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Decomposing Differences of Health Service Utilization among Chinese Rural Migrant Workers with New Cooperative Medical Scheme: A Comparative Study

Author

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  • Dan Li

    (School of Public Management, Northwest University, Xi’an 710127, China)

  • Liang Zhu

    (Department of Health Care Management and Medical Education, School of Military Preventive Medicine, Air Force Medical University, Xi’an 710032, China)

  • Jian Zhang

    (School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an 710049, China)

  • Jinjuan Yang

    (School of Public Health, Health Science Center, Xi’an Jiaotong University, Xi’an 710061, China)

Abstract

The New Rural Cooperative Medical Insurance (NCMS) in China has provided benefits for rural migrant workers’ health service utilization, but the financial coordination and mutual aid of NCMS is mainly based on the county or district as a unit, leading NCMS with the characteristics of regional segmentation. Our study aims to explore their health service utilization, as well as to decompose differences of the health service utilization into contributors. Data from the China Labor-Force Dynamic Survey in 2016 and Urban Statistical Yearbook in 2016 were used. We used coarsened exact matching to control the confounding factors in order to enhance the comparison of two groups. The Fairlie decomposition method was used to analyze the differences and the sources of health service utilization. Influencing factors of health service utilization for rural migrant workers with NCMS were diversified, especially contextual characteristic and individual characteristics. The proportion of ethnic minorities, the number of medical institutions for 10,000 people in the community, the number of beds for 10,000 people in the city, and the urban service quality index were the major contributors of the differences. The proportion of difference in the health service utilization of rural migrant workers with NCMS caused by health service need were −54.73% and 6.92%, respectively. The inequities of the probability of two weeks outpatient, and the probability of inpatients, were −0.006 and −0.007, respectively. There were substantial differences in the health service utilization between rural migrant workers with NCMS in the county/district and rural migrant workers with NCMS across the county/district. Our results illustrated the inequity from the differences on basis of characteristic effect and the discrimination effect. Our studies clarified that health service needs of should be fully considered, contributing to a more reliable understanding of the health service utilization of rural migrant workers.

Suggested Citation

  • Dan Li & Liang Zhu & Jian Zhang & Jinjuan Yang, 2021. "Decomposing Differences of Health Service Utilization among Chinese Rural Migrant Workers with New Cooperative Medical Scheme: A Comparative Study," IJERPH, MDPI, vol. 18(17), pages 1-14, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9291-:d:628096
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    References listed on IDEAS

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    1. Wagstaff, Adam & Lindelow, Magnus & Jun, Gao & Ling, Xu & Juncheng, Qian, 2009. "Extending health insurance to the rural population: An impact evaluation of China's new cooperative medical scheme," Journal of Health Economics, Elsevier, vol. 28(1), pages 1-19, January.
    2. Robert Fairlie & Alicia Robb, 2009. "Gender differences in business performance: evidence from the Characteristics of Business Owners survey," Small Business Economics, Springer, vol. 33(4), pages 375-395, December.
    3. Green, Mark A. & Subramanian, S.V. & Vickers, Daniel & Dorling, Danny, 2015. "Internal migration, area effects and health: Does where you move to impact upon your health?," Social Science & Medicine, Elsevier, vol. 136, pages 27-34.
    4. Ñopo, Hugo, 2008. "An extension of the Blinder-Oaxaca decomposition to a continuum of comparison groups," Economics Letters, Elsevier, vol. 100(2), pages 292-296, August.
    5. Fairlie, Robert W, 1999. "The Absence of the African-American Owned Business: An Analysis of the Dynamics of Self-Employment," Journal of Labor Economics, University of Chicago Press, vol. 17(1), pages 80-108, January.
    6. FLEURBAEY, Marc & SCHOKKAERT, Erik, 2011. "Equity in health and health care," LIDAM Discussion Papers CORE 2011026, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
    7. Iacus, Stefano M. & King, Gary & Porro, Giuseppe, 2011. "Multivariate Matching Methods That Are Monotonic Imbalance Bounding," Journal of the American Statistical Association, American Statistical Association, vol. 106(493), pages 345-361.
    8. Dan Li & Zhongliang Zhou & Chi Shen & Jian Zhang & Wei Yang & Rashed Nawaz, 2020. "Health Disparity between the Older Rural-to-Urban Migrant Workers and Their Rural Counterparts in China," IJERPH, MDPI, vol. 17(3), pages 1-16, February.
    9. Matthew Blackwell & Stefano Iacus & Gary King & Giuseppe Porro, 2009. "cem: Coarsened exact matching in Stata," Stata Journal, StataCorp LP, vol. 9(4), pages 524-546, December.
    10. John E. Roemer, 2002. "Equality of opportunity: A progress report," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 19(2), pages 455-471.
    11. Iacus, Stefano M. & King, Gary & Porro, Giuseppe, 2012. "Causal Inference without Balance Checking: Coarsened Exact Matching," Political Analysis, Cambridge University Press, vol. 20(1), pages 1-24, January.
    12. Ho, Daniel E. & Imai, Kosuke & King, Gary & Stuart, Elizabeth A., 2007. "Matching as Nonparametric Preprocessing for Reducing Model Dependence in Parametric Causal Inference," Political Analysis, Cambridge University Press, vol. 15(3), pages 199-236, July.
    13. Fairlie, Robert, 1999. "The Absence of the African-American Owned Business: An Analysis of the Dynamics of Self-Employment," Santa Cruz Department of Economics, Working Paper Series qt84v8v0nr, Department of Economics, UC Santa Cruz.
    14. Jian Zhang & Dan Li & Jianmin Gao, 2021. "Health Disparities between the Rural and Urban Elderly in China: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(15), pages 1-12, July.
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    Cited by:

    1. Li Li & Jinjuan Yang & Shaoguo Zhai & Dan Li, 2022. "Determinants of Differences in Health Service Utilization between Older Rural-to-Urban Migrant Workers and Older Rural Residents: Evidence from a Decomposition Approach," IJERPH, MDPI, vol. 19(10), pages 1-16, May.
    2. Dan Li & Shaoguo Zhai & Jian Zhang & Jinjuan Yang & Xiao Wang, 2021. "Assessing Income-Related Inequality on Health Service Utilization among Chinese Rural Migrant Workers with New Co-Operative Medical Scheme: A Multilevel Approach," IJERPH, MDPI, vol. 18(20), pages 1-18, October.
    3. Jinfu Chen & Bowen Cheng & Wei Xie & Min Su, 2022. "Occupational Dust Exposure and Respiratory Protection of Migrant Interior Construction Workers in Two Chinese Cities," IJERPH, MDPI, vol. 19(16), pages 1-10, August.

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