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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.  
    Abstract30)            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.  
    Abstract50)            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.  
    Abstract66)            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.  
    Abstract80)            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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    Regional Differences, Distribution and Dynamic Evolution of Agricultural Insurance Development in China: From the Perspective of High-Quality Development
    Wang Ru-yi, Tao Jian-ping, He Juan
    Journal of Jiangxi University of Finance and Economics    2025, 0 (4): 48-60.  
    Abstract144)            Save
    Based on the horizontal indicator system, the high-quality development level of agricultural insurance in 30 provinces from 2008 to 2021 is measured, and the regional differences, spatial structural changes, and dynamic evolution characteristics of China’s high-quality development level of agricultural insurance are revealed by using Dagum Gini coefficient, Kernel density function estimation, traditional Markov chain and spatial Markov chain. The findings show that the high-quality development level of agricultural insurance in China is steadily increasing, with the western region experiencing a faster growth rate of 0.5% per year. The regional differences in the high-quality development level of agricultural insurance in China are showing a downward trend, with regional differences and hyperdensity being the main reasons for regional differences, the contribution rate of both being over 66%. There is a phenomenon of “club convergence” in the development of agricultural insurance in China, and the development of agricultural insurance in various provinces has significant spatial spillover effects. The probability of regional agricultural insurance achieving “leapfrog” development is less than 3%. The “Matthew effect” of China’s future agricultural insurance development is showing a continuous weakening trend and is gathering towards a high-level development level. Therefore, it is necessary to adapt measures to local conditions, improve differentiated development policies for agricultural insurance, establish a multi-level and high guarantee agricultural insurance product system, vigorously promote the development of local advantageous and characteristic agricultural insurance businesses, promote balanced development of regional agricultural insurance, and continuously enhance the endogenous development momentum of agricultural insurance.
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    Research on the National Pension System Connecting Resident Pension and Employee Pension to Promote National Pension Security
    Gao Kai, Hu Qiu-ming
    Journal of Jiangxi University of Finance and Economics    2025, 0 (4): 61-74.  
    Abstract97)            Save
    Based on the structural problems and reform directions of China’s present multi-level pension insurance, it is believed that the national annuity system can find a perfect balance between the stock reform and incremental reform of the basic pension insurance system integration. Comparing the differences between the supplementary national pension system and the welfare based national pension system, in the future, China’s national pension system should implement a welfare based national pension system, committed to providing compulsory and income independent universal pension security for all citizens. By establishing actuarial models and conducting numerical simulations, it is found that the construction of the national pension system can achieve the goal of promoting the integration of urban and rural basic pension insurance systems, covering basic pension security to the whole population, and promoting government financial support to reduce costs and improve efficiency. In addition, the national pension system also helps to solve the problem of pension security for flexible employment groups, narrow the gap between urban and rural pension insurance benefits, provide more efficient pension support models for government finance, and promote a more fair and sustainable development of a multi-level pension insurance system.
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    The Impact of Contracted Family Doctor Services on the Health of Older Adults: The Latest Evidences from CLASS
    Ma Qi-feng, Sun Ke-xin, Xie Li-li
    Journal of Jiangxi University of Finance and Economics    2025, 0 (3): 50-62.  
    Abstract128)            Save
    Based on the data from the 2023 China Longitudinal Aging Social Survey (CLASS), this study empirically examines the impact of family doctor contract services on the health of the elderly, and analyzes its mechanism of action and differences in the impact. The findings show that family doctor contract services can effectively promote the physical health of elderly people, but do not significantly improve their mental and social health. The mechanism analysis reveals that family doctor contract services mainly function through two pathways: Improving health behaviors in later life and promoting the utilization of health services. The heterogeneity analysis reveals that the older people with registered residence in cities and towns, with more chronic diseases, with poorer self-care ability, and having access to the Internet can obtain more health performance after receiving the services signed by family doctors; and the elderly with higher service satisfaction will also obtain more health performance. Based on this, in order to further improve the health performance of family doctor contract services among the elderly population, it is suggested that the future related work should be promoted from four aspects: Expanding service supply, strengthening service links, optimizing service structure, and strengthening service supervision.
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    The Social Insurance System for Platform Workers: International Experience and China’s Path
    Qiu Yi-yi
    Journal of Jiangxi University of Finance and Economics    2025, 0 (3): 63-72.  
    Abstract100)            Save
    The social insurance system for platform workers has not been fully developed with the expansion of the platform economy, and the resulting lack of rights and interests has attracted widespread attention and various explorations at the level of legislative practice in various countries. China also faces this kind of challenge. For this reason, it is necessary to systematically analyze and summarize the international community’s various institutional explorations on the issue of social insurance for platform workers from an international perspective. This paper selects four representative policies or legislative models for an in-depth analysis. On the basis of summarizing the common international experiences and dilemmas, and by comprehensively sorting out the current situation of the social insurance system for platform workers, this study puts forward optimization proposals for the construction of China’s social insurance system for platform workers, including making reference to the “delinking model of social insurance and labor relations”, clarifying the demands of social insurance participants, innovating the content of the social insurance system and improving the legal system and supervision mechanism.
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    Research on Optimization of Fiscal and Tax Support Policies for Personal Pension under the Background of Financial Power
    Xu Ding, Yang Zai-gui
    Journal of Jiangxi University of Finance and Economics    2025, 0 (2): 47-56.  
    Abstract338)            Save
    On the basis of constructing an actuarial model for tax saving benefits, a comprehensive financial and tax support scheme for personal pension is proposed based on the concept of negative income tax, which is combined with fiscal subsidy policies. Under fairness conditions, this paper calculates the payment subsidy ratio and total financial and tax support for different income groups. The findings show that when the payment amount is the same, tax savings increase with the increase of individual income tax levels; at the same level of personal income tax, tax savings increase with the increase of payment amount. Under the condition of fairness, the proportion of financial subsidies for individual contributions ranges from 15% to 45%, and the proportion of contribution subsidies to the total financial and tax support ranges from 22% to 65%. Therefore, it is necessary to combine the personal pension tax deferred preferential policy with the differentiated financial contribution subsidy policies, improve the capital market infrastructure system that is suitable for long-term investments such as personal pensions, moderately increase the upper limit of payment amount according to the level of economic development, strengthen the publicity and promotion of personal pension funds and financial services, steadily and orderly promote the gradual reform of delaying the statutory retirement age, and optimize the mechanism for emergency withdrawal of benefits.
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    An Analysis of the Effects of Social Long-Term Care Insurance on the Financial Vulnerability of Middle-Aged and Elderly Households
    Yan Yong, Jing Tao
    Journal of Jiangxi University of Finance and Economics    2025, 0 (2): 57-72.  
    Abstract227)            Save
    Based on the panel data from the China Elderly Care and Health Tracking Survey from 2011 to 2020, this paper adopts a multi period double difference model to evaluate the impact of social long-term care insurance on the financial vulnerability risk of middle-aged and elderly households. The findings show that social long-term care insurance can significantly improve the financial vulnerability of middle-aged and elderly families, reducing the probability of financial vulnerability of those families by 2.6%. The impact of social long-term care insurance on the financial vulnerability of middle-aged and elderly families varies by region, health status, and income level. Social long-term care insurance can effectively alleviate the financial vulnerability of middle-aged and elderly families through three ways: reducing medical burden, increasing family labor participation rate, and improving living expectations. Based on this, it is suggested to further expand the coverage of social long-term care insurance on the basis of the pilot projects in the early stage. While promoting the “family participation+social security” service model, it is also necessary to enhance the risk management awareness of the family members and gradually build an insurance mechanism that adapts to social progress and the economic affordability of all parties.
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    Investigation and Analysis of the Boost Effect of Agricultural Insurance Technology on Inclusive Insurance
    Yu Xing-ran, Jin Fei, Su Fang
    Journal of Jiangxi University of Finance and Economics    2025, 0 (1): 48-61.  
    Abstract74)            Save
    Based on the data of a thousand villages survey conducted by Shanghai University of Finance and Economics in 2023, this paper analyzes the development of the inclusive insurance and other commercial insurance in rural areas, as well as the development of agricultural insurance technology and Internet insurance, then it verifies the boost effect of agricultural insurance technology on inclusive insurance and other commercial insurance by using empirical analysis method. The findings show that agricultural insurance technology plays a significant role in promoting the inclusive insurance, and also has a significant incentive role for rural residents to buy commercial pension insurance in the future. Specifically, agricultural insurance technology has played a positive role in promoting the inclusive insurance by improving the operating efficiency of insurance companies and farmers' satisfaction with insurance. The research conclusions provide a new idea for vigorously developing rural inclusive insurance, enhance the role of promoting inclusive insurance by developing insurance technology, and then radiate the healthy and rapid development of rural commercial insurance, so as to improve the level of farmers' security.
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    Research on the Construction of Adjustment Mechanism for Basic Pension Benefits of Urban and Rural Residents: Simulative Calculation Based on Guangdong Province
    Zhu Huo-yun
    Journal of Jiangxi University of Finance and Economics    2025, 0 (1): 62-73.  
    Abstract224)            Save
    Based on relevant national policies and practical experience at home and abroad, and guided by the principles of stability, adequacy, fairness, affordability, and incentives, this paper constructs an automatic adjustment mechanism for basic pension benefits of urban and rural residents' basic pension insurance, which consists of a trigger mechanism, a fairness mechanism, a constraint mechanism, and a fallback mechanism. It also uses the management data from Guangdong Province and the system dynamics method to simulate and calculate the adjustment status of the basic pension benefits from 2023 to 2035. The simulation results indicate that the constructed compensation adjustment mechanism takes into account the adequacy of compensation, income equity, and fiscal affordability. On this basis, specific policy recommendations are proposed from the aspects of design principles, institutional structure, incentive mechanisms, and fiscal responsibility division, providing useful reference for other regions and even the whole country to establish a mechanism for adjusting the basic pension benefits of urban and rural residents.
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    High-Quality Development of Basic Medical Security: Evaluation, Path and Discussion
    ZHANG Qian, HU Hong-wei
    Journal of Jiangxi University of Finance and Economics    2024, 0 (6): 50-60.  
    Abstract125)            Save
    Based on the development goals of the 14th Five Year Plan, a high-quality development model for the basic medical security is constructed. Taking 31 provinces as cases and combining a qualitative comparative analysis (QCA), this paper explores the path to achieve high-quality development of basic medical security. Finally, two implementation paths are obtained, namely the 5-dimensional linkage type and the 4-dimensional linkage type. The findings show that the high-quality development of basic medical security is influenced by the synergistic effects of multiple dimensions and variables. Moderate security, strengthened legislation, online services, and collaborative security are necessary conditions for promoting high-quality development. At present, there are relatively fewer provinces that have reached a high-quality development level, and there is a lack of policy settings and practices related to security dimensions. It is recommended to refer to the two linkage paths and draw on the successful experiences of the provinces with high-quality development, formulate flexible policy combinations according to local conditions, take moderate security, strengthened legislation, network services, and ensured coordination as the top priority, improve security dimensions, and attach importance to fund security and data security.
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    Research on the Prediction of the Balance of Urban and Rural Residents’ Basic Endowment Insurance Fund under the Grey Markov Chain Combined Model: Taking Fujian Province as an Example
    XU Yan
    Journal of Jiangxi University of Finance and Economics    2024, 0 (6): 61-74.  
    Abstract764)            Save
    Based on the related data from the China Statistical Yearbook (2012-2023), this study conducts an analysis of the income and expenditure of the urban and rural resident pension insurance fund and the status of insured population in Fujian Province. The findings reveal that the expenditure risk of the urban and rural resident pension insurance fund in Fujian Province is relatively higher, and the per capita benefit level has remained below the national average. Despite the overall aging level of Fujian Province’s population being lower than the national level, its aging degree of the insured population in the urban and rural resident pension insurance is higher than the national average, indicating that the urban and rural resident pension insurance in Fujian is facing the risk of“systemic aging.”Furthermore, by applying the Grey-Markov combined model, it forecasts and analyzes the financial income and expenditure of the urban and rural resident pension insurance fund in Fujian Province, the results show that the current fund income and expenditure are still in a surplus state, but the current surplus rate is declining. This suggests that Fujian’s urban and rural resident pension insurance may face the risk of insufficient funds to cover the expenditures in the future. Therefore, it is recommended that the relevant departments strengthen the management of fund income and expenditure, strive to improve the level of fund income, continuously observe the trend of changes in the number of insured persons, adjust strategies in a timely manner to adapt to changes in population structure, effectively prevent and control the risk of fund income and expenditure imbalance, and ensure the sustainable development of the basic pension insurance system for urban and rural residents in Fujian Province.
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    Research on the Impact of Provincial Level Employee Medical Insurance Coordination on Medical Insurance Fund Expenditure and Its Mechanism
    LIAO Zang-yi, SHI Long
    Journal of Jiangxi University of Finance and Economics    2024, 0 (5): 53-65.  
    Abstract190)            Save
    Based on the data of China Family Panel Studies (CFPS), this paper adopts a fixed effect model to estimate the impact of provincial pooling of employee medical insurance on medical insurance fund expenditures. The findings show that the provincial-level pooling of employee medical insurance has significantly improved the expenditure level of insured persons’ medical insurance funds, and this conclusion remains robust even after overcoming the self selection problems using the propensity score matching method. The analysis shows that the insured individuals are more likely to choose large hospitals for medical treatment and increase the utilization of inpatient medical services, which is an important channel for the provincial coordinated expansion of employee medical insurance fund expenditures. The heterogeneity analysis reveals that provincial pooling of employee medical insurance has a stronger effect on increasing medical insurance fund expenditures for the low-income, living-in-rural-areas, and elderly insured populations. Therefore, while promoting the provincial-level coordination of employee medical insurance, it is necessary to strengthen the supervision capacity of medical insurance funds, establish a risk assessment and early warning mechanism for medical insurance funds, and ensure the safety of medical insurance fund expenditures.
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    Research on the Configuration Path of Influencing Factors on the Minimum Living Guarantee Level in Rural China
    JIANG Mao-min, LIN Chen, TU Ai-xian
    Journal of Jiangxi University of Finance and Economics    2024, 0 (5): 66-80.  
    Abstract131)            Save
    Based on the Anderson model, this paper constructs a configuration analysis framework for the three levels of influencing factors: objective needs, promoting resources, and tendency characteristics. The dynamic QCA method is used to collect the sample data from 31 provinces in China from 2012 to 2021, with a total of 310 cases. It explores the configuration path to improve the minimum living guarantee level in rural China from the vertical time dimension and horizontal regional dimension. The findings show that there are three main paths that affect the minimum living guarantee level in rural China, namely, the three models: demand-dominant, demand-characteristics, and demand-resources. There is a substitution effect in the path of improving the minimum living guarantee level in rural China, which can be further targeted by adjusting the subjective controllable factors such as the Engel coefficient, rural policy guarantee supply, and rural housing average price. The overall consistency in the time dimension is high, indicating that the impact of various factors on the level of living security is stable. On the regional dimension, there are certain differences in the configuration preferences among different regions. The East China, South China, and Central China regions tend to be demand-dominant, while the South China, North China, and Northeast regions tend to be demand-characteristics, and the Northwest region tends to be demand-resources.
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    A Study of the Impact of Non-Agricultural Employment and Basic Medical Insurance on Rural Labor Force Consumption
    TAO Chun-hai, XIONG Qi-zhe, XU Yu-ming
    Journal of Jiangxi University of Finance and Economics    2024, 0 (4): 59-72.  
    Abstract183)            Save
    Based on the micro-survey data of CHFS 2019, this paper makes an analysis of the impact of non-farm employment on the consumption of rural labor force and the moderating effect of the basic health insurance. The findings show that non-agricultural employment can promote rural labor force consumption, and that the length of non-farm employment and the proportion of non-farm income can both significantly improve the level of rural labor force consumption. To choose the urban employee basic medical insurance and the urban and rural labor force basic medical insurance will both have a positive moderating effect on the relationship between non-agricultural employment and rural labor force consumption, while choosing the new rural cooperative medical insurance will have a negative moderating effect. As for different regions and different age groups, to choose the different types of basic medical insurance will have different effects on the relationship between non-agricultural employment and rural labor force consumption. The choice of the basic medical insurance for urban employees by rural labor force will positively promote the impact of non-agricultural employment on the upgrading of consumption structure. Therefore, it is proposed to strengthen the guarantee of non-agricultural employment for rural labor force, increase the participation rate of rural labor force in non-agricultural employment, and promote the coordinated development of the basic medical insurance systems among the regions. It is necessary to explore the consumption potential of rural labor force, and promote the upgrading of rural consumption, so as to better promote the implementation of the rural revitalization strategy and provide reference to the construction of a new development pattern of“dual circulation”.
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    The Paid Contract Services of Family Doctors and the Public Healthcare Behavior: From the Perspective of Medical-Prevention Integration
    LI Zi-hao
    Journal of Jiangxi University of Finance and Economics    2024, 0 (4): 73-86.  
    Abstract232)            Save
    The family doctor signing system is an important foundation for the supply of integrated medical and preventive services. This study uses the data from the China Health and Elderly Care Tracking Survey 2018 to investigate the mechanism of paid family doctor signing services on public medical behavior and choice. The findings of this paper show that from the perspective of medical service utilization, paid family doctor contract services can effectively promote their medical service utilization behaviors, and the improvement effect on outpatient behavior is stronger than that on hospitalization. From the perspective of medical expenses, participating in paid contracts can significantly reduce residents’ self payment expenses for medical. From the perspective of grassroots first visit behavior, paid family doctor contract services can effectively regulate resident hospitalization behaviors in grassroots first visits, but have no significant improvement effect on outpatient services. From the perspective of the impact mechanism, medical service satisfaction plays a mediating role in the mechanism of paid contract signing on hospitalization behavior, but does not affect outpatient behavior. From the perspective of accessibility to medical resources, both outpatient and inpatient medical distances can positively moderate the impact of paid contracts on medical out-of-pocket expenses, while only a negative moderating effect of inpatient medical distance is found in the impact on grassroots first visit behavior. Based on the above findings, this article suggests relying on paid contract services to improve the utilization level of medical services, strengthen the capacity of grassroots medical and health services, include paid contracts in medical insurance to further reduce patient self payment costs, and improve the accessibility and public satisfaction of grassroots medical and health services.
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    A Study on the Impact of Pension Insurance Benefits on the Service Pricing of Private Elderly Care Institutions
    LI Quan-lun, XIA Xue-qing
    Journal of Jiangxi University of Finance and Economics    2024, 0 (3): 49-63.  
    Abstract172)            Save
    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.
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    Long-Term Care Insurance Policy: Essential Characteristics, Implementation Effect and Overflow Effect Based on the Investigation of the Pilot City of Z District in Nantong
    SU Hui, WANG Lin, LIU Hua
    Journal of Jiangxi University of Finance and Economics    2024, 0 (3): 64-77.  
    Abstract358)            Save
    Based on the survey and interview data of Z District in Nantong, which is among the first batch of pilot cities in China, this paper investigates the implementation effect of the long-term care insurance policy. The findings show that the long-term care insurance policy can provide economic support for the disabled elders and their families through the way of social aid; at the same time by perfecting the care service system, this policy can help the families of the disabled elders to turn their economic supports into care services to a certain extent, thereby achieving its basic policy objectives. For now, however, the utilization rate of the long-term care insurance policy is still low, and the release of the family labor force is limited, especially in rural areas. At the same time, the long-term care insurance policy has the spillover effect of promoting the development of the pension industry and promoting the optimal allocation of medical insurance resources to a certain extent. In the future policy implementation, the richness and practicability of the home service content should be increased, while the duration and frequency of service should be increased. The government should gradually reduce the intervention in the elderly service market, and introduce a benign market competition mechanism, so as to promote the improvement of the pension service level.
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