion of public data open platforms by local governments. A multi period double difference model is used to empirically test the impact and mechanism of data element sharing on corporate social security payment compliance. The findings reveal that data factor sharing can significantly enhance corporate social security payment compliance, and the higher the quality of data openness, the more helpful it is to improve the compliance of enterprises with social security contributions. In terms of the mechanism, data element sharing mainly promotes the improvement of corporate social security payment compliance through three paths: supervision effect, incentive effect, and empowerment effect. The heterogeneity analysis shows that there are significant differences in the improvement of corporate social security payment compliance through data element sharing in terms of corporate property rights and wage costs. The expansion test shows that data element sharing can significantly alleviate the difference in payment burden between enterprises and promote fairness in social security payment. Therefore, it is necessary to further improve the policy of public data openness and continuously utilize data elements to promote the sustainable development of the social security system.
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    How Can Mutual-Aid Promote Common Health? Outpatient Cost-Sharing of Basic Medical Insurance for Employees and Health Inequality
    Chen Wei, Zhang Xin-jie
    Journal of Jiangxi University of Finance and Economics    2025, 0 (5): 61-75.  
    Abstract97)            Save
    Outpatient cost-sharing of basic medical insurance for employees is an inherent requirement for achieving national health. Based on the data from the China Health and Retirement Longitudinal Study from 2011 to 2020, this study empirically examines the impact of employee medical insurance outpatient mutual assistance on health inequality among middle-aged and elderly people by using methods such as the staggered double difference model, and further explores its mechanism and moderating effect. The findings show that employee medical insurance outpatient mutual assistance significantly alleviates health inequality among middle-aged and elderly people, but this alleviation effect is only reflected in the first year after policy implementation, and middle-aged and elderly people have not been able to continue to benefit. The mechanism analysis shows that employee medical insurance outpatient mutual assistance can further alleviate health inequality by leveraging the compensation effect of medical expenses and the incentive effect of health behavior. The moderation effect analysis reveals that the structural social capital will weaken the alleviating effect of employee medical insurance outpatient mutual assistance on health inequality. The heterogeneity analysis shows that the alleviation effect of outpatient cost-sharing of basic medical insurance for employees on health inequality is more pronounced in the female, elderly, and low education groups. Therefore, it is necessary to establish a dynamic adjustment mechanism for outpatient treatment, play the role of outpatient “health gatekeepers”, cultivate social capital of vulnerable groups in the middle-aged and elderly, and build a precise identification mechanism for outpatient mutual assistance, so as to promote the reform of employee medical insurance outpatient mutual assistance and release the dividends of common health.
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