Impact of medical insurance integration on reducing urban-rural health disparity
Evidence from China
Bibliographic Data
| ID | 4600890 |
|---|---|
| Authors | Y X Tang (Waseda University, corresponding author), Yingqian Tang, Rong Fu (0000-0002-2850-1697, Waseda University), Harkuo Noguchi (0000-0002-4437-8238, Waseda University), Haruko Noguchi |
| Year | 2024 |
| Volume | 357 |
| Pages | 117163 |
| Publication date | 2024-09-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2024.117163 |
| PMID | 39121565 |
| OpenAlex | W4401297668 |
| Language | EN |
| Citations received | 14 |
| References cited | 29 |
The urban-rural health disparity poses a significant challenge for countries worldwide. China encounters substantial disparities in healthcare services and health outcomes between urban and rural regions. In 2015, the Chinese government integrated the medical insurance schemes for urban and rural residents into a unified program, with the goal of mitigating the disparities and enhancing the sustainability and efficiency of the medical insurance system. Using data from the China Health and Retirement Longitudinal Study (CHARLS), we explored the impact of this integration on health outcomes and the health disparity between urban and rural residents, employing a triple difference approach with propensity score matching. We found that both urban and rural residents benefited from the medical insurance reform, experiencing improvements in their health outcomes to some extent. Urban residents reported better self-reported health, while rural residents exhibited improved health in terms of both self-reported health and number of diagnosed diseases. Notably, the disparity in activities of daily living (ADL) difficulties decreased. However, we also observed a worsening trend in ADL difficulties, especially among the elderly and the working population. This underscores the urgent need for further attention to health behaviors and healthcare resource allocation to these socio-demographic groups
Business · China · Economic growth · Economics · Environmental health · Geography · Government (linguistics · Health care · Health equity · Longitudinal study · Propensity score matching · Public health · Rural health · Socioeconomics · Global Health Care Issues · Health disparities and outcomes · Healthcare Systems and Reforms · Medicine · Nursing · Gerontology · Health Policy
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Equity in health care and health
Widening Rural–Urban Disparities in Life Expectancy, U.S., 1969–2009
Outsourcing at Will
Health: perception versus observation
Defining health and health inequalities
The triple difference estimator
Impact of health insurance equity on poverty vulnerability
Effects of health insurance integration on health care utilization and its equity among the mid-aged and elderly
Health financing and integration of urban and rural residents’ basic medical insurance systems in China
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Widening Rural–Urban Disparities in All-Cause Mortality and Mortality from Major Causes of Death in the USA, 1969–2009
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A glossary for health inequalities
Explaining Urban-Rural Health Disparities in China
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| Unique citing works | 14 |
|---|---|
| Citations per year | 7 |
| Citation span | 2024 - 2026 (3) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 14 |