： As an important measure to improve our multi-level medical security system,the integration of resident medical insurance is of great significance to realize the urban and rural integration,promote the fairness of consumption and improve the social welfare. Based on the review of the policy implementation of the resident medical insurance integration in China and the panel data of 278 cities at the prefecture level and above from 2006 to 2019,this paper uses the methods of time-varying DID and spatial DID to explore the effect and mechanism of the resident medical insurance integration on the urban-rural consumption gap. Results show that: 1) The integration of resident medical insurance and the urban-rural consumption gap index show the characteristics of spatiotemporal coupling,which exhibits a gradual diffusion from coastal regions to inland areas and a gradual alleviation from inland areas to coastal regions respectively. The urban-rural consumption gap index is significantly lower in the Pearl River Delta,Yangtze River Delta,Shandong Peninsula which are the earlier policy pilot areas. 2) The integration of resident medical insurance can significantly alleviate the urban-rural consumption gap,and there is a spatial spillover effect,which will slow down the urban-rural consumption gap in cities with similar economic development level,and aggravate the urban-rural consumption gap in geographically adjacent cities. 3) By narrowing the urban-rural income gap and reducing precautionary savings,the integration of resident medical insurance alleviates the urban-rural consumption gap,and its effects on consumption inequality are heterogeneous in different economic agglomeration areas and cities with different levels of economic development.
ZHU Jian, LI Zifang, CHEN Xiangman
. The Impact and Spatial Effect of Medical Insurance Integration on Urban-rural Consumption Gap：Empirical Evidence from 278 Cities at Prefecture Level and above[J]. Economic geography, 2023
, 43(5)
: 108
-116
.
DOI: 10.15957/j.cnki.jjdl.2023.05.012
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