Dingying Fu1, Li Liu2, Xuewen Zhang3, Chuan Yu1, Huiqiang Luo1, Ningxiu Li4. 1. West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China. 2. Sichuan Academy of Social Sciences, Chengdu, China. 3. School of Integrated Traditional Chinese and Western Medicine, Jining Medical University, Jining, China. 4. West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China. liningxiu@163.com.
Abstract
BACKGROUND: Following health insurance reforms, China's health care system has made great progress. However, there are still huge differences between the urban and rural health insurance systems. For rural-to-urban migrant workers, there may be differences in the use of urban and rural health insurance to improve their health status. This study aimed to determine whether any disparities exist in the relationship between urban and rural health insurance and the self-rated health (SRH) of migrant workers in Southwest China from the perspective of urban and rural segmentation. METHODS: Using cross-sectional survey data on Southwest China in 2016, a representative data sample drawn from 8507 migrant workers was analysed. An ordinary least squares (OLS) model and instrumental variable (IV) estimation were used to analyse the relationship between urban and rural health insurance and the SRH of migrant workers. RESULTS: Using the IV method to control the endogeneity problems associated with health insurance, this study found that there are differences in the relationship between urban and rural health insurance and the SRH of migrant workers. Urban health insurance is associated with significant improvements in the SRH of migrant workers. Compared with the NRCMS, participating in urban health insurance, including urban employee basic medical insurance (UEBMI) and urban resident basic medical insurance (URBMI), increases the likelihood of migrant workers having better SRH. CONCLUSIONS: There are disparities in the relationship between urban and rural health insurance and the SRH of migrant workers in China. Compared to rural health insurance, urban health insurance has a more positive correlation with the health of migrant workers. Our study shows that it is necessary to integrate urban and rural health insurance to promote social equity.
BACKGROUND: Following health insurance reforms, China's health care system has made great progress. However, there are still huge differences between the urban and rural health insurance systems. For rural-to-urban migrant workers, there may be differences in the use of urban and rural health insurance to improve their health status. This study aimed to determine whether any disparities exist in the relationship between urban and rural health insurance and the self-rated health (SRH) of migrant workers in Southwest China from the perspective of urban and rural segmentation. METHODS: Using cross-sectional survey data on Southwest China in 2016, a representative data sample drawn from 8507 migrant workers was analysed. An ordinary least squares (OLS) model and instrumental variable (IV) estimation were used to analyse the relationship between urban and rural health insurance and the SRH of migrant workers. RESULTS: Using the IV method to control the endogeneity problems associated with health insurance, this study found that there are differences in the relationship between urban and rural health insurance and the SRH of migrant workers. Urban health insurance is associated with significant improvements in the SRH of migrant workers. Compared with the NRCMS, participating in urban health insurance, including urban employee basic medical insurance (UEBMI) and urban resident basic medical insurance (URBMI), increases the likelihood of migrant workers having better SRH. CONCLUSIONS: There are disparities in the relationship between urban and rural health insurance and the SRH of migrant workers in China. Compared to rural health insurance, urban health insurance has a more positive correlation with the health of migrant workers. Our study shows that it is necessary to integrate urban and rural health insurance to promote social equity.
Entities:
Keywords:
China; Migrant workers; Self-rated health; Urban and rural health insurance
Authors: Danping Tian; Li Sun; Lingling Zhang; Lin Zhang; Wei Zhang; Li Li; Xin Deng; Peishan Ning; Xunjie Cheng; Jing Deng; Guoqing Hu Journal: Int J Equity Health Date: 2016-02-29
Authors: Min Su; Zhongliang Zhou; Yafei Si; Xiaolin Wei; Yongjian Xu; Xiaojing Fan; Gang Chen Journal: Health Qual Life Outcomes Date: 2018-03-07 Impact factor: 3.186