医疗保险参保行为、参保类型对政府工作满意度的影响研究

Research on the influence of medical insurance participation behavior and its types on government job satisfaction

利用CFPS2018年数据,建立Ordered Logit回归模型,研究医疗保险参保行为与参保类型对政府工作满意度的影响,结果显示:基本医疗保险作为一项民生工程,具有一定政治影响。在控制相关变量的情况下,是否参加基本医疗保险、参加何种基本医疗保险以及同一基本医疗保险制度下居住区的城乡差异,均会影响到居民对当地政府年度工作的满意度。基于研究结论,可通过职工医保与居民医保的二元融合构建更为充分且平衡的医保体系、实行属地参保以及促进优质医疗服务的充分与平衡,增加居民在医保制度体系中的受益感,优化政府形象。

Based on the data of CFPS in 2018,this paper uses Ordered Logit regression model to analyze the influence of residents'medical insurance participation behavior and its types on residents'satisfaction about government's annual job availability and hiring status.The results showed that basic medical insurance,as a livelihood project,has political influence.Under the control of related variables,whether to participate in basic medical insurance,what kind of basic medical insurance to participate in,and the urban-rural differences in residential areas under the same basic medical insurance system will all have a significant influence on residents'job satisfaction from the perspective of the local government's annual job availability.Medical insurance participation behavior can also have an effect on the trust that residents give to local government officials by affecting their satisfaction about local government's annual job availability.Based on analysis,a more adequate and balanced medical insurance system should be established through the dual integration of employee medical insurance and resident medical insurance,territorial participation should be implemented,and sufficient and balanced medical services quality should be promoted,while residents'sense of benefit in the medical insurance system is increased and the image of the government well optimized.