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Rural residents' willingness to participate in basic medical insurance and influential factors: A survey of three provinces in China
BACKGROUND: Rural residents' participation in medical insurance has a significant relationship to the affordability of their medical care. This study aims to investigate the willingness of rural residents to participate in basic medical insurance for urban and rural residents and its determinan...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9686824/ https://www.ncbi.nlm.nih.gov/pubmed/36438289 http://dx.doi.org/10.3389/fpubh.2022.1037763 |
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author | Tian, Guomei Xu, Jinpeng Zhang, Ting Zhang, Hongyu Liu, Jian Shi, Qi Deng, Fangmin Chen, Fangting He, Jingran Wu, Qunhong Kang, Zheng Wang, Hui |
author_facet | Tian, Guomei Xu, Jinpeng Zhang, Ting Zhang, Hongyu Liu, Jian Shi, Qi Deng, Fangmin Chen, Fangting He, Jingran Wu, Qunhong Kang, Zheng Wang, Hui |
author_sort | Tian, Guomei |
collection | PubMed |
description | BACKGROUND: Rural residents' participation in medical insurance has a significant relationship to the affordability of their medical care. This study aims to investigate the willingness of rural residents to participate in basic medical insurance for urban and rural residents and its determinants so as to enhance their willingness to participate in medical insurance. METHODS: Data were obtained from 1,077 validated questionnaires from rural residents. Chi-square test and multiple logistic regression analysis were adopted to analyze determinants of rural residents' willingness to participate in basic medical insurance for urban and rural residents. RESULTS: 94.3% of respondents were willing to participate in basic medical insurance for urban and rural residents and this was associated with the familiarity with the medical insurance policies [OR = 2.136, 95% CI (1.143, 3.989)], the reasonability of medical insurance premiums [OR = 2.326, 95% CI (0.998, 5.418)], the normality of doctors' treatment behavior [OR = 3.245, 95% CI (1.339, 7.867)] and the medical insurance's effectiveness in reducing the economic burden of disease [OR = 5.630, 95% CI (2.861, 11.079)]. CONCLUSION: Even though most respondents were willing to participate in basic medical insurance for urban and rural residents, some aspects need to be improved. The focus should be on promoting and regulating the behavior of medical staff. Financing policies and reimbursement of treatment costs need to be more scientifically developed. A comprehensive basic healthcare system needs to be optimized around the core function of “hedging financial risks”. |
format | Online Article Text |
id | pubmed-9686824 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-96868242022-11-25 Rural residents' willingness to participate in basic medical insurance and influential factors: A survey of three provinces in China Tian, Guomei Xu, Jinpeng Zhang, Ting Zhang, Hongyu Liu, Jian Shi, Qi Deng, Fangmin Chen, Fangting He, Jingran Wu, Qunhong Kang, Zheng Wang, Hui Front Public Health Public Health BACKGROUND: Rural residents' participation in medical insurance has a significant relationship to the affordability of their medical care. This study aims to investigate the willingness of rural residents to participate in basic medical insurance for urban and rural residents and its determinants so as to enhance their willingness to participate in medical insurance. METHODS: Data were obtained from 1,077 validated questionnaires from rural residents. Chi-square test and multiple logistic regression analysis were adopted to analyze determinants of rural residents' willingness to participate in basic medical insurance for urban and rural residents. RESULTS: 94.3% of respondents were willing to participate in basic medical insurance for urban and rural residents and this was associated with the familiarity with the medical insurance policies [OR = 2.136, 95% CI (1.143, 3.989)], the reasonability of medical insurance premiums [OR = 2.326, 95% CI (0.998, 5.418)], the normality of doctors' treatment behavior [OR = 3.245, 95% CI (1.339, 7.867)] and the medical insurance's effectiveness in reducing the economic burden of disease [OR = 5.630, 95% CI (2.861, 11.079)]. CONCLUSION: Even though most respondents were willing to participate in basic medical insurance for urban and rural residents, some aspects need to be improved. The focus should be on promoting and regulating the behavior of medical staff. Financing policies and reimbursement of treatment costs need to be more scientifically developed. A comprehensive basic healthcare system needs to be optimized around the core function of “hedging financial risks”. Frontiers Media S.A. 2022-11-10 /pmc/articles/PMC9686824/ /pubmed/36438289 http://dx.doi.org/10.3389/fpubh.2022.1037763 Text en Copyright © 2022 Tian, Xu, Zhang, Zhang, Liu, Shi, Deng, Chen, He, Wu, Kang and Wang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Tian, Guomei Xu, Jinpeng Zhang, Ting Zhang, Hongyu Liu, Jian Shi, Qi Deng, Fangmin Chen, Fangting He, Jingran Wu, Qunhong Kang, Zheng Wang, Hui Rural residents' willingness to participate in basic medical insurance and influential factors: A survey of three provinces in China |
title | Rural residents' willingness to participate in basic medical insurance and influential factors: A survey of three provinces in China |
title_full | Rural residents' willingness to participate in basic medical insurance and influential factors: A survey of three provinces in China |
title_fullStr | Rural residents' willingness to participate in basic medical insurance and influential factors: A survey of three provinces in China |
title_full_unstemmed | Rural residents' willingness to participate in basic medical insurance and influential factors: A survey of three provinces in China |
title_short | Rural residents' willingness to participate in basic medical insurance and influential factors: A survey of three provinces in China |
title_sort | rural residents' willingness to participate in basic medical insurance and influential factors: a survey of three provinces in china |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9686824/ https://www.ncbi.nlm.nih.gov/pubmed/36438289 http://dx.doi.org/10.3389/fpubh.2022.1037763 |
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