Health Inequalities among Internal Migrants in China from the Perspective of Medical Insurance: Theoretical Framework, Measurement and Mechanism Analysis

Corresponding author: Lihanxuan, 15927416370@163.com

DOI: 10.12201/bmr.202412.00007

•  

  Abstract: Objective: Constructing a framework to assess health inequality among migrants through the perspective of medical insurance, this study examines the inequalities and underlying mechanisms affecting Chinas internal migrants. Methods: Data were extracted from the 2017 and 2018 China Migrants Dynamic Survey datasets. The health equity measurement framework developed by Dover, the concentration index and its decomposition method were used to analyse the characteristics and mechanisms of health inequalities among migrants. Results: The results showed that the migrants with higher income levels performed better on medical services utilization, medical insurance services utilization, and health outcomes. Medical insurance contributed vitally to the inequalities in medical services utilization and medical insurance services utilization, but little to the health outcomes. Conclusion: The impact of medical insurance on health inequalities among migrants showed multi-level characteristics. The social stratification effect and the differences in health social effects of medical insurance are the internal mechanisms that lead to health inequalities. It is suggested to enhance the equality of medical security of migrants through financing, benefits, and administration to reduce inequalities in the medical services utilization, medical insurance services utilization, and health outcomes among Chinas internal migrants.

  Key words: Migrants; Medical insurance; Health inequalities; Concentration index

  Submit time: 2 December 2024

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
• html

• 图表

• yaoqiang, chenamin. Impact of social medical insurance enrollment location on the health inequalities of elderly migrants in China：a path analysis. 2022. doi: 10.12201/bmr.202111.00023

  Wang Yan, Wang Yiqiao. The impact of medical security for migrants on their residing preference——The chain mediating effect of medical service utilization and health level. 2023. doi: 10.12201/bmr.202305.00005

  MAO Ai-lin, LI Ya-nan. Research on the Choice of Medical Insurance Types for Workers in New Employment Forms：Evidence from the floating population. 2022. doi: 10.12201/bmr.202204.00008

  Hao Xiaoning, Zheng Yanhui, Sun Jiale. Research on the Social Support Network on the health of the Elderly Floating Population. 2022. doi: 10.12201/bmr.202211.00014

  Investigation on current status of health literacy of infectious diseases among floating population in Henan Province. 2024. doi: 10.12201/bmr.202411.00031

  Zhang Luying, Zhang Peng, Chen Wen. Development and application of inclusive commercial medical insurance development Index. 2022. doi: 10.12201/bmr.202206.00012

  Du Benfeng, Zhou Li Jin, Wang Xuan. Study on Difficult Family Environment and inequality of Childrens Health opportunity——Based on the Survey in Seven Provinces. 2021. doi: 10.12201/bmr.202011.00018

  qiuyang, wanglizhu, lisihan, wangzhonghua. Study on Catastrophic Health Expenditure and Its Inequality among Elderly Household in China：Empirical Analysis Based on CFPS Data. 2024. doi: 10.12201/bmr.202406.00025

  LeiXiansheng, GongXi. A longitudinal comparative study of social medical insurance policies from the perspective of welfare incidence. 2021. doi: 10.12201/bmr.202108.00014

  WANG Hongbo, GONG Xi, ZHANG Su. Strategic Purchase of Health Insurance from the Perspective of Strategic Management in Public Sectors: An Interpretive Framework and Its Chinese Implications. 2024. doi: 10.12201/bmr.202407.00013

• ID	Submit time	Number	Download
  1	2024-07-16	bmr.202412.00007V1	Download

• Public  Anonymous  To author only Submit Comments