南京医科大学学报（社会科学版）2025，Vol.25Issue(2)：113-120,8.DOI:10.7655/NYDXBSSS240497
城乡居民医保整合政策对灵活就业人员心理健康的影响研究
Impact of the integration policy of urban&rural residents'medical insurance on the mental health of flexible employees
摘要
Abstract
Flexible employment is becoming an increasingly important component of China's labor market.At the same time,mental health challenges faced by this group are also aggravating.Based on the China Family Panel Studies(CFPS)data from 2016 to 2020,this study employs the multi-period Difference-in-Differences(DID)model,Propensity Score Matching(PSM),heterogeneity analysis,and mediation effect test to study the impact of the integration of urban and rural resident medical insurance policies on the mental health of flexible employees.The results revealed that the insurance integration policy significantly improved the mental health status of flexible employees,particularly among the young,rural household registrants and those in western regions.Health expenditure pressure played a mediating role in the impact of the policy.The findings of the study hold practical significance for deepening the reform process of integrating urban and rural resident medical insurance,continuously expanding the coverage of medical insurance to flexible employees,and raising the awareness of the variation in mental health among flexible employees with different characteristics.关键词
城乡居民医保整合/灵活就业人员/心理健康/健康支出/压力Key words
integration of urban and rural residents'medical insurance/flexible employees/mental health/health expenditure/pressure分类
预防医学引用本文复制引用
陈浩,董诗蕊,戴勇..城乡居民医保整合政策对灵活就业人员心理健康的影响研究[J].南京医科大学学报（社会科学版）,2025,25(2):113-120,8.基金项目
国家社会科学基金重点项目"长三角一体化背景下跨域公共服务供给的战略场域机制与治理研究"(24AGL008) （24AGL008）
江苏大学科研立项一般项目"城乡居民医保统筹对灵活就业者劳动供给的影响研究——基于PSM-DID的实证分析"(Y22C035) （Y22C035）
