公共医疗保险与劳动力市场:来自中国城镇居民基本医疗保险的证据

Public health insurance and the labor market: Evidence from China's Urban Resident Basic Medical Insurance

Health Economics · 2020
被引 27
人大 A-

中文导读

研究利用中国城镇居民基本医疗保险(URBMI)的逐步实施,发现该保险虽未显著影响劳动参与率,但降低了工作锁定、增加了就业流动性,尤其对女性、低学历和健康不佳者影响更大。

Abstract

This study provides empirical evidence on the labor market effects of public health insurance using evidence from China. In 2007, China launched a national public health insurance program, Urban Resident Basic Medical Insurance (URBMI), targeting residents in urban areas who were not insured by employment-based health insurance. Using panel data from the China Health and Nutrition Survey, I identify the impacts of the program based on its staggered implementation across cities. I find that URBMI did not have a significant average causal effect on labor force participation. However, it did increase employment mobility, as evidenced by the decrease in long-term employment and expansion of fixed-term contract jobs and self-employment. After the program was implemented, job lock declined and job flexibility increased, especially among women, the less educated, and individuals with good health status. The results also suggest increased employment for unhealthy workers, indicating a direct health improvement effect.

城镇居民基本医疗保险劳动力市场效应就业流动性工作锁定