ArticleBMC public health2022
Socio-economic inequalities in health service utilization among Chinese rural migrant workers with New Cooperative Medical Scheme: a multilevel regression approach.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Understanding social integration and health outcomes among China's internal migrants: a systematic review.Frontiers in public health · 2025Pooled it
- Fiscal Incentives and Health Risk Protection: How Central-Local Fiscal Relations Shape Rural Households' Medical Burden in China.Healthcare (Basel, Switzerland) · 2026Article
- Does the hierarchical medical system enhance healthcare utilization and equity in China? a longitudinal study 2012-2018.BMC public health · 2025Article
- How Does the Basic Urban-Rural Medical Insurance Affect Resident Health Inequality? Evidence from China.Healthcare (Basel, Switzerland) · 2025Article
- Cancer Survival Trends in Southeastern China, 2011-2021: A Population-Based Study.Clinical epidemiology · 2024Article
- The impact of migration-related characteristics on the risk of TORCH infections among women of childbearing age: a population-based study in southern China.BMC public health · 2023Article
- Article
- Effects of Urban and Rural Resident Basic Medical Insurance on Healthcare Utilization Inequality in China.International journal of 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
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile reducing inequity in health service utilization is an important goal of China's health system, it has been widely acknowledged that a huge number of rural migrant workers cannot be effectually protected against risks with the New Rural Cooperative Medical Insurance (NCMS).
methodData of the 2016 China Labor-force Dynamic Survey and the Chinese Urban Statistical Yearbook were used. The multilevel regression approach was implemented with a nationally representative sample of rural migrant workers with NCMS. Our study adopted the concentration index and its decomposition method to quantify the inequality of their health service utilization.
resultThe multilevel model analysis indicated that impact variables for health service utilization were not concentrated, especially the contextual and individual characteristics. The concentration indices of the probability of two weeks outpatient and the probability of inpatient were -0.168 (95%CI:-0.236,-0.092) and -0.072 (95%CI:-1.085,-0.060), respectively. The horizontal inequality indices for the probability of two-week outpatient and the probability of inpatient were -0.012 and 0.053, respectively.
conclusionThe health service utilization of rural migrant workers with NCMS is insufficient. Our study highlighted that substantial inequalities in their health service utilization did exist. In addition, their need of health service utilization increased the pro-poor inequality. Based on the findings, our study offered notable implications on compensation policies and benefit packages to improve the equality among rural migrant workers with NCMS.
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