ArticleFrontiers in public health2025
Effects of rural-to-urban migration on healthcare utilization of middle-aged and older adults: evidence from the China health and retirement longitudinal study.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- Impact of the compact county medical service community policy on healthcare resource allocation and healthcare service utilization in village clinics: a difference-in-differences analysis in rural Sichuan, China.Frontiers in public health · 2026Article
- Analysis of the relationship between two-way social support and health based on a latent profile analysis among migrant older adults in China: a cross-sectional study.Frontiers in public health · 2026Article
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2 authors.
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Abstract
Background: An increasing number of middle-aged and older adults are migrating from rural to urban areas for employment, to care for their younger generation and due to old age. As these age groups move into urban areas, their healthcare service utilization are directly related to their health status and basic rights to survival. It also places higher demands on China's healthcare service provision. Objectives: This study aims to examine effects of rural-to-urban migration on healthcare utilization among middle-aged and older adults in China. Methods: Panel data from Waves 3, 4, and 5 of the China Health and Retirement Longitudinal Study were used. We included 318 participants in the exposure group and 7,525 participants in the control group. The study employed propensity score matching (PSM) and Difference in Difference (DID) analysis. Results: Difference in difference regression results showed that middle-aged and older adults reduced number of hospitalizations when they moved to a city with DID values of -0.092 ( Conclusion: Middle-aged and older migrants who migrated to cities reduced inpatient healthcare utilization, possibly due to lower hospitalization reimbursement rates, financial burden, and lower social integration. Policies enhancing health insurance reimbursement rates for migrants, integrated community support programs, and strengthening health education to promote health equity may provide remedy.
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