ArticleBMC public health2021
Urban-rural differences in healthcare utilization among beneficiaries in China's new cooperative medical scheme.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Understanding social integration and health outcomes among China's internal migrants: a systematic review.Frontiers in public health · 2025Pooled it
- The price and affordability of essential medicines, progress and regional distribution in China: a systematic review.Frontiers in pharmacology · 2023Pooled it
- Assessment of the Burden of Maternal Hypertensive Disorders and the Quality of Care in China: A Systematic Analysis of the Global Burden of Disease (GBD) 2021 Study.International journal of women's health · 2026Article
- Article
- Etiological shifts and clinical outcomes of acute pancreatitis between urban and rural areas: evidence from a 20-year retrospective database.Frontiers in medicine · 2025Article
- Forecasting Informal care needs of the urban-rural older adults in China based on microsimulation model.BMC public health · 2024Article
- Great leap forward famine exposure and urban-rural migration convolute the modern prevalence of diabetes in China.Journal of health, population, and nutrition · 2024Article
- Multimorbidity patterns and health-related quality of life among community-dwelling older adults: evidence from a rural town in Suzhou, China.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Article
- Rural patients' satisfaction with humanistic nursing care in Chinese Public Tertiary Hospitals: a national cross-sectional study.Frontiers in public health · 2024Article
- Horizontal inequity trends of health care utilization in rural China after the medicine and healthcare system reform: based on longitudinal data from 2010 to 2018.International journal for equity in health · 2023Article
- Unmet healthcare needs predict frailty onset in the middle-aged and older population in China: A prospective cohort analysis.Frontiers in public health · 2023Article
- The association between healthcare needs, socioeconomic status, and life satisfaction from a Chinese rural population cohort, 2012-2018.Scientific reports · 2022Article
- Trends of Healthy Life Expectancy of the Elderly in China in 1994-2015: Revisiting From the Perspective of Morbidity Transition.Frontiers in public health · 2021Article
- Disease Burden of Chronic Kidney Disease in China (1990-2021): An Analysis for the Global Burden of Disease Study 2021.Kidney diseases (Basel, Switzerland)Article
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundThe New Cooperative Medical Scheme (NCMS) is a voluntary social health insurance program launched in 2002 for rural Chinese residents where 80% of people were without health insurance of any kind. Over time, several concerns about this program have been raised related to healthcare utilization disparities for NCMS participants in urban versus rural regions. Our study uses 2015 national survey data to evaluate the extent of these urban and rural disparities among NCMS beneficiaries.
methodsData for our study are based on the Chinese Health and Retirement Longitudinal Study (CHARLS) for 2015. Our 12,190-patient sample are urban and rural patients insured by NCMS. We use logistic regression analyses to compare the extent of disparities for urban and rural residence of NCMS beneficiaries in (1) whether individuals received any inpatient or outpatient care during 2015 and (2) for those individuals that did receive care, the extent of the variation in the number of inpatient and outpatient visits among each group.
resultsOur regression results reveal that for urban and rural NCMS patients in 2015, there were no significant differences in inpatient or outpatient utilization for either of the dependent variables - 1) whether or not the patient had a visit during the last year, or 2) for those that had a visit, the number of visits they had. Patient characteristics: age, sex, employment, health status, chronic conditions, and per capita annual expenditures - all had significant impacts on whether or not there was an inpatient or outpatient visit but less influence on the number of inpatient or outpatient visits.
conclusionsFor both access to inpatient and outpatient facilities and the level of utilization of these facilities, our results reveal that both urban and rural NCMS patients have similar levels of resource utilization. These results from 2015 indicate that utilization angst about urban and rural disparities in NCMS patients do not appear to be a significant concern.
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