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Can provincial-pooling of urban and rural resident basic medical insurance improve the health performance of migrant population

Bibliographic Data

ID22230995
AuthorsXinjie Zhang (0000-0002-3194-7518, Jiangsu University, corresponding author), Wei Chen (0000-0002-9419-148X, Government of Jiangsu Province, corresponding author)
Year2024
Volume11
Issue1
Publication date2024-07-30
Open AccessYes
TypeARTICLE
VenueHumanities and Social Sciences Communications (JOURNAL)
Journal identifiersISSN: 2662-9992 • E-ISSN: 2662-9992
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1057/s41599-024-03476-6
OpenAlexW4401111608
LanguageEN
Citations received2
References cited14

Enhancing the pooling level of medical insurance is an inevitable requirement to strengthen the mutual assistance capability of funds and achieving national health. In China, with the continuous expansion of the migrant population seeking medical treatment in other regions, the role of provincial-pooling of basic medical insurance is becoming increasingly prominent. While there is limited research on the impact and mechanism of provincial-pooling of basic medical insurance on the health of migrant population. Therefore, this study aims to explore the impact of provincial-pooling of basic medical insurance on the health performance of migrant population and analyze the mediating role of social integration. Using data of three waves (2014, 2016 and 2018) of the China Labor force Dynamics Survey, this study focuses on a sample of migrant population enrolled in Urban and Rural Resident Basic Medical Insurance and employs the estimation methods of time-varying difference-in-difference and mediating effect model. The results of time-varying difference-in-difference show that provincial-pooling of basic medical insurance improves the health performance of migrant population by 9.6% ( p < 0.05), and the event study method and placebo test all indicate that the research results are robust. The mediating effect analysis demonstrates that the provincial-pooling of basic medical insurance enhances health performance by fostering the subjective and objective social integration, and neighbourhood assistance, social equity, life happiness and trust in the majority are specific intermediary channels. The results of heterogeneity analysis indicates that provincial-pooling of basic medical insurance is more effective in improving the health performance of high-income (β = −0.090; P < 0.05), new-generation (β = −0.116; P < 0.1) and highly-educated (β = 0.130; p < 0.05) migrant population. Our results call for accelerating the promotion of provincial-pooling of basic medical insurance to improve health performance of migrant population

Actuarial science · Business · Economic growth · Economics · Environmental health · Health care · Health insurance · Medical insurance · Pooling · Population · Rural population · Computer Science · Employment and Welfare Studies · Global Health Workforce Issues · Medicine · Migration, Health and Trauma

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Citations per year2
Citation span2025 - 2026 (2)
Highly citedNo

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