Does health insurance impact on the hospital seeking behavior among floating population?Evi-dence from the 2014 National Floating Population Dynamic Monitoring Survey
10.3969/j.issn.1674-2982.2016.05.011
- VernacularTitle:医疗保险影响了流动人口住院机构选择吗？--基于2014年全国流动人口动态监测调查的证据
- Author:
Haiqin WANG
;
Yongyi WANG
;
Zhiyuan HOU
- Publication Type:Journal Article
- Keywords:
Floating population;
Inpatient services;
Health insurance;
Patients flow;
Tiered health care system
- From:
Chinese Journal of Health Policy
2016;9(5):61-66
- CountryChina
- Language:Chinese
-
Abstract:
Objectives:To analyze the influencing factors and status of hospital seeking behavior among floating population by focusing on the function of health insurance , and provide evidence to comprehensively promote tiered health care system in China .Methods:Using data from 2014 National Floating Population Dynamic Monitoring Survey , multivariate logistic regressions were applied to analyze the influencing factors of hospital seeking behavior for inpatient care .Chi-square tests were used to analyze the different proportion of having basic medical insurance reimbursement and reasons for not having it for different hierarchical inpatient care , and T test were used to analyze the ratio of basic medical insurance reimbursement for hospital costs .Results:The proportion of hospitalization at the county level and below was 56.4%among floating population , the proportion of inflow patients being 51.5%and the rest of the hospital population being counted at a proportion of 37.9%, lower than the corresponding proportion of 72.6%among local res-idents derived from the Fifth National Health Services Survey , but this ratio was 78.9%among registered population . The multivariate logistic regression results indicated that demographic , socio-economic and flow characteristics , hospital location and reasons for hospitalization have significantly affected the migrant inpatients facilities , but health insurance did not significantly influence the hospital seeking behaviors among floating population .Conclusions:The proportion of hospitalization at the county level and below was low among migrants and this proportion presented great regional differ -ences;and medical insurance didn't play a guiding role in the diversion of the internal floating population .
