Rural-to-Urban Migration and Health Insurance in China
Author Information
Author(s): Qiu Peiyuan, Yang Yang, Zhang Juying, Ma Xiao
Primary Institution: West China School of Public Health, Sichuan University
Hypothesis
Migration has a positive association with household economic status and NCMS enrollment rates.
Conclusion
Migrants to urban centers improve the economic status of their rural households, but face challenges in obtaining NCMS reimbursement for medical services.
Supporting Evidence
- Migration was positively associated with improved household economic status.
- 54.3% of migrants used out-of-county hospitals compared to 17.5% of non-migrants.
- 55.2% of migrants received no reimbursement from the NCMS for inpatient services.
Takeaway
When people move from the countryside to the city for work, their families back home often earn more money, but they have a hard time getting help for medical bills.
Methodology
A multistage cluster sampling procedure was used to survey 9,097 households and 36,720 individuals, analyzing data with chi-square tests, T-tests, and logistic regression.
Potential Biases
Potential biases may arise from self-reported data and the cross-sectional nature of the study.
Limitations
The study's cross-sectional design limits causal inferences and does not account for other important variables like disease type.
Participant Demographics
34.3% of the sample were migrants, with a higher proportion of younger males and more education compared to non-migrants.
Statistical Information
P-Value
< 0.001
Confidence Interval
95% CI for various ORs provided in the results
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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