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Does the integration of urban and rural health insurance influence the functional limitations of the middle-aged and elderly in rural China?
In January 2016, the Chinese government integrated the two systems of urban resident basic medical insurance and new rural cooperative medical system to establish a unified Urban and Rural Resident Medical Insurance. The integration of medical insurance is purported to enhance access for the rural p...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241964/ https://www.ncbi.nlm.nih.gov/pubmed/37287716 http://dx.doi.org/10.1016/j.ssmph.2023.101439 |
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author | Hao, Haijun Yeo, Yeong Hun |
author_facet | Hao, Haijun Yeo, Yeong Hun |
author_sort | Hao, Haijun |
collection | PubMed |
description | In January 2016, the Chinese government integrated the two systems of urban resident basic medical insurance and new rural cooperative medical system to establish a unified Urban and Rural Resident Medical Insurance. The integration of medical insurance is purported to enhance access for the rural population; however, a dearth of literature exists regarding its effect on functional impairment among middle-aged and elderly residing in rural areas. This study aims to evaluate the impact of urban-rural health insurance integration on functional limitation among middle-aged and elderly individuals in rural China. A longitudinal survey was conducted among 7855 middle-aged and elderly individuals in rural China. Using a nonequivalent control group pretest-posttest design, we exploit these policy changes to evaluate their impact on middle-aged and elderly individuals’ functional limitation. The results showed that the integration of urban and rural health insurance systems was significantly associated with reduced functional limitation (Odds ratio .742; 95%CI 0.603, 0.914) among middle-aged and elderly individuals in rural China. Our findings also indicate that prevalent behaviors such as tobacco use, and alcohol consumption may exacerbate functional limitation among middle-aged and elderly individuals. These findings suggest that the integration of urban and rural health insurance systems can have a positive impact on the functional limitation of middle-aged and elderly individuals in rural China and could be an important factor in improving the health and well-being of middle-aged and elderly individuals in rural areas. |
format | Online Article Text |
id | pubmed-10241964 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-102419642023-06-07 Does the integration of urban and rural health insurance influence the functional limitations of the middle-aged and elderly in rural China? Hao, Haijun Yeo, Yeong Hun SSM Popul Health Regular Article In January 2016, the Chinese government integrated the two systems of urban resident basic medical insurance and new rural cooperative medical system to establish a unified Urban and Rural Resident Medical Insurance. The integration of medical insurance is purported to enhance access for the rural population; however, a dearth of literature exists regarding its effect on functional impairment among middle-aged and elderly residing in rural areas. This study aims to evaluate the impact of urban-rural health insurance integration on functional limitation among middle-aged and elderly individuals in rural China. A longitudinal survey was conducted among 7855 middle-aged and elderly individuals in rural China. Using a nonequivalent control group pretest-posttest design, we exploit these policy changes to evaluate their impact on middle-aged and elderly individuals’ functional limitation. The results showed that the integration of urban and rural health insurance systems was significantly associated with reduced functional limitation (Odds ratio .742; 95%CI 0.603, 0.914) among middle-aged and elderly individuals in rural China. Our findings also indicate that prevalent behaviors such as tobacco use, and alcohol consumption may exacerbate functional limitation among middle-aged and elderly individuals. These findings suggest that the integration of urban and rural health insurance systems can have a positive impact on the functional limitation of middle-aged and elderly individuals in rural China and could be an important factor in improving the health and well-being of middle-aged and elderly individuals in rural areas. Elsevier 2023-05-25 /pmc/articles/PMC10241964/ /pubmed/37287716 http://dx.doi.org/10.1016/j.ssmph.2023.101439 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Regular Article Hao, Haijun Yeo, Yeong Hun Does the integration of urban and rural health insurance influence the functional limitations of the middle-aged and elderly in rural China? |
title | Does the integration of urban and rural health insurance influence the functional limitations of the middle-aged and elderly in rural China? |
title_full | Does the integration of urban and rural health insurance influence the functional limitations of the middle-aged and elderly in rural China? |
title_fullStr | Does the integration of urban and rural health insurance influence the functional limitations of the middle-aged and elderly in rural China? |
title_full_unstemmed | Does the integration of urban and rural health insurance influence the functional limitations of the middle-aged and elderly in rural China? |
title_short | Does the integration of urban and rural health insurance influence the functional limitations of the middle-aged and elderly in rural China? |
title_sort | does the integration of urban and rural health insurance influence the functional limitations of the middle-aged and elderly in rural china? |
topic | Regular Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241964/ https://www.ncbi.nlm.nih.gov/pubmed/37287716 http://dx.doi.org/10.1016/j.ssmph.2023.101439 |
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