ArticleInternational journal for equity in health2024
The effect of trans-provincial immediate reimbursement for healthcare expenses on inequity in the utilization of healthcare services for migrants.
Article in International journal for equity in health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Interregional reimbursement reform in China lowers administrative barriers to healthcare utilization.Communications medicine · 2026Article
- Pain prevalence and pain management at the end of life: regional and urban-rural differences from a national-representative survey of Chinese older adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026Article
- Does the trans-provincial immediate reimbursement reduce health gap between urban and rural floating population? Evidence from China.BMC public health · 2025Article
- Analysis of influencing factors and equity in hospitalization expense reimbursement for mobile populations based on random forest model: a cross-sectional study from China.Frontiers in public health · 2025Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundImproving the accessibility of public services for migrants is an important endeavor to promote equity in economic and social development. As a response to the large-scale movement of migrants and the fragmentation of China's health insurance system, the Chinese Government has launched a policy of trans-provincial immediate reimbursement for healthcare expenses. The present study hopes to examine the effect of immediate reimbursement policy on the utilization of healthcare services for migrants in China.
methodsThis study used two waves of data from the China Migrants Dynamic Survey (CMDS) collected in 2013 and 2017, with the sample comprising 13,540 individuals. We constructed a difference-in-differences (DID) model to investigate the impact of the policy on the utilization of healthcare services for migrants. Meanwhile, we also analyzed the heterogeneity of the policy effect by grouping the samples by industry, gender, income, and education level.
resultsThe results found that the trans-provincial immediate reimbursement significantly promoted the probability of migrants' utilization of quality healthcare services (average treatment effect on the treated = 0.072, p < 0.05). Heterogeneity analyses revealed that the policy effect was more pronounced among higher-income and better-educated migrants. In addition, the policy effect was more significant for female migrants, and the benefits were more marked for migrants in high-risk industries.
conclusionsThe trans-provincial immediate reimbursement policy has improved the inequity of healthcare services utilization among migrants as a whole; however, within the migrants, inequity still exists. More attention should also be paid to low-income or low-education groups in future policy design.
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