城乡居民基本医保整合对农村劳动力非农就业的影响研究  

The impact of urban-rural resident health insurance integration on non-agricultural employment of rural labor

作　　者：董克用[1] 沈国权 秦菁霞 DONG Ke-yong;SHEN Guo-quan;QIN Jing-xia(School of Public Administration and Policy,Renmin University of China,Beijing 100872,China)

机构地区：[1]中国人民大学公共管理学院,北京100872

出　　处：《中国卫生政策研究》2025年第3期65-73,共9页Chinese Journal of Health Policy

基　　金：教育部哲学社会科学研究重大课题攻关项目(21JZD035)。

摘　　要：目的:评估城乡居民基本医保整合对农村劳动力非农就业的影响。方法:基于中国家庭金融调查2011—2019年面板数据,运用多期双重差分模型分析城乡居民基本医保整合对农村劳动力非农就业概率和非农就业质量(工资收入、工作稳定性)的影响及作用渠道,并考察不同整合模式的异质性效果。结果:第一,城乡居民基本医保整合显著提高了农村劳动力的非农就业概率和质量;第二,城乡居民基本医保整合通过缓解家庭流动性约束、提高健康人力资本水平以及拓宽就业地域选择三种作用渠道促进农村劳动力非农就业;第三,相比于“一制多档”,“城乡一档”整合模式的政策效果更优。结论与建议:城乡居民基本医保整合对于释放农村剩余劳动力潜能、提高劳动力配置效率具有积极作用。建议加快向“城乡一档”模式过渡,并进一步完善城乡居民基本医保制度。Objective:To assess the impact of urban-rural health insurance integration on the non-agricultural employment of rural labor in China.Methods:Using CHFS data(2011—2019)and a DID model,this study analyzed the impact on non-agricultural employment probability and quality(wage income,job stability)and examined the effect of different integration models.Results:The integration of urban and rural health insurance significantly increases the probability and quality of non-agricultural employment among rural labor.This effect operates through three key mechanisms:easing household liquidity constraints,improving health-related human capital,and expanding job search scope.Moreover,the“unified urban-rural tier”model proves more effective than the“one-system-multi-tiers”model in promoting non-agricultural employment and enhancing job quality.Conclusion:The integration positively contributes to improving rural labor allocation efficiency and mobilizing surplus rural labor capacity.Policy recommendations include accelerating the adoption of the“unified urban-rural tier”model and further refining the urban-rural resident health insurance system.

关 键 词：城乡居民基本医保整合 农村劳动力 非农就业 

分 类 号：R197[医药卫生—卫生事业管理]