Impact of urban–rural medical insurance integration on consumption: Evidence from rural China

Chen, Hua; Ding, Yugang; Tang, Lin; Wang, Lizhen

doi:10.1016/j.eap.2022.09.018

Cited by 10 publications

(16 citation statements)

References 22 publications

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“…The high level and quality of BPHS received by rural migrant workers can provide a sense of future security, which may lead to changes in the allocation of household resources. This can result in increased consumption and decreased precautionary saving in the present ( 14 , 26 , 27 ). In addition, enhancing BPHS can help rural migrant workers achieve fair treatment, which can stimulate their sense of identity and belonging to the city ( 28 ).…”

Section: Theoretical Framework and Hypothesismentioning

confidence: 99%

“…As a key factor in the utility function, consumption provides a unique perspective to explore the welfare effects of BPHS ( 12 , 13 ). Regrettably, existing researches primarily focus on specific parts of BPHS ( 14–16 ), relatively ignore the comprehensive assessment of BPHS. According to the precautionary saving theory, rural migrant workers tend to save more due to the low level of social security ( 17 ).…”

Section: Introductionmentioning

confidence: 99%

“…According to the precautionary saving theory, rural migrant workers tend to save more due to the low level of social security ( 17 ). By providing medical insurance, future uncertainties can be better managed, which may increase current consumption ( 14 , 18 , 19 ). Besides, the popularization of medical insurance has greatly improved people’s health status and alleviated health disparities ( 9 , 20 , 21 ).…”

Section: Introductionmentioning

confidence: 99%

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Does improving basic public health services promote household consumption of rural migrant workers? Evidence from China

Pan,

Li,

Wan

2024

Front. Public Health

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BackgroundTransforming rural migrant workers’ consumption potential into a consumption booster requires ensuring their equal rights as urban residents. The adequate access to Basic Public Health Services (BPHS) help effectively tackle rural migrant workers’ health challenges and promote the well-being of this vulnerable population. Assessing the welfare effects of BPHS through a consumption perspective offers valuable insights and provides policy implications for enhancing the equity of BPHS and achieving common prosperity.MethodsUtilizing the household-level data from China Migrants Dynamic Survey 2017 (CMDS 2017), this study comprehensively evaluated the effects of BPHS on rural migrant workers’ household consumption by combining the methods of OLS, PSM, and IV.ResultsThe enhancement of BPHS promotes rural migrant workers’ household consumption even after considering endogeneity problems. Mechanism analysis indicates that BPHS imposes its positive effects on rural migrant workers through improving health literacy and increasing citizenization willingness. Furthermore, we identified heterogeneous effects across individual and household characteristics of rural migrant workers, and their flow patterns.ConclusionOur analysis indicates that BPHS plays a greater role in promoting household consumption of socially vulnerable groups, such as trans-provincial migration, rural migrant workers in old generations, and with lower-level income. Overall, these results suggest that the welfare effects of BPHS are inclusive in China.

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Section: Theoretical Framework and Hypothesismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Does improving basic public health services promote household consumption of rural migrant workers? Evidence from China

Pan,

Li,

Wan

2024

Front. Public Health

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“…Provinces supervise and encourage cities at the prefecture-level to promote the integration of urban and rural resident health insurance. Under the governance logic of “competition among peers” and “elimination of the lowest performers,” the integration speed of other prefecture-level cities can naturally affect the integration progress in the prefecture-level city where rural older people individuals reside ( 33 ). .…”

Section: Baseline Regression Analysis Of the Impact Of Urban-rural Re...mentioning

confidence: 99%

Does the increase in health insurance benefits have different effects on the health of middle-aged and older people individuals in rural areas? Analysis based on quantile difference-in-differences method

Qin,

Wang

2024

Front. Public Health

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In the context of healthy aging, enhancing health performance is an intrinsic requirement for the development and reform of the health insurance system. This paper mainly discusses the health effects of increasing medical insurance benefits on people with different levels of health. So this paper utilizes multiple rounds of data from the China Health and Retirement Longitudinal Study (CHARLS) and employs the quantile difference-in-differences method to systematically investigate the impact effects of the integration of urban and rural residents' health insurance on the frailty levels of rural middle-aged and older people individuals. The research findings are as follows: Firstly, the integration of urban and rural resident health insurance has mitigated the frailty level of rural older people individuals, with a more pronounced impact on those with poorer health statuses. Secondly, in terms of heterogeneity analysis, the health performance effects of the urban-rural health insurance integration policy are more significant among the older people population and in the western regions. Thirdly, the integration of urban and rural resident health insurance primarily improves health by reducing the burden of medical expenses, with a greater impact on the older people population with poorer health statuses. Based on the research findings, we recommend addressing the disparities in healthcare benefits across various insurance systems, alleviating the financial burden of healthcare for impoverished individuals, and consistently improving the coordination of healthcare insurance policies for both urban and rural residents.

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“…The NRCMS and the URBMI programs are two major voluntary healthcare insurance systems that provide essential medical coverage to nearly all residents of China. However, it is important to note that these two programs operate independently and are strictly divided based on Hukou system ( Chen et al, 2022 ). While rural residents are only able to choose whether to participate in the NRCMS, urban residents are restricted to participate in the URBMI.…”

Section: Introductionmentioning

confidence: 99%

Does the integration of urban and rural health insurance influence the functional limitations of the middle-aged and elderly in rural China?

Huang

Yeo

2023

SSM - Population Health

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Impact of urban–rural medical insurance integration on consumption: Evidence from rural China

Cited by 10 publications

References 22 publications

Does improving basic public health services promote household consumption of rural migrant workers? Evidence from China

Does improving basic public health services promote household consumption of rural migrant workers? Evidence from China

Does the increase in health insurance benefits have different effects on the health of middle-aged and older people individuals in rural areas? Analysis based on quantile difference-in-differences method

Does the integration of urban and rural health insurance influence the functional limitations of the middle-aged and elderly in rural China?

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