Evidence map›Paper›PMID 40565482›Full record

ArticleHealthcare (Basel, Switzerland)2025

How Does the Basic Urban-Rural Medical Insurance Affect Resident Health Inequality? Evidence from China.

Xiaohong Pu, Riyun Hou, Sichang He, Weike Zhang

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Xiaohong PuSchool of Public Administration, Sichuan University, Chengdu 610065, China.
Riyun HouSchool of Public Administration, Sichuan University, Chengdu 610065, China.ORCID 0009-0008-9760-1828
Sichang HeThe Affiliated Hospital of Southwest Medical University, Luzhou 646000, China.
Weike ZhangSchool of Public Administration, Sichuan University, Chengdu 610065, China.ORCID 0000-0002-5176-4460

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth inequality is seen as a challenge for implementing the Healthy China Strategy. This study analyzes the income-related health inequality among urban-rural resident basic medical insurance (URRBMI) participants.

methodsThis study utilized data from the 2019 China Household Finance Survey (CHFS), and the concentration index (CI) was employed to estimate the effects of income-related health inequality on participants.

resultsOur findings provide clear evidence that health inequality among participants has fluctuated-narrowing, widening, and then narrowing again-in the areas of the contribution, medical treatment, and reimbursement of URRBMI, respectively. Overall, the analysis indicates a widening of health inequality post-reimbursement, with results remaining consistent. A heterogeneity analysis shows that health inequality is most pronounced among women and those with less than a middle school education. Finally, our study reveals a pro-rich trend in the actual utilization of medical services among participants, with persistent disparities in outpatient and inpatient service usage even after standardization, further exacerbating income-related health inequality.

conclusionsWe recommend that the URRBMI design take participants' income levels into account, with policies favoring disadvantaged individuals to enhance their medical security, improve access to healthcare services, and ultimately reduce health inequality.

Indexed as

concentration indexhealth inequalityparticipantsurban–rural resident basic medical insurance

Identifiers

PMID40565482
PMCPMC12193612

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