+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Association between rural-to-urban migrants' social medical insurance, social integration and their medical return in China: a nationally representative cross-sectional data analysis



Association between rural-to-urban migrants' social medical insurance, social integration and their medical return in China: a nationally representative cross-sectional data analysis



Bmc Public Health 19(1): 86



Without social medical insurance in the destination areas and with low social integration, rural-to-urban migrants had barriers to health service in the destination areas, some of the migrants had to seek health service in hometown, namely medical return. This study aimed at exploring the association between rural-to-urban migrants' medical return and social medical insurance type or social integration. We analysed a secondary cross-sectional data of the 2014 National Internal Migrant Dynamic Monitoring Survey collected in May of 2014 from all provinces or regions in mainland China. The medical return was measured by the location of hospitalisation, and the social integration included economic integration and permanent settlement intention. Four thousand eighteen rural-to-urban migrants living in current residence at least one year and used inpatient service within the last 12 months were analysed. The rate of medical return for inpatient service was 15.3%. Having medical insurance of hometown (new rural cooperative medical scheme (NRCMS)) (OR = 2.44, 95%CIs 1.80-3.30) was positively related to the medical return. The permanent settlement intention was negatively associated with the medical return (OR = 0.66, 95%CIs 0.48-0.90). Social medical insurance of hometown (NRCMS) was positively associated with the medical return, while the permanent settlement intention was negatively associated with it. Promoting the transfer of migrants' social medical insurance across different regions might be helpful to improve rural-to-urban migrants' health access.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 066103206

Download citation: RISBibTeXText

PMID: 30658619

DOI: 10.1186/s12889-019-6416-y


Related references

Social health insurance coverage and financial protection among rural-to-urban internal migrants in China: evidence from a nationally representative cross-sectional study. BMJ Global Health 2(4): E000477-E000477, 2017

Social determinants of rest deprivation amongst Ghanaian women: national and urban-rural comparisons with data from a cross-sectional nationally representative survey. Bmc Public Health 10: 580, 2010

The integration of urban and rural medical insurance to reduce the rural medical burden in China: a case study of a county in Baoji City. Bmc Health Services Research 18(1): 796, 2018

Changing patterns of social inequalities in anaemia among women in India: cross-sectional study using nationally representative data. Bmj Open 3(3):, 2013

Smoking and Its Determinants in Chinese Internal Migrants: Nationally Representative Cross-Sectional Data Analyses. Nicotine and Tobacco Research 18(8): 1719-1726, 2016

Is the medical financial assistance program an effective supplement to social health insurance for low-income households in China? A cross-sectional study. International Journal for Equity in Health 16(1): 138, 2017

Association between rural clinical clerkship and medical students' intentions to choose rural medical work after graduation: A cross-sectional study in western China. Plos one 13(4): E0195266, 2018

Social capital and self-rated health: A cross-sectional study of the general social survey data comparing rural and urban adults in Ontario. Health and Social Care in the Community 27(2): 424-436, 2019

Benefit distribution of social health insurance: evidence from china's urban resident basic medical insurance. Health Policy and Planning 31(7): 853-859, 2017

Social Stigma, Social Capital Reconstruction and Rural Migrants in Urban China: A Population Health Perspective. Human Organization 70(1): 22-32, 2011

Comparison of access to health services among urban-to-urban and rural-to-urban older migrants, and urban and rural older permanent residents in Zhejiang Province, China: a cross-sectional survey. Bmc Geriatrics 18(1): 174, 2018

The inequality of inpatient care net benefit under integration of urban-rural medical insurance systems in China. International Journal for Equity in Health 17(1): 173, 2018

Health financing and integration of urban and rural residents' basic medical insurance systems in China. International Journal for Equity in Health 16(1): 194, 2018

Race, ethnicity, language, social class, and health communication inequalities: a nationally-representative cross-sectional study. Plos one 6(1): E14550, 2011

Social Integration and Quality of Social Relationships as Protective Factors for Inflammation in a Nationally Representative Sample of Black Women. Journal of Urban Health 96(Suppl 1): 35-43, 2019