流动人口社会医疗保险参保影响因素分析--来自2018年湖北省流动人口动态监测数据的证据

Studying on The Factors to Influence The Participation in Social Medical Insurance for Migrants Based on Data from CMDS of Hubei in 2018

劳动力的城乡流动推动了社会经济发展,分散参保人患病的财务风险是社会医疗保险的应有之义,因此流动人口在城市务工期间面临的健康风险理应通过就业地社会医疗保险充分保障。基于推进“健康中国”战略和城市化转型的背景,利用2018年湖北省流动人口动态监测数据,考察流动人口社会医疗保险参保现状,揭示相关因素对参保行为的差异化影响。有94.40%的湖北省流动人口参加社会医疗保险,其中城镇职工医保参保比例为16.81%。Logistics回归结果显示,单身、文化水平较高、非农业户籍、省内流动、有长期居留意愿、家庭收入较高居住在城市社区、在事业单位或国有企业工作、有稳定雇主的流动人口城镇职工医保参保概率更高。通过向流动人口提供有稳定劳动关系的工作能够显著提高其城镇职工医保参保概率,企业应对已建立劳动关系的雇员签订书面劳动合同,同时流动人口自身要通过提高文化水平和劳动技能早日走出低附加值、劳动密集型的行业和岗位。

Based on the background of Healthy China Strategy and urbanization transformation,the CMDS data in Hubei Province in 2018 was used to study the status of participation in social medical insurance for migrants and its influencing factors.In Hubei Province,94.40%of migrants participated in social medical insurance,of which the participation rate of UEBMI was 16.81%.Logistics regression results showed that singles,higher educated,non-agricultural household registration,provincial migration,long-term willingness to stay,high family income,living in urban communities,working in public institutions or stateowned enterprises,and with stable employers had a higher probability of participating in UEBMI.Providing migrants jobs with stable labor relations can significantly increase the probability of participating in UEBMI.It is suggested for enterprises to sign labor contracts for employees who have established labor relations,and for migrants to get rid of low added value jobs as soon as possible by improving their education level and labor skills.