ArticleBMC health services research2022
Health insurance coverage and access to care in China.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Mapping Review of 525 Randomised Controlled Trials on Pharmacological and Non-pharmacological Interventions for People Living With Dementia and Their Formal and Informal Carers in Chinese Communities.International journal of geriatric psychiatry · 2026Pooled it
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- A qualitative study of stakeholders' perceptions towards the implementation of the National Health Insurance Scheme in Zambia: equity and financial sustainability in question.Health policy and planning · 2026Article
- Temporal-spatial analysis and driving factors of coupling coordination between population and health services systems in China, 2010-2022.BMC health services research · 2026Article
- Inhaled corticosteroid overuse and deprescribing eligibility in COPD (iCODEC Study): a nationwide cross-sectional analysis in China.NPJ primary care respiratory medicine · 2026Article
- An unexpected paradox: examining the relationship between solid fuel heating and reduced cancer risk in CHARLS.BMC cancer · 2026Article
- Global burden, risk factors and projections of self-harm mortality in adults aged 65+ years: A 60-year trend analysis from the Global Burden of Disease Study 2021.General psychiatry · 2026Article
- Moderated mediating effects of perceived loneliness and economic burden between social support and mental health for lung cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Association between commercial health insurance and out-of-pocket health expenditure: evidence from provincial panel data in China, 2011-2022.BMC health services research · 2026Article
- From coverage to care: how basic medical insurance shapes patients' experiences of primary care in China.Frontiers in epidemiology · 2026Article
- Mortality and recurrent events after first hospitalisation for heart failure and pulmonary heart disease: a community-based prospective study of 0.5 million Chinese adults.BMJ public health · 2026Article
- From awareness to action: exploring health information seeking behavior in coronary heart disease patients: a cross-sectional study.Frontiers in public health · 2026Article
- Factors influencing the decision to opt out of basic medical insurance among China's migrant population: a logistic regression analysis.Frontiers in public health · 2026Article
- Article
- Factors associated with sleep duration in a Chinese middle-aged and elderly diabetic population: a cross-sectional study.Acta diabetologica · 2025Article
- Potential to perpetuate social biases in health care by Chinese large language models: a model evaluation study.International journal for equity in health · 2025Article
- Community detection and management of mild cognitive impairment in Shanghai: a mixed-methods study.Health policy and planning · 2025Article
- Prevalence and burden of chronic cough in China: results from a population-based survey.BMC pulmonary medicine · 2025Article
- Hospital admissions attributable to reduced air pollution due to clean-air policies in China.Nature medicine · 2025Article
- A retrospective study of insurance coverage status and economic cost of rare diseases in Hainan Province.Scientific reports · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe study examined the relationship between health insurance coverage and access to needed healthcare including preventive, primary, and tertiary care among Chinese adult population. DATA AND
methodsData for this study came from the 2018 China Health and Retirement Longitudinal Study (CHARLS), a population-based probability sample survey. Key measures included insurance coverage (high-, moderate-, low- and no-insurance), access to care (physical examination, physician visit, office visit, inpatient care, and satisfaction with care), and personal sociodemographics. Multiple-factor generalized linear mixed model was applied to estimate the odds ratio (OR) and the 95% confidence interval (CI) of HI coverage for the four indicators of access to care, after controlling for individual characteristics and aggregation among different villages.
resultsThe majority of Chinese adults had some health insurance with only 3.15% uninsured. However, most had low-coverage insurance (64.82%), followed by moderate-coverage insurance (16.70%), and high-coverage insurance (15.33%). Health insurance was significantly and positively associated with access to needed healthcare (preventive, primary, and tertiary). There was also a significant gradient association between extent of insurance coverage and access to care.
conclusionNot only health insurance mattered in enhancing access to care but that there was a significant gradient association between extent of insurance coverage and access to care with higher coverage relating to better access.
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