ArticleInternational journal for equity in health2019
Institutional differences and geographical disparity: the impact of medical insurance on the equity of health services utilization by the floating elderly population - evidence from China.
Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed.
- Migration-adjusted lung cancer burden in China: a population data-based Bayesian spatial modeling approach.JNCI cancer spectrum · 2026Article
- Assessing spatial equity in integrated health care facilities for older adults: a case study in the metropolis of Guangzhou, China.Frontiers in public health · 2026Article
- Key factors associated with China's basic medical insurance fund revenue-expenditure balance: a grey relational analysis.Cost effectiveness and resource allocation : C/E · 2025Article
- Status and factors associated with health service utilization among older adults in China: a recent national population-based survey.BMC geriatrics · 2025Article
- The estimated incidence of uterine corpus cancers among permanent residents in mainland China using Bayesian spatial modeling.Scientific reports · 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
- Patterns and impacts of patient migration for primary knee arthroplasty in China: A national retrospective study.PloS one · 2025Article
- Factors influencing health service utilization among 19,869 China's migrant population: an empirical study based on the Andersen behavioral model.Frontiers in public health · 2025Article
- Inequity in the utilization of the home and community integrated healthcare and daily care services in older adults with limited mobility in China.BMC geriatrics · 2024Article
- Applying Kumpfer's resilience framework to understand the social adaptation process of the trailing parents in China.BMC geriatrics · 2024Article
- Evidence From the China Family Panel Studies Survey on the Effect of Integrating the Basic Medical Insurance System for Urban and Rural Residents on the Health Equity of Residents: Difference-in-Differences Analysis.JMIR public health and surveillance · 2024Article
- Cultural capital, the digital divide, and the health of older adults: a moderated mediation effect test.BMC public health · 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
- A study on the factors influencing the utilization of public health services by China's migrant population based on the Shapley value method.BMC public health · 2023Article
- Cross-sectional study of factors affecting the receipt of mental health education in older migrants in China.BMC public health · 2023Article
- Perspectives and evaluation on the effect of financial burden relief of medical insurance for people with catastrophic diseases and its influencing factors.Frontiers in public health · 2023Article
- Gender Differences in Migrant Workers Health in China.International journal of public health · 2023Article
- Procurement of medicines to treat cancer, 2015-2020, China.Bulletin of the World Health Organization · 2022Article
- The Impact of Instant Reimbursement of Cross-Regional Medical Services on Hospitalization Costs Incurred by the Floating Population-Evidence from China.Healthcare (Basel, Switzerland) · 2022Article
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2 authors.
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Abstract
backgroundThe Chinese government has now achieved universal coverage of medical insurance through two systems: the Basic Medical Insurance System for Urban Employees (BMISUE) and the Basic Medical Insurance System for Urban and Rural Residents (BMISURR). This paper aims to identify the impact of China's current medical insurance system on equity in the use of health services by the floating elderly population from two aspects: institutional differences and geographical disparity.
methodsThe data used in the study are from the China Migrants Dynamic Survey (CMDS) conducted by the National Health and Wellness Council of China. This study uses the Logit model to estimate the impact of the medical insurance system on the utilization of health services and the Propensity Score Matching (PSM) method to further test the robustness of the results.
resultsThe study found that the type of medical insurance does not affect health services utilization by the floating elderly population in China. However, for those participating in the same medical insurance, participation in different regions will significantly affect the use of health service resources. For the BMISURR, when the place of the insurance is the same as the place of residence, the proportion of the floating elderly population that will see a doctor when they are sick will increase by 4.80%. For the BMISUE, when the place of the insurance is the same as the place of residence, the proportion of the floating elderly population that will see a doctor when they are sick will increase by 10.30%.
conclusionsThe difference between the place of insurance and the place of residence results in the unbalanced utilization of health services by the floating elderly population participating in the same medical insurance system.
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