Does integrated medical insurance system alleviate the difficulty of using cross-region health care for the Migrant Parents in China-- evidence from the China migrants dynamic survey

Ma, Chao; Huo, Shutong; Chen, Hao

doi:10.1186/s12913-021-07069-w

Cited by 12 publications

(16 citation statements)

References 63 publications

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“…Referring to enabling resources, characteristics of medical insurance are associated with the availability of the insurance at the selected destinations and thus are related to IMs' HSU. For example, medical insurance type (14,100,145) and place of insurance enrollment (14,17,50,56,105) were found to be associated with IMs' HSU. These features would determine the level of insurance compensation and flexibility for IMs to transfer their medical insurance between hometowns and destinations (16,17).…”

Section: Ims-specific Factorsmentioning

confidence: 99%

Health service behaviors of migrants: A conceptual framework

Peng

2023

Front. Public Health

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Universal health coverage is vital to the World Health Organization’s (WHO’s) efforts to ensure access to health as a human right. However, it has been reported that migrants, including both international immigrants and internal migrants, underuse health services. Establishing a conceptual framework to facilitate research on the health service behaviors (HSB) of migrants is particularly important. Many theoretical frameworks explaining the general population’s HSB have been published; however, most theoretical frameworks on migrants’ HSB only focus on international immigrants without the inclusion of internal migrants. Of note, internal migrants are much more abundant than immigrants, and this group faces similar barriers to HSB as immigrants do. Based on theoretical frameworks of immigrants’ HSB and Anderson’s behavior model, the author proposes a new conceptual framework of migrants’ HSB that includes both immigrants and internal migrants. The new conceptual framework divides the determinants into macro-structural or contextual factors, health delivery system characteristics, and characteristics of the population at risk and describes subgroup-specific factors. The author added some variables and reclassified variables in some dimensions, including characteristics of health delivery systems and access to healthcare. The characteristics of health delivery systems comprise the volume, organization, quality, and cost of the health delivery system, while the characteristics of access to healthcare include time accessibility, geographic accessibility, and information accessibility. The outcomes of HSB have been expanded, and relationships between them have been reported. The mediating effects of some variables have also been described. This conceptual framework can facilitate a deep and comprehensive understanding of the HSB determination process for migrants, including internal migrants.

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Section: Ims-specific Factorsmentioning

confidence: 99%

Health service behaviors of migrants: A conceptual framework

Peng

2023

Front. Public Health

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“…For example, Ren (2022) found that residents' health improved signi cantly after switching from low-grade to high-grade health insurance based on the urban-rural health insurance coordination pilot in Taicang and Yixing cities. However, Ma (2021) found, based on nationwide survey data, that although the policy of integrating urban and rural residents' health insurance signi cantly improves residents' health, it promotes health inequality.…”

Section: I Literature Review (I) Impact Of Health Insurance Coordinat...mentioning

confidence: 99%

Can benefit equity alleviate health inequity? --Evidence from the reform of Health Insurance Programs in China

2022

Preprint

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The higher the socioeconomic status, the better the health status. Can the equity reform of health insurance alleviate the health inequality between different groups? Taking the provincial-level coordination reform of Chinese Urban Employee Basic Medical Insurance (UEBMI) as an example, the paper used the China Family Panel Studies (CFPS) data and relevant policy documents to examine the effect of equalized health insurance programs on health inequity by Recentered Influence Function (RIF). The empirical results showed that although the gap in medical reimbursement costs between participants of different socioeconomic status was narrowing after the provincial-level coordination reform, the health inequality among the insured population widened. The equalized health insurance reform can’t alleviate the health inequality brought about by socioeconomic status. This paper suggests that in the progress of promoting the provincial-level coordination reform of UEBMI, the protection of vulnerable groups should be strengthened to promote social equity.JEL codes: I10, I14, I30

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“…This means that urban and rural residents are no longer restricted by geography and status and can enjoy uniform medical insurance payments and participation. After the integration of basic medical insurance, rural residents have equitable access to better medical services and greater protection ( 5 , 6 ).…”

Section: Introductionmentioning

confidence: 99%

Rural residents' willingness to participate in basic medical insurance and influential factors: A survey of three provinces in China

Tian

Xu²,

Zhang³

et al. 2022

Front. Public Health

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BackgroundRural residents' participation in medical insurance has a significant relationship to the affordability of their medical care. This study aims to investigate the willingness of rural residents to participate in basic medical insurance for urban and rural residents and its determinants so as to enhance their willingness to participate in medical insurance.MethodsData were obtained from 1,077 validated questionnaires from rural residents. Chi-square test and multiple logistic regression analysis were adopted to analyze determinants of rural residents' willingness to participate in basic medical insurance for urban and rural residents.Results94.3% of respondents were willing to participate in basic medical insurance for urban and rural residents and this was associated with the familiarity with the medical insurance policies [OR = 2.136, 95% CI (1.143, 3.989)], the reasonability of medical insurance premiums [OR = 2.326, 95% CI (0.998, 5.418)], the normality of doctors' treatment behavior [OR = 3.245, 95% CI (1.339, 7.867)] and the medical insurance's effectiveness in reducing the economic burden of disease [OR = 5.630, 95% CI (2.861, 11.079)].ConclusionEven though most respondents were willing to participate in basic medical insurance for urban and rural residents, some aspects need to be improved. The focus should be on promoting and regulating the behavior of medical staff. Financing policies and reimbursement of treatment costs need to be more scientifically developed. A comprehensive basic healthcare system needs to be optimized around the core function of “hedging financial risks”.

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Does integrated medical insurance system alleviate the difficulty of using cross-region health care for the Migrant Parents in China-- evidence from the China migrants dynamic survey

Cited by 12 publications

References 63 publications

Health service behaviors of migrants: A conceptual framework

Health service behaviors of migrants: A conceptual framework

Can benefit equity alleviate health inequity? --Evidence from the reform of Health Insurance Programs in China

Rural residents' willingness to participate in basic medical insurance and influential factors: A survey of three provinces in China

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