Research on the participation mechanism of basic medical insurance for platform workers:International experiences and implications for China
10.3969/j.issn.1674-2982.2024.04.005
- VernacularTitle:平台灵活就业人员基本医保参保机制研究
- Author:
Xiao-Dou YU
1
;
Kai-Ran ZHANG
;
Hong-Bo WANG
Author Information
1. 中国人民大学公共管理学院 北京 100872
- Keywords:
Platform workers;
Basic medical insurance;
Participation mechanism;
Inclusive governance
- From:
Chinese Journal of Health Policy
2024;17(4):30-37
- CountryChina
- Language:Chinese
-
Abstract:
The digital economy promotes economic growth and changes in employment patterns,but it also exposes platform workers to the risk of losing their basic medical insurance rights and interests.Based on the theory of inclusive governance,this paper constructs a three-dimensional analysis framework of opportunity-process-result for the participation mechanism,analyzes the international experiences of basic medical insurance participation mechanism for platform workers,and puts forward suggestions for optimizing the basic medical insurance participation mechanism in light of China's actual situation.The finding shows that the value orientation of realizing the universal health of medical insurance,the inclusive and coordinated participation mechanism,and the fair treatment of sharing and unification are the main strategies to deal with the issue of medical insurance participation of platform workers in the international arena.Therefore,it is recommended to firstly,expand and improve the basic medical insurance system covering the whole population with the concept of the supremacy of the right to health;secondly,promote the synergistic development among the stakeholders to enhance the systemic resilience of the basic medical insurance;and lastly,strengthen the function of mutual assistance and mutual aid of the basic medical insurance to promote the common prosperity effect of the basic medical insurance.
