本文選題：養(yǎng)老保障 + 醫(yī)療保障��； 參考：《遼寧大學》2017年博士論文

【摘要】：中國養(yǎng)老保障、醫(yī)療保障城鄉(xiāng)協(xié)調發(fā)展這一研究課題,必須置于中國社會經(jīng)濟長期發(fā)展進程(工業(yè)化與城鎮(zhèn)化)的宏大場景中去系統(tǒng)思考和研究,這是正確認識和有效解決這一問題的關鍵。中國城鄉(xiāng)社會保障體系的不協(xié)調發(fā)展不僅會影響社會的穩(wěn)定與和諧發(fā)展,還會導致城鄉(xiāng)收入差距拉大、社會分配不均等社會問題和社會矛盾。以此為前提,加快城鄉(xiāng)社會保障體系改革,促進社會保障的城鄉(xiāng)協(xié)調發(fā)展,在理論上和實踐上都有著重大意義。養(yǎng)老保障和醫(yī)療保障作為社會保障中最主要的組成部分,有必要對其城鄉(xiāng)協(xié)調發(fā)展水平進行量化和分析。量化社會保障城鄉(xiāng)協(xié)調度有利于綜合評價城鄉(xiāng)社會保障體系的發(fā)展水平,并為全面建立覆蓋城鄉(xiāng)居民的養(yǎng)老和醫(yī)療保障體系,并逐步實現(xiàn)城鄉(xiāng)融合與統(tǒng)一提供科學依據(jù),從而促進城鄉(xiāng)經(jīng)濟社會統(tǒng)籌、協(xié)調與可持續(xù)發(fā)展。因此,在中國全面建設小康社會、實現(xiàn)中華民族偉大復興的過程中,系統(tǒng)研究城鄉(xiāng)社會保障體系協(xié)調發(fā)展,具有必要性、緊迫性及十分重要的現(xiàn)實意義。本文對中國養(yǎng)老和醫(yī)療保障體系城鄉(xiāng)協(xié)調水平的研究,主要是從城鄉(xiāng)社會保障體系發(fā)展現(xiàn)狀和中國工業(yè)化與城鎮(zhèn)化發(fā)展進程出發(fā),著手于養(yǎng)老保障和醫(yī)療保障體系城鄉(xiāng)協(xié)調發(fā)展的理論與實踐,結合國內(nèi)外已有的二元經(jīng)濟理論、社會保障理論、庫茨涅茨城鄉(xiāng)差距倒U型理論等,運用科學的研究方法和翔實的數(shù)據(jù)分析,構建中國城鄉(xiāng)養(yǎng)老和醫(yī)療保障體系協(xié)調度模型,提出實現(xiàn)城鄉(xiāng)養(yǎng)老和醫(yī)療保障體系協(xié)調水平的測度,以兩種城鄉(xiāng)社會保障協(xié)調度為測度來綜合評價養(yǎng)老和醫(yī)療保障城鄉(xiāng)發(fā)展的協(xié)調水平,并分析宏觀因素變動與協(xié)調水平的關系,同時分析未來城鄉(xiāng)養(yǎng)老和醫(yī)療保障協(xié)調水平的提高對收入再分配、就業(yè)、人口結構等的影響。主要包含以下研究內(nèi)容:城鄉(xiāng)協(xié)調度模型的構建。明確協(xié)調度模型的內(nèi)涵和本質;根據(jù)我國城鄉(xiāng)養(yǎng)老、醫(yī)療保障發(fā)展現(xiàn)狀及評價指標選取原則,選定計算養(yǎng)老保障和醫(yī)療保障城鄉(xiāng)協(xié)調度的基礎指標;引進歐氏距離和余弦距離,分別構建了以養(yǎng)老保障和醫(yī)療保障城鄉(xiāng)協(xié)調度評價指標為基礎的城鄉(xiāng)絕對協(xié)調度和相對協(xié)調度模型,并給出了以聚類分析為基礎的協(xié)調度評價方法。中國養(yǎng)老保障和醫(yī)療保障城鄉(xiāng)協(xié)調度的測定與評價。測算了養(yǎng)老保障、醫(yī)療保障城鄉(xiāng)協(xié)調度模型的各基礎指標,并分析其變化趨勢及原因;根據(jù)協(xié)調度模型對我國連續(xù)16年(醫(yī)療保障為11年)及各省市地區(qū)連續(xù)5年的養(yǎng)老保障和醫(yī)療保障協(xié)調度進行了實際測算,運用聚類分析的方法給出了適合我國城鄉(xiāng)協(xié)調度實際數(shù)據(jù)的評價標準;運用含有虛擬變量的面板數(shù)據(jù)回歸模型分別對養(yǎng)老保障和醫(yī)療保障的協(xié)調度計算結果進行了地區(qū)差異性檢驗;最后根據(jù)就算結果對養(yǎng)老保障、醫(yī)療保障城鄉(xiāng)協(xié)調發(fā)展水平進行了綜合評價。養(yǎng)老保障、醫(yī)療保障城鄉(xiāng)協(xié)調度的效應分析。利用面板數(shù)據(jù)PVAR模型(主要包括脈沖響應分析及格蘭杰因果檢驗的誤差修正模型)重點分析了養(yǎng)老保障城鄉(xiāng)協(xié)調度的提高對縮小城鄉(xiāng)收入差距和拉動就業(yè)水平帶來的效應,還有醫(yī)療保障城鄉(xiāng)協(xié)調度的提高對人口預期壽命的提高和縮小城鄉(xiāng)收入差距是否有效。影響?zhàn)B老保障、醫(yī)療保障城鄉(xiāng)協(xié)調度的因素分析。以現(xiàn)有研究成果為基礎,運用面板數(shù)據(jù)回歸模型從經(jīng)濟增長因素、政策偏向因素、人口因素、其他控制性因素四個方面來分析城鄉(xiāng)養(yǎng)老保障城鄉(xiāng)協(xié)調度、醫(yī)療保障城鄉(xiāng)協(xié)調度的影響因素;同時運用面板模型檢驗了養(yǎng)老保障城鄉(xiāng)協(xié)調度對經(jīng)濟增長的U形曲線。主要結論與政策建議�？偨Y論文的結論和主要觀點,并結合文章結果就如何提高養(yǎng)老保障和醫(yī)療保障的城鄉(xiāng)協(xié)調度給出了有針對性的政策建議。
[Abstract]:The research topic of China's old-age security and the coordinated development of urban and rural health care must be put into systematic thinking and research in the grand scenario of China's long-term social and economic development (industrialization and urbanization). This is the key to correct understanding and effective solution to this problem. The uncoordinated development of the social security system in urban and rural areas in China will not only reflect the development of the urban and rural social security system. The stability and harmonious development of the society will lead to the widening of the income gap between urban and rural areas, the unequal social problems and social contradictions. On this basis, it is of great significance in both theory and practice to accelerate the reform of the urban and rural social security system and promote the coordinated development of urban and rural social security. It is necessary to quantify and analyze the level of the coordinated development of urban and rural areas. Quantifying the coordination degree of urban and rural social security is conducive to the comprehensive evaluation of the development level of the urban and rural social security system, and for the comprehensive establishment of the old-age and medical security system covering urban and rural residents, and the gradual realization of the integration and unification of urban and rural areas. Scientific basis, thus promoting urban and rural economic and social co-ordination, coordination and sustainable development. Therefore, in the process of building a well-off society in an all-round way and realizing the great rejuvenation of the Chinese nation, it is necessary, urgent and ten important practical significance to systematically study the coordinated development of the urban and rural social security system. The research on the level of urban and rural coordination in the barrier system is mainly from the current situation of the development of urban and rural social security system and the process of China's industrialization and urbanization, starting with the theory and practice of the coordinated development of urban and rural areas in the old-age security and medical security system, and combining the existing two yuan economic theory, the social security theory and the gap between the urban and rural areas of the Chinese and foreign countries. On the basis of inverted U theory, using scientific research methods and detailed data analysis, the coordination degree model of urban and rural pension and medical security system in China is constructed, and the measurement of the coordination level of urban and rural pension and medical security system is put forward. The coordination of two urban and rural social security coordination is measured to evaluate the coordination of urban and rural development of pension and medical security. Level, and analyze the relationship between macro factor changes and coordination level, and analyze the impact of the improvement of the coordination level of urban and rural pension and medical security on income redistribution, employment, and population structure in the future. The main contents are as follows: the construction of urban and rural coordination degree model. The present situation of the development of medical security and the selection principle of evaluation index, and selecting the basic indexes for calculating the urban and rural coordination degree of the old-age security and medical security, and introducing the Euclidean distance and the cosine distance, constructed the urban township absolute coordination degree and relative coordination degree model based on the evaluation index of the urban and rural coordination degree of the old-age security and medical support respectively. The coordination degree evaluation method based on cluster analysis. The measurement and evaluation of the urban and rural coordination degree of China's old-age security and medical security. The basic indexes of the old-age security, the urban and rural coordination degree model were calculated, and the change trend and reason were analyzed. According to the coordination degree model for 16 years (medical security for 11 years) and the provinces in China The coordination degree of old-age security and medical security in the city area for 5 years has been calculated, and the evaluation criteria for the actual data of urban and rural coordination in China are given by the method of cluster analysis, and the calculation results of the coordination degree of the old-age security and medical support are carried out by the panel data regression model containing the virtual variables. In the end, according to the result, the level of urban and rural coordinated development was evaluated synthetically. The effect analysis of the urban and rural coordination degree of medical security was analyzed. The PVAR model of panel data (mainly including impulse response analysis and error correction model of Grainger causality test) was used to analyze the endowment insurance. The improvement of urban and rural cooperative scheduling has the effect on reducing the income gap between urban and rural areas and pulling the level of employment, as well as whether the improvement of urban and rural coordination degree is effective on improving the life expectancy of the population and reducing the income gap between urban and rural areas. Using panel data regression model from four aspects of economic growth factor, policy bias factor, population factor, and other control factors, this paper analyzes the urban and rural coordination degree of urban and rural old-age security and the influencing factors of urban and rural coordination degree of medical security. At the same time, it uses panel model to test the U curve of urban and rural coordination degree to economic growth. The conclusion and main points of the paper are summarized and the results of the article are combined with the results of the article to give some pertinent policy suggestions on how to improve the urban and rural coordination of old-age security and medical security.
【學位授予單位】：遼寧大學
【學位級別】：博士
【學位授予年份】：2017
【分類號】：F842.684;F842.67

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