ArticleBMJ open2019
Effect of integrated urban and rural residents medical insurance on the utilisation of medical services by residents in China: a propensity score matching with difference-in-differences regression approach.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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Who cites it
34 citing papers in PubMed.
- Key indicators for evaluating Iran's health insurance performance.Health economics review · 2025Article
- Difference-in-differences analysis with repeated cross-sectional survey data.Health services & outcomes research methodology · 2025Article
- Medical insurance integration and rural-urban benefit disparities, 2006-2021: evidence from quasi-natural experiments in China.BMJ open · 2025Article
- Unequal nursing: the impact of China's public health insurance on nursing services for older adults.BMC nursing · 2025Article
- Medical insurance integration and spatial effects in China: evidence from quasi-natural experiments and linked administrative data.BMC health services research · 2025Article
- Does the trans-provincial immediate reimbursement reduce health gap between urban and rural floating population? Evidence from China.BMC public health · 2025Article
- Income-related benefit mobility before and after Urban and Rural Resident Basic Medical Insurance integration: a longitudinal analysis of China.BMC health services research · 2025Article
- How did the urban and rural resident basic medical insurance integration affect medical costs?-Evidence from China.PloS one · 2025Article
- The Interplay of Financial Support and Familial Duty: Adult Children's Contributions to Healthcare for Older Parents in Rural China.Risk management and healthcare policy · 2025Article
- Effects of rural-to-urban migration on healthcare utilization of middle-aged and older adults: evidence from the China health and retirement longitudinal study.Frontiers in public health · 2025Article
- Article
- Patterns of intrinsic capacity trajectory and onset of activities of daily living disability among community-dwelling older adults.Journal of global health · 2024Observational
- Impact of urban and rural residents medical insurance on self-rated health of residents in China: a panel study from the China family panel studies national baseline survey.Frontiers in public health · 2024Article
- Does the integration of urban and rural health insurance influence the functional limitations of the middle-aged and elderly in rural China?SSM - population health · 2023Article
- Article
- Does the immediate reimbursement of medical insurance reduce the socioeconomic inequality in health among the floating population? Evidence from China.International journal for equity in health · 2023Article
- The impact of integrated urban and rural resident basic medical insurance on health service equity: Evidence from China.Frontiers in public health · 2023Article
- Effects of Urban and Rural Resident Basic Medical Insurance on Healthcare Utilization Inequality in China.International journal of public health · 2023Article
- Multidimensional poverty of persons with disabilities in China: An analysis of poverty reduction effect of employment services.Frontiers in public health · 2023Article
- Patients' and Care Professionals' Evaluation of the Effect of a Hospital Group on Integrated Care in Chinese Urban Health Systems: A Propensity Score Matching and Difference-in-differences Regression Approach.International journal of health policy and management · 2023Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesIn this study, we aim to evaluate the effect of urban and rural resident medical insurance scheme (URRMI) on the utilisation of medical services by urban and rural residents in the four pilot provinces. SETTING AND
participantsThe sample used in this study is 13 305 individuals, including 2620 in the treatment group and 10 685 in the control group, from the 2011 and 2015 surveys of China Health and Retirement Longitudinal Study. OUTCOME MEASURES: Propensity score matching and difference-in-differences regression approach (PSM-DID) is used in the study. First, we match the baseline data by using kernel matching. Then, the average treatment effect of the four outcome variables are analysed by using the DID model. Finally, the robustness of the PSM-DID estimation is tested by simple model and radius matching.
resultsKernel matching have improved the overall balance after matching. The URRMI policy has significantly reduced the need-but-not outpatient care and significantly increased outpatient care cost and inpatient care cost for rural residents, with DID value of -0.271, 0.090 and 0.256, respectively. After robustness test, the DID competing results of four outcome variables are consistent.
conclusionsURRMI has a limited effect on the utilisation of medical and health services by all residents, but the effect on rural residents is obvious. The government should establish a unified or income-matching payment standard to prevent, control the use of medical insurance funds and increase its efforts to implement URRMI integration in more regions to improve overall fundraising levels.
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