ArticleBMC health services research2021
The relationship between urban and rural health insurance and the self-rated health of migrant workers in Southwest China.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Reciprocal associations between social isolation and self-rated health among older adults in China: findings from the China longitudinal aging social survey (2018-2020).Archives of public health = Archives belges de sante publique · 2025Article
- Climate risks, multi-tier medical insurance systems, and health inequality: evidence from China's middle-aged and elderly populations.BMC health services research · 2025Article
- The mental health effects of critical illness insurance: Evidence from China's aging population.PloS one · 2025Article
- Health inequality of rural-to-urban migrant workers in eastern China and its decomposition: a comparative cross-sectional study.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
- Multi-Dimensional Comparison of the Impact Mechanism of the Self-Rated Health Status of Urban and Rural Residents in Chinese Social Environments.International journal of environmental research and public health · 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
- Barriers and Facilitators to the Implementation of Holistic Care Within an International Medical Center: A Case-Based Qualitative Study.Journal of primary care & community healthArticle
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Authors and funding
6 authors.
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Abstract
backgroundFollowing health insurance reforms, China's health care system has made great progress. However, there are still huge differences between the urban and rural health insurance systems. For rural-to-urban migrant workers, there may be differences in the use of urban and rural health insurance to improve their health status. This study aimed to determine whether any disparities exist in the relationship between urban and rural health insurance and the self-rated health (SRH) of migrant workers in Southwest China from the perspective of urban and rural segmentation.
methodsUsing cross-sectional survey data on Southwest China in 2016, a representative data sample drawn from 8507 migrant workers was analysed. An ordinary least squares (OLS) model and instrumental variable (IV) estimation were used to analyse the relationship between urban and rural health insurance and the SRH of migrant workers.
resultsUsing the IV method to control the endogeneity problems associated with health insurance, this study found that there are differences in the relationship between urban and rural health insurance and the SRH of migrant workers. Urban health insurance is associated with significant improvements in the SRH of migrant workers. Compared with the NRCMS, participating in urban health insurance, including urban employee basic medical insurance (UEBMI) and urban resident basic medical insurance (URBMI), increases the likelihood of migrant workers having better SRH.
conclusionsThere are disparities in the relationship between urban and rural health insurance and the SRH of migrant workers in China. Compared to rural health insurance, urban health insurance has a more positive correlation with the health of migrant workers. Our study shows that it is necessary to integrate urban and rural health insurance to promote social equity.
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