目的: 探究互联网平台经济的发展对青年灵活就业人员参加医疗保险的影响,为我国医疗保险精准扩面提供助力。方法: 依据中国劳动和社会保障科学研究院课题组关于灵活就业人员的全国调研数据,选取其中的青年群体样本,采用logit回归模型及PSM-logit,使用Stata 16.0进行统计分析。结果: 通过互联网平台就业有助于青年灵活就业人员了解更多医疗保险信息,从而促进其参保。这一效应在促进职工医保参保方面更加显著,该群体通过了解医疗保险信息实现参保的可能性比不了解相关信息的高出9.8%。结论: 提高青年灵活就业人员参保率,实现医疗保险精准扩面,需要政府加大宣传力度并以灵活的方式解决其参保问题。
Abstract
Objective: The paper explores the impact of the development of platform economy on medical insurance coverage of young informal employees, in order to provide assistance for the accurate expansion of healthcare security in China. Methods: Based on the national survey data of informal employment by the research group of Chinese Academy of Labour and Social Security, we selected samples aged under 45, the logit regression model and PSM logit was used, Stata 16.0 was applied for for statistical analysis. Results: Employment through Internet platforms helps informal employees acquire more medical insurance information, thereby promoting their participation in medical insurance. This effect is more significant in promoting employees' basic medical insurance participation, with informal employees who acquire information about medical insurance being 9.8% more likely to participate in employees' basic medical insurance than those who do not. Conclusion: To improve the insurance coverage of young informal employees and achieve the accurate expansion of healthcare security, the government needs to strengthen publicity with more flexible methods to cope with the insurance coverage of this group.
关键词
医疗保险 /
灵活就业 /
平台就业 /
PSM-logit
Key words
medical insurance /
informal employment /
platform employment /
PSM-logit
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参考文献
[1] 严妮,黎桃梅,周雨,等.新就业形态下平台经济从业者社会保险制度探析[J].宏观经济管理,2020(12):69-76+84.
[2] 郑功成.“十四五”时期中国医疗保障制度的发展思路与重点任务[J].中国人民大学学报,2020,34(05):2-14.
[3] 胡晓东.我国政府“编外人员”隐形膨胀研究——一个基于我国地方政府的案例调查[J].甘肃行政学院学报,2017(02):30-40.
[4] 詹婧,王艺,孟续铎.互联网平台使灵活就业者产生了分化吗?——传统与新兴灵活就业者的异质性[J].中国人力资源开发,2018,35(01):134-146.
[5] 陈瑛,梁雅爽,向晶.互联网接入与劳动者多重就业——基于CFPS数据的实证研究[J].劳动经济研究,2021,9(06):72-97.
[6] 毛艾琳.新就业形态劳动者权益保障问题研究——基于平台责任的理论思考[J].长白学刊,2022(01):90-97.
[7] 薛惠元,万诗雨.灵活就业人员参加城乡居民基本养老保险兜底措施研究[J].保险研究,2022(02):79-98.
[8] VALLE M.The effects of public health insurance in labor markets with informal jobs:evidence from Mexico[J].Journal of health economics, 2021(77).
[9] 仇雨临,冉晓醒.灵活就业人员医保参保之“困”[J].中国医疗保险,2020(01):6-8+12.
[10] 黄嘉文,邓宝欣.自雇者医疗保险参保决策:理性选择还是制度分割?——基于2012年中国劳动力动态调查数据[J].中国卫生政策研究,2018,11(09):1-7.
[11] NGA NTT, FITZGERALD G, DUNNE MP.Family-based social health insurance for informal workers in Vietnam:willingness to pay and its determinants[J].Asia pacific journal of public health, 2018,30(6).
[12] 何勤,杨宜勇,程雅馨,等.共享经济下平台型灵活就业劳动者就业选择影响因素差异研究——以“微工网”为案例[J].宏观经济研究,2019(08):142-155.
[13] 李飚.互联网使用、技能异质性与劳动收入[J].北京工商大学学报(社会科学版),2019,34(05):104-113.
[14] 戚聿东,丁述磊,刘翠花.数字经济时代互联网使用对灵活就业者工资收入的影响研究[J].社会科学辑刊,2022(01):125-138+2.
[15] BECK, F, RICHARD, JB, NGUYEN-THANH, V, et al.Use of the internet as a health information resource among French young adults:results from a nationally representative survey[J].Journal of medical Internet research, 2014,16(5).
[16] 陈亮,李莹.互联网使用对居民健康的影响路径研究[J].财经问题研究,2020(07):86-93.
[17] 马俊龙,宁光杰.互联网与中国农村劳动力非农就业[J].财经科学,2017(07):50-63.
[18] HOOGHE M, OSER J, INTERNET.Television and social capital:the effect of “screen time”on social capital[J].Information, communication and society, 2015, 18(10).
[19] 王虎峰.灵活就业人员对医保政策的回应性研究——基于十一个城市的调查分析[J].人口研究,2009,33(03):89-98.
[20] 毛宇飞,曾湘泉.互联网使用是否促进了女性就业——基于CGSS数据的经验分析[J].经济学动态,2017(06):21-31.
[21] 宋月萍.数字经济赋予女性就业的机遇与挑战[J].人民论坛,2021(30):82-85.
[22] WERNEBURG BL, JENKINS SM, FRIEND JL, et al.Improving resiliency in healthcare employees[J].American journal of health behavior, 2018,42(1).
[23] KERKHOFS M, CERRA ML.Age related health dynamics and changes in labour market status[J].Health economics, 1997,(6).
[24] 许新鹏,顾海.大病保险对中老年居民医疗利用及健康的影响——基于CHARLS数据的实证检验[J].人口与发展,2022,28(01):16-29.
[25] 江艇.因果推断经验研究中的中介效应与调节效应[J].中国工业经济,2022(05):100-120.
[26] 齐鹏.中国农村社会养老保险的政策认同研究[J].南通大学学报(社会科学版),2015,31(02):120-126.
[27] 张寅凯,张雪,薛惠元.基本养老保险和基本医疗保险对灵活就业人员阶层认同的影响[J].江西财经大学学报,2023(04):51-65.
[28] 王鹏,况福民,邓育武,等.基于主成分分析的衡阳市土地生态安全评价[J].经济地理,2015,35(01):168-172.
基金
国家社会科学基金青年项目“新业态职业伤害归责、风险评估及保障制度研究”（20CGL040）
