| 引用本文：付方腾, 代宝珍, 缪鹏.基本医疗保险对灵活就业人员的健康绩效研究[J].中国卫生政策研究,2024,17(7):25-34 |
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| 基本医疗保险对灵活就业人员的健康绩效研究 |
| 投稿时间：2024-05-28 修订日期：2024-07-01 PDF全文浏览 HTML全文浏览 |
| 付方腾, 代宝珍, 缪鹏 |
| 东南大学公共卫生学院 江苏南京 210009 |
| 摘要:本文基于2016—2020年CFPS三期平衡面板数据，运用序次Probit模型和双向固定效应模型，评估基本医保对灵活就业人员健康状况的影响。研究发现，基本医保显著促进了灵活就业人员的身心健康，健康绩效提升显著。异质性分析发现，基本医保对提升中老年、农村、东中部地区和受教育程度较高的灵活就业人员的健康绩效尤为显著。中介效应分析显示，基本医保通过促进灵活就业人员的医疗服务利用和降低医疗费用自付比例等中介渠道改善了灵活就业人员的健康水平。建议推进灵活就业人员全面参保；完善中老年灵活就业人员医疗保险体系；加速优质医疗资源下沉农村和西部地区；积极探索灵活就业人员参与体检的新模式，以降低灵活就业人员重大疾病发生率，提升健康绩效。 |
| 关键词:基本医疗保险 灵活就业人员 健康绩效 |
| 基金项目:国家社会科学基金重大项目(23&ZD188) |
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| Research on the health performance of basic medical insurance for flexible employees |
| FU Fang-teng, DAI Bao-zhen, MIAO Peng |
| School of Public Health, Southeast University, Nanjing Jiangsu 210009, China |
| Abstract:This paper evaluates the impact of basic medical insurance on the health status of flexible employees based on the CFPS three-period balanced panel data from 2016 to 2020, using Ordered Probit Model and Two-way Fixed Effects Model. It is found that basic medical insurance significantly promotes the physical and mental health of flexible employees. Further heterogeneity analysis reveals that the health performance of basic medical insurance was particularly significant for middle-aged and old-aged, rural, east-central and better-educated flexible employees. In addition, the mediation effect analysis indicates that basic medical insurance promots the health of flexible employees through the mediation channels of improving the utilization of medical services and reducing the burden of disease costs. This paper suggests promoting the comprehensive participation of flexible employees; improving the medical insurance system for middle-aged and elderly flexible employees; accelerating the sinking of high-quality medical resources to rural and western areas; and actively exploring a new mode of participation in medical check-ups by flexible employees, with a view to lowering the incidence of serious illnesses and major illnesses among flexible employees and improving health performance. |
| Key words:Basic medical insurance Flexible employees Health performance |
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