The relationship between urban and rural health insurance and the self-rated health of migrant workers in Southwest China
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 healt...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-06-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-021-06646-3 |
| _version_ | 1819145748834418688 |
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| author | Dingying Fu Li Liu Xuewen Zhang Chuan Yu Huiqiang Luo Ningxiu Li |
| author_facet | Dingying Fu Li Liu Xuewen Zhang Chuan Yu Huiqiang Luo Ningxiu Li |
| author_sort | Dingying Fu |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-22T13:02:58Z |
| format | Article |
| id | doaj.art-e4b8637eaba14aff8b9b884ed8cb0f05 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-22T13:02:58Z |
| publishDate | 2021-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-e4b8637eaba14aff8b9b884ed8cb0f052022-12-21T18:24:57ZengBMCBMC Health Services Research1472-69632021-06-0121111310.1186/s12913-021-06646-3The relationship between urban and rural health insurance and the self-rated health of migrant workers in Southwest ChinaDingying Fu0Li Liu1Xuewen Zhang2Chuan Yu3Huiqiang Luo4Ningxiu Li5West China School of Public Health and West China Fourth Hospital, Sichuan UniversitySichuan Academy of Social SciencesSchool of Integrated Traditional Chinese and Western Medicine, Jining Medical UniversityWest China School of Public Health and West China Fourth Hospital, Sichuan UniversityWest China School of Public Health and West China Fourth Hospital, Sichuan UniversityWest China School of Public Health and West China Fourth Hospital, Sichuan UniversityAbstract 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.https://doi.org/10.1186/s12913-021-06646-3Self-rated healthUrban and rural health insuranceMigrant workersChina |
| spellingShingle | Dingying Fu Li Liu Xuewen Zhang Chuan Yu Huiqiang Luo Ningxiu Li The relationship between urban and rural health insurance and the self-rated health of migrant workers in Southwest China BMC Health Services Research Self-rated health Urban and rural health insurance Migrant workers China |
| title | The relationship between urban and rural health insurance and the self-rated health of migrant workers in Southwest China |
| title_full | The relationship between urban and rural health insurance and the self-rated health of migrant workers in Southwest China |
| title_fullStr | The relationship between urban and rural health insurance and the self-rated health of migrant workers in Southwest China |
| title_full_unstemmed | The relationship between urban and rural health insurance and the self-rated health of migrant workers in Southwest China |
| title_short | The relationship between urban and rural health insurance and the self-rated health of migrant workers in Southwest China |
| title_sort | relationship between urban and rural health insurance and the self rated health of migrant workers in southwest china |
| topic | Self-rated health Urban and rural health insurance Migrant workers China |
| url | https://doi.org/10.1186/s12913-021-06646-3 |
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