Health inequality among migrants in China from the perspective of medical insurance:Theoretical framework,measurement and mechanism
10.3969/j.issn.1674-2982.2024.11.004
- VernacularTitle:医疗保险视角下中国流动人口健康不平等:理论框架、水平测度与机制分析
- Author:
Qiang YAO
1
;
Zhi-heng ZHANG
;
Zhao-hui CHENG
;
Han-xuan LI
Author Information
1. 武汉大学政治与公共管理学院 湖北武汉 430072;武汉大学健康治理研究中心 湖北武汉 430072;国家医疗保障研究院华科基地 湖北武汉 430030
- Publication Type:Journal Article
- Keywords:
Migrants;
Medical insurance;
Health inequality;
Concentration index
- From:
Chinese Journal of Health Policy
2024;17(11):26-34
- CountryChina
- Language:Chinese
-
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 China's 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 inequality 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 significantly influenced the inequality in medical services utilization and medical insurance services utilization within the migrants,yet its direct effect on health outcomeswas minor. Conclusion:The impact of medical insurance on health inequality 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 inequality. It is suggested to enhance the equality of medical security of migrants through financing,benefits,and administration to reduce inequality in the medical services utilization,medical insurance services utilization,and health outcomes among China's internal migrants.
