ArticleHealthcare (Basel, Switzerland)2026
Financial Relief and Health Effects of Urban-Rural Health Insurance Integration on Older Rural Adults: A Causal Analysis of Age-Based Heterogeneity.
Article in Healthcare (Basel, Switzerland), 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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Abstract
objectiveTo evaluate the impact of urban-rural health insurance integration on the health outcomes and financial burden of rural older adults.
methodsUtilizing panel data from the China Health and Retirement Longitudinal Study (CHARLS) spanning 2013 to 2018, we employed a staggered difference-in-differences model coupled with propensity score matching (PSM-DID) for rigorous causal identification.
resultsThe policy significantly reduced out-of-pocket medical expenditures for rural households by approximately 5.6% (
conclusionsThe urban-rural health insurance integration has achieved a dual dividend of financial protection and health enhancement without triggering the overutilization of medical services. Nevertheless, the unmet care expenses for older adults with severe disabilities underscore the urgent necessity for a secondary safety net, such as long-term care insurance.
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