ArticleFrontiers in public health2024
Medical insurance benefits and health inequality: evidence from rural China.
Article in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed.
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- Knowledge, attitudes, and practices toward hepatitis B virus infection among hepatitis-B patients in Qinghai Province, China.BMC public health · 2026Article
- Improving Equitable Access to Antenatal Care in China: Challenges and Potential Innovative Approaches.China CDC weekly · 2026Article
- Causes of medical disputes in China and Japan from physicians' perspectives: a qualitative study.Frontiers in health services · 2026Article
- Latent profiles of active ageing and their association with oral health-related quality of life among rural older adults in China.Frontiers in public health · 2026Article
- Diagnostic Entropy as an Administrative Measure of Cross-System Diagnostic Dispersion in Noncommunicable Disease Inpatients: A Methodological Validation Study.Journal of nursing management · 2026Article
- Association of Atherogenic Index of Plasma With Stroke Risk in a Population With Cardiovascular-Kidney-Metabolic Syndrome Stages 0 to 3: The First Evidence From the China Health and Retirement Longitudinal Study.Journal of the American Heart Association · 2025Article
- A survey and analysis of inhalation medication adherence among 977 COPD patients in a region of northern China.European journal of medical research · 2025Article
- Patterns and Factors of Intrinsic Capacity Impairment in Older Adults with Chronic Diseases: A Latent Class Analysis.Clinical interventions in aging · 2025Article
- Artificial Intelligence in Chronic Disease Management for Aging Populations: A Systematic Review of Machine Learning and NLP Applications.International journal of general medicine · 2025Review
- Health inequalities for China's low-income population: trends, subgroup differences, and influencing factors, 2010-2022.Frontiers in public health · 2025Article
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Abstract
Alleviating health inequality among different income groups has become a significant policy goal in China to promote common prosperity. Based on the data from the China Health and Retirement Longitudinal Study (CHARLS) covering the period from 2013 to 2018, this study empirically examines the impact of Integrated Medical Insurance System (URRBMI) on the health and health inequality of older adult rural residents. The following conclusions are drawn: First, URRBMI have elevated the level of medical security, reduced the frailty index of rural residents, and improved the health status of rural residents. Second, China exhibits "pro-rich" health inequality, and URRBMI exacerbates health inequality among rural residents with different incomes. This result remains robust when replacing the frailty index with different health modules. Third, the analysis of influencing mechanisms indicates that the URRBMI exacerbate inequality in the utilization of medical services among rural residents, resulting in a phenomenon of "subsidizing the rich by the poor" and intensifying health inequality. Fourth, in terms of heterogeneity, URRBMI have significantly widened health inequality among the older adult and in regions with a higher proportion of multiple-tiered medical insurance schemes. Finally, it is suggested that China consider establishing a medical financing and benefit assurance system that is related to income and age and separately construct a unified public medical insurance system for the older adult population.
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