ArticleInternational journal for equity in health2018
Geographic variation in health insurance benefits in Qianjiang District, China: a cross-sectional study.
Article in International journal for equity in health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Study on the willingness to enroll in the urban and rural residents basic medical insurance: from the perspectives of policy awareness and institutional trust.Frontiers in public health · 2025Article
- Private Sector Hospitals' Response to Changes in Demand for Health Insurance in Arab Countries.Journal of health economics and outcomes research · 2025Article
- Article
- Effect of Health Insurance Policy on the Health Outcomes of the Middle-Aged and Elderly: Progress Toward Universal Health Coverage.Frontiers in public health · 2022Article
- Assessment of the satisfaction with public health insurance programs by patients with chronic diseases in China: a structural equation modeling approach.BMC public health · 2021Article
- An equity evaluation in stroke inpatients in regard to medical costs in China: a nationwide study.BMC health services research · 2021Article
- Determinants of health insurance ownership in Jordan: a cross-sectional study of population and family health survey 2017-2018.BMJ open · 2021Article
- Study on the Utilization of Inpatient Services for Middle-Aged and Elderly Rural Females in Less Developed Regions of China.International journal of environmental research and public health · 2020Article
- A method for measuring spatial effects on socioeconomic inequalities using the concentration index.International journal for equity in health · 2020Article
- The comparison of healthcare utilization inequity between URRBMI and NCMS in rural China.International journal for equity in health · 2019Article
- Article
- Challenges for the surgical capacity building of township hospitals among the Central China: a retrospective study.International journal for equity in health · 2018Article
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Abstract
backgroundHealth insurance contributes to reducing the economic burden of disease and improving access to healthcare. In 2016, the Chinese government announced the integration of the New Cooperative Medical Scheme (NCMS) and Urban Resident Basic Medical Insurance (URBMI) to reduce system segmentation. Nevertheless, it was unclear whether there would be any geographic variation in health insurance benefits if the two types of insurance were integrated. The aim of this study was to identify the potential geographic variation in health insurance benefits and the related contributing factors.
methodsThis cross-sectional study was carried out in Qianjiang District, where the NCMS and URBMI were integrated into Urban and Rural Resident Basic Medical Insurance Scheme (URRBMI) in 2010. All beneficiaries under the URRBMI were hospitalized at least once in 2013, totaling 445,254 persons and 65,877 person-times, were included in this study. Town-level data on health insurance benefits, healthcare utilization, and socioeconomic and geographical characteristics were collected through health insurance system, self-report questionnaires, and the 2014 Statistical Yearbook of Qianjiang District. A simplified Theil index at town level was calculated to measure geographic variation in health insurance benefits. Colored maps were created to visualize the variation in geographic distribution of benefits. The effects of healthcare utilization and socioeconomic and geographical characteristics on geographic variation in health insurance benefits were estimated with a multiple linear regression analysis.
resultsDifferent Theil index values were calculated for different towns, and the Theil index values for compensation by person-times and amount were 2.5028 and 1.8394 in primary healthcare institutions and 1.1466 and 0.9204 in secondary healthcare institutions. Healthcare-seeking behavior and economic factors were positively associated with health insurance benefits in compensation by person-times significantly, meanwhile, geographical accessibility and economic factors had positive effects (p < 0.05).
conclusionsThe geographic variation in health insurance benefits widely existed in Qianjiang District and the distribution of health insurance benefits for insured inpatients in primary healthcare institutions was distinctly different from that in secondary healthcare institutions. When combining the NRCM and URMIS in China, the geographical accessibility, healthcare-seeking behavior and economic factors required significant attention.
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