Slipping Through the Gap: Exploring the Influence of Social Health Insurance on Access to Healthcare for Older Migrant Workers
Objectives: Older migrant workers (OMWs) frequently confront barriers to accessing care, as their Social Health Insurance (SHI) coverage may not extend beyond their hometown. This study seeks to investigate whether Chinese OMWs can still derive benefits from SHI in accessing healthcare services, eve...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-03-01
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| Series: | International Journal of Public Health |
| Subjects: | |
| Online Access: | https://www.ssph-journal.org/articles/10.3389/ijph.2024.1606655/full |
| _version_ | 1797263239625572352 |
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| author | Chengxu Long Wei Yang Shangfeng Tang |
| author_facet | Chengxu Long Wei Yang Shangfeng Tang |
| author_sort | Chengxu Long |
| collection | DOAJ |
| description | Objectives: Older migrant workers (OMWs) frequently confront barriers to accessing care, as their Social Health Insurance (SHI) coverage may not extend beyond their hometown. This study seeks to investigate whether Chinese OMWs can still derive benefits from SHI in accessing healthcare services, even when their SHI is not registered in the same location as their current residence.Methods: This study used data from 2015 China Migrants Dynamic Survey and focused on OMWs aged 60 years and older (N = 3,050). Logistic regression models were employed to investigate the factors influencing healthcare use.Results: Having SHI registered in current place of residence and interprovincial migration were significantly associated with increased likelihoods of doctor visits among OMWs. However, inpatient services use did not appear to be associated with the SHI registration place and migration range.Conclusion: Chinese OMWs derive fewer benefits from SHI in accessing healthcare services when their SHI is not registered in current residence. Governments in Low- and Middle-Income Countries should consider implementing targeted policies to provide adequate protection for OMWs and expand the coverage of direct reimbursement for cross-province healthcare services. |
| first_indexed | 2024-04-25T00:09:51Z |
| format | Article |
| id | doaj.art-1a122d46a2594a5b8a01320d8ea27a72 |
| institution | Directory Open Access Journal |
| issn | 1661-8564 |
| language | English |
| last_indexed | 2024-04-25T00:09:51Z |
| publishDate | 2024-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | International Journal of Public Health |
| spelling | doaj.art-1a122d46a2594a5b8a01320d8ea27a722024-03-13T14:44:47ZengFrontiers Media S.A.International Journal of Public Health1661-85642024-03-016910.3389/ijph.2024.16066551606655Slipping Through the Gap: Exploring the Influence of Social Health Insurance on Access to Healthcare for Older Migrant WorkersChengxu Long0Wei Yang1Shangfeng Tang2Department of Global Health and Social Medicine, King’s College London, London, United KingdomDepartment of Global Health and Social Medicine, King’s College London, London, United KingdomSchool of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaObjectives: Older migrant workers (OMWs) frequently confront barriers to accessing care, as their Social Health Insurance (SHI) coverage may not extend beyond their hometown. This study seeks to investigate whether Chinese OMWs can still derive benefits from SHI in accessing healthcare services, even when their SHI is not registered in the same location as their current residence.Methods: This study used data from 2015 China Migrants Dynamic Survey and focused on OMWs aged 60 years and older (N = 3,050). Logistic regression models were employed to investigate the factors influencing healthcare use.Results: Having SHI registered in current place of residence and interprovincial migration were significantly associated with increased likelihoods of doctor visits among OMWs. However, inpatient services use did not appear to be associated with the SHI registration place and migration range.Conclusion: Chinese OMWs derive fewer benefits from SHI in accessing healthcare services when their SHI is not registered in current residence. Governments in Low- and Middle-Income Countries should consider implementing targeted policies to provide adequate protection for OMWs and expand the coverage of direct reimbursement for cross-province healthcare services.https://www.ssph-journal.org/articles/10.3389/ijph.2024.1606655/fullolder migrant workerssocial health insuranceaccess to healthcaremigrant administration systemmigrant health |
| spellingShingle | Chengxu Long Wei Yang Shangfeng Tang Slipping Through the Gap: Exploring the Influence of Social Health Insurance on Access to Healthcare for Older Migrant Workers International Journal of Public Health older migrant workers social health insurance access to healthcare migrant administration system migrant health |
| title | Slipping Through the Gap: Exploring the Influence of Social Health Insurance on Access to Healthcare for Older Migrant Workers |
| title_full | Slipping Through the Gap: Exploring the Influence of Social Health Insurance on Access to Healthcare for Older Migrant Workers |
| title_fullStr | Slipping Through the Gap: Exploring the Influence of Social Health Insurance on Access to Healthcare for Older Migrant Workers |
| title_full_unstemmed | Slipping Through the Gap: Exploring the Influence of Social Health Insurance on Access to Healthcare for Older Migrant Workers |
| title_short | Slipping Through the Gap: Exploring the Influence of Social Health Insurance on Access to Healthcare for Older Migrant Workers |
| title_sort | slipping through the gap exploring the influence of social health insurance on access to healthcare for older migrant workers |
| topic | older migrant workers social health insurance access to healthcare migrant administration system migrant health |
| url | https://www.ssph-journal.org/articles/10.3389/ijph.2024.1606655/full |
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