ArticleBMC public health2019
Association between rural-to-urban migrants' social medical insurance, social integration and their medical return in China: a nationally representative cross-sectional data analysis.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Understanding social integration and health outcomes among China's internal migrants: a systematic review.Frontiers in public health · 2025Pooled it
- Improving Equitable Access to Antenatal Care in China: Challenges and Potential Innovative Approaches.China CDC weekly · 2026Article
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- Medical insurance integration and rural-urban benefit disparities, 2006-2021: evidence from quasi-natural experiments in China.BMJ open · 2025Article
- Medical insurance integration and spatial effects in China: evidence from quasi-natural experiments and linked administrative data.BMC health services research · 2025Article
- The mediating role of job fairness and job burnout between subjective social status and depressive symptoms in Chinese migrant workers: a generational difference analysis.BMC public health · 2025Article
- Analysis of influencing factors and equity in hospitalization expense reimbursement for mobile populations based on random forest model: a cross-sectional study from China.Frontiers in public health · 2025Article
- Article
- Determinants of Place of Delivery Among Migrant Working Mothers in China.International journal of women's health · 2025Article
- Effect of health rights accessibility on the urban integration of minority rural migrants in China: a cross-sectional study.BMC public health · 2024Article
- Barriers to rural women's participation in social insurance for farmers, villagers, and nomads: the case of Iran.Frontiers in sociology · 2024Article
- The impact of basic health insurance participation characteristics on the health of mobile populations: the mediating role of health service utilization behavior.Frontiers in public health · 2024Article
- Association between the location of social medical insurance and social integration among China's elderly rural migrants: a nationwide cross-sectional study.BMC public health · 2023Article
- Does basic medical insurance promote public health? Evidence from China family panel study.Frontiers in public health · 2023Article
- Health service behaviors of migrants: A conceptual framework.Frontiers in public health · 2023Article
- Chronic patients as retirement-aged workers: the impact of employment-based health insurance and chronic conditions on health-related working capacity and late-life career participation.European journal of ageing · 2022Article
- Late career participation of late retirees in the age of the silver tsunami: understanding the influencing mechanism of health status and employment-based health insurance participation.Health research policy and systems · 2022Article
- Unmet Healthcare Needs and Their Determining Factors among Unwell Migrants: A Comparative Study in Shanghai.International journal of environmental research and public health · 2022Article
- 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
- The impact of medical service on the return behavior: A city-level study in China.Frontiers in public health · 2022Article
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Abstract
backgroundWithout social medical insurance in the destination areas and with low social integration, rural-to-urban migrants had barriers to health service in the destination areas, some of the migrants had to seek health service in hometown, namely medical return. This study aimed at exploring the association between rural-to-urban migrants' medical return and social medical insurance type or social integration.
methodsWe analysed a secondary cross-sectional data of the 2014 National Internal Migrant Dynamic Monitoring Survey collected in May of 2014 from all provinces or regions in mainland China. The medical return was measured by the location of hospitalisation, and the social integration included economic integration and permanent settlement intention.
resultsFour thousand eighteen rural-to-urban migrants living in current residence at least one year and used inpatient service within the last 12 months were analysed. The rate of medical return for inpatient service was 15.3%. Having medical insurance of hometown (new rural cooperative medical scheme (NRCMS)) (OR = 2.44, 95%CIs 1.80-3.30) was positively related to the medical return. The permanent settlement intention was negatively associated with the medical return (OR = 0.66, 95%CIs 0.48-0.90).
conclusionsSocial medical insurance of hometown (NRCMS) was positively associated with the medical return, while the permanent settlement intention was negatively associated with it. Promoting the transfer of migrants' social medical insurance across different regions might be helpful to improve rural-to-urban migrants' health access.
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