ArticleInternational journal of environmental research and public health2021
Decomposing Differences of Health Service Utilization among Chinese Rural Migrant Workers with New Cooperative Medical Scheme: A Comparative Study.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 14 citations in OpenAlex.
- Gender differences in the association between inter-generational interaction and depressive symptoms among Chinese older adults.BMC geriatrics · 2024Article
- Effect of health rights accessibility on the urban integration of minority rural migrants in China: a cross-sectional study.BMC public health · 2024Article
- Article
- Inequality of opportunity in health service utilization among middle-aged and elderly community-dwelling adults in China.Archives of public health = Archives belges de sante publique · 2023Article
- Health service behaviors of migrants: A conceptual framework.Frontiers in public health · 2023Article
- By Internal Network or by External Network?-Study on the Social Network Mechanism of Reducing the Perception of Old-Age Support Risks of Rural Elders in China.International journal of environmental research and public health · 2022Article
- Occupational Dust Exposure and Respiratory Protection of Migrant Interior Construction Workers in Two Chinese Cities.International journal of environmental research and public health · 2022Article
- Socio-economic inequalities in health service utilization among Chinese rural migrant workers with New Cooperative Medical Scheme: a multilevel regression approach.BMC public health · 2022Article
- Determinants of Differences in Health Service Utilization between Older Rural-to-Urban Migrant Workers and Older Rural Residents: Evidence from a Decomposition Approach.International journal of environmental research and public health · 2022Article
- Health status and public health education for internal older migrants in China: Evidence from a nationally representative survey.Frontiers in public health · 2022Article
- Assessing Income-Related Inequality on Health Service Utilization among Chinese Rural Migrant Workers with New Co-Operative Medical Scheme: A Multilevel Approach.International journal of environmental research and public health · 2021Article
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Authors and funding
4 authors at 3 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
The New Rural Cooperative Medical Insurance (NCMS) in China has provided benefits for rural migrant workers' health service utilization, but the financial coordination and mutual aid of NCMS is mainly based on the county or district as a unit, leading NCMS with the characteristics of regional segmentation. Our study aims to explore their health service utilization, as well as to decompose differences of the health service utilization into contributors. Data from the China Labor-Force Dynamic Survey in 2016 and Urban Statistical Yearbook in 2016 were used. We used coarsened exact matching to control the confounding factors in order to enhance the comparison of two groups. The Fairlie decomposition method was used to analyze the differences and the sources of health service utilization. Influencing factors of health service utilization for rural migrant workers with NCMS were diversified, especially contextual characteristic and individual characteristics. The proportion of ethnic minorities, the number of medical institutions for 10,000 people in the community, the number of beds for 10,000 people in the city, and the urban service quality index were the major contributors of the differences. The proportion of difference in the health service utilization of rural migrant workers with NCMS caused by health service need were -54.73% and 6.92%, respectively. The inequities of the probability of two weeks outpatient, and the probability of inpatients, were -0.006 and -0.007, respectively. There were substantial differences in the health service utilization between rural migrant workers with NCMS in the county/district and rural migrant workers with NCMS across the county/district. Our results illustrated the inequity from the differences on basis of characteristic effect and the discrimination effect. Our studies clarified that health service needs of should be fully considered, contributing to a more reliable understanding of the health service utilization of rural migrant workers.
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