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南京医科大学学报（社会科学版）京医科大学学报（社会科学版） 第2期 总第127期
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Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） 2025年4月
Journal
影响［J］. 现代预防医学，2024，51（1）：111-117 ［19］ GROSSMAN M. The demand for health：a theoretical and
［17］滕敏杰，魏骅，陶群山. 我国中年人生活方式与抑郁症 empirical investigation［J］. New York：National Bureau
状的关联探索［J］. 南京医科大学学报（社会科学版）， of Economic Research，1972（12）：1417-1426
2024，24（5）：477-483 ［20］ 姚恒宇，陶世奇，陶群山，等. 基本医疗保障与区域经
［18］RADLOFF L S. The CES⁃D Scale：a self⁃reporte depres⁃ 济发展耦合协调及时空特征分析［J］. 南京医科大学学
sion scale for research in the general population［J］. App 报（社会科学版），2024，24（3）：215-223
Psycholog Measur，1977，1（3）：385-401 （本文编辑：姜 鑫）
Impact of the integration policy of urban & rural residents’medical
insurance on the mental health of flexible employees
CHEN Hao，DONG Shirui，DAI Yong
School of Management，Jiangsu University，Zhenjiang 212013，China
Abstract：Flexible employment is becoming an increasingly important component of China’s labor market.
At the same time，mental health challenges faced by this group are also aggravating. Based on the China Family
Panel Studies（CFPS）data from 2016 to 2020，this study employs the multi⁃period Difference⁃in⁃Differences
（DID）model，Propensity Score Matching（PSM），heterogeneity analysis，and mediation effect test to study the
impact of the integration of urban and rural resident medical insurance policies on the mental health of flexible
employees. The results revealed that the insurance integration policy significantly improved the mental health
status of flexible employees，particularly among the young，rural household registrants and those in western
regions. Health expenditure pressure played a mediating role in the impact of the policy. The findings of the
study hold practical significance for deepening the reform process of integrating urban and rural resident
medical insurance，continuously expanding the coverage of medical insurance to flexible employees，and raising
the awareness of the variation in mental health among flexible employees with different characteristics.
Key words：integration of urban and rural residents’medical insurance；flexible employees；mental health；
health expenditure；pressure
