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Association between rural-to-urban migrants’ social medical insurance, social integration and their medical return in China: a nationally representative cross-sectional data analysis
BACKGROUND: 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 th...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339269/ https://www.ncbi.nlm.nih.gov/pubmed/30658619 http://dx.doi.org/10.1186/s12889-019-6416-y |
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author | Peng, Bo-li Ling, Li |
author_facet | Peng, Bo-li Ling, Li |
author_sort | Peng, Bo-li |
collection | PubMed |
description | BACKGROUND: 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. METHODS: 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. RESULTS: 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). CONCLUSIONS: 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. |
format | Online Article Text |
id | pubmed-6339269 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-63392692019-01-23 Association between rural-to-urban migrants’ social medical insurance, social integration and their medical return in China: a nationally representative cross-sectional data analysis Peng, Bo-li Ling, Li BMC Public Health Research Article BACKGROUND: 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. METHODS: 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. RESULTS: 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). CONCLUSIONS: 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. BioMed Central 2019-01-18 /pmc/articles/PMC6339269/ /pubmed/30658619 http://dx.doi.org/10.1186/s12889-019-6416-y Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Peng, Bo-li Ling, Li Association between rural-to-urban migrants’ social medical insurance, social integration and their medical return in China: a nationally representative cross-sectional data analysis |
title | Association between rural-to-urban migrants’ social medical insurance, social integration and their medical return in China: a nationally representative cross-sectional data analysis |
title_full | Association between rural-to-urban migrants’ social medical insurance, social integration and their medical return in China: a nationally representative cross-sectional data analysis |
title_fullStr | Association between rural-to-urban migrants’ social medical insurance, social integration and their medical return in China: a nationally representative cross-sectional data analysis |
title_full_unstemmed | Association between rural-to-urban migrants’ social medical insurance, social integration and their medical return in China: a nationally representative cross-sectional data analysis |
title_short | Association between rural-to-urban migrants’ social medical insurance, social integration and their medical return in China: a nationally representative cross-sectional data analysis |
title_sort | association between rural-to-urban migrants’ social medical insurance, social integration and their medical return in china: a nationally representative cross-sectional data analysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339269/ https://www.ncbi.nlm.nih.gov/pubmed/30658619 http://dx.doi.org/10.1186/s12889-019-6416-y |
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