Impact of Urban-Rural Resident Basic Medical Insurance integration on individual social fairness perceptions: evidence from rural China
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View abstract on PubMed
Summary
This summary is machine-generated.China's Urban-Rural Resident Basic Medical Insurance (URRBMI) negatively impacts rural residents' social fairness perceptions (SFP). Policy integration and individual factors influence this effect, necessitating targeted improvements for rural healthcare equity.
Area Of Science
- Public Health
- Health Economics
- Social Policy
Background
- Universal health insurance is key to healthcare accessibility and equity.
- China's Urban-Rural Resident Basic Medical Insurance (URRBMI) aims to promote social equity.
- The impact of URRBMI on rural residents' social fairness perception (SFP) requires investigation.
Purpose Of The Study
- To analyze the effect of URRBMI on rural residents' SFP in China.
- To understand the equity implications of China's healthcare insurance policy.
Main Methods
- Utilized city-level and national micro-survey (CGSS) data.
- Applied a time-varying difference-in-difference (DID) approach.
- Analyzed data from 20,800 rural respondents across 89 cities (2010-2015).
Main Results
- URRBMI demonstrated a significant negative effect on SFP.
- The negative impact varied by integration model and increased over time.
- Heterogeneity in effects was observed based on income, age, health, and region.
Conclusions
- URRBMI implementation presents complex challenges for rural social fairness perception.
- Targeted strategies are crucial for enhancing rural residents' SFP.
- Policy recommendations include differentiated contributions, rural-focused welfare, and varied reimbursement rates.
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