Evidence map›Paper›PMID 42254620›Full record

ArticleFrontiers in public health2026

Research on provincial-level medical insurance coordination in Guangxi's multi-ethnic regions from the perspective of urban-rural integration.

Yang Zhao, Hongji Qin, Tingting Li, Tao Jiang, Shuangling Qin

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yang ZhaoSchool of Humanities and Management, Guilin Medical University, Guilin, China.
Hongji QinSchool of Clinical Medicine, Guilin Medical University, Guilin, China.
Tingting LiSchool of Public Health, Guilin Medical University, Guilin, China.
Tao JiangSchool of Humanities and Management, Guilin Medical University, Guilin, China.
Shuangling QinSchool of Marxism, Guilin Medical University, Guilin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to explore the necessity, model selection, and implementation suggestions for the provincial-level overall planning of basic medical insurance in Guangxi, China, to address the structural imbalance of medical insurance funds and improve the sustainability of the system. Methods: A comparative analysis approach was employed to examine the "unified revenue and expenditure" model and the "adjustment fund" model for provincial-level overall planning. Data were collected from official sources, including the 2023 Statistical Communique on the Development of Medical Security in Guangxi and policy documents. The analysis focused on fund balance, demographic structure, and regional disparities in Guangxi. Results: In 2023, the accumulated balance of Guangxi's employee medical insurance pooling fund reached 37.736 billion yuan, and the resident medical insurance fund balance was 43.197 billion yuan. However, significant regional imbalances existed, with the number of months covered by the accumulated balance being 22.40 months for employee insurance and 11.51 months for resident insurance. Cross-regional medical treatments reached 5.888 million visits, costing 19.165 billion yuan, leading to a "siphoning effect" (i.e., the excessive concentration of patients and funds towards medical resource-rich areas) that exacerbated regional disparities. The adjustment fund model is recommended as an initial step for Guangxi, given its flexibility and lower reform resistance. Conclusion: Promoting provincial-level overall planning of basic medical insurance in Guangxi is essential to solve fund imbalances and improve sustainability. The adjustment fund model serves as a transitional approach, with gradual movement toward unified revenue and expenditure. Key suggestions include establishing dual-track adjustment funds, scientific fund extraction rules, and enhancing digital infrastructure.

Indexed as

EthnicityInsurance, HealthRural PopulationUrban PopulationChinaHumansadjustment fund modebasic medical insuranceGuangxi provinceprovincial-level overall planningunified revenue and expenditure mode

Identifiers

PMID42254620
PMCPMC13236853

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.