IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i17p9291-d628096.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/17/9291/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/17/9291/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. 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).
    4. 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.
    5. 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.
    6. 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.
    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. 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.
    9. 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.
    10. 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.
    11. 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.
    12. 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.
    13. 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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. 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.
    2. 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.
    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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    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. Haixia Liu & Zhongliang Zhou & Xiaojing Fan & Jiu Wang & Hongwei Sun & Chi Shen & Xiangming Zhai, 2020. "The Influence of Left-Behind Experience on College Students’ Mental Health: A Cross-Sectional Comparative Study," IJERPH, MDPI, vol. 17(5), pages 1-15, February.
    3. Augusto Cerqua & Guido Pellegrini, 2013. "Beyond the SUTVA: how industrial policy evaluations change when we allow for interaction among firms," ERSA conference papers ersa13p340, European Regional Science Association.
    4. 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.
    5. Ravi Bapna & Alok Gupta & Gautam Ray & Shweta Singh, 2016. "Research Note —IT Outsourcing and the Impact of Advisors on Clients and Vendors," Information Systems Research, INFORMS, vol. 27(3), pages 636-647.
    6. Yuri Ostrovsky & Garnett Picot, 2021. "Innovation in immigrant-owned firms," Small Business Economics, Springer, vol. 57(4), pages 1857-1874, December.
    7. Engberg, Erik & Halvarsson, Daniel & Tingvall, Patrik, 2017. "Direct and Indirect Effects of Private- and Government Sponsored Venture Capital," Ratio Working Papers 288, The Ratio Institute.
    8. Gidehag, Anton, 2019. "Firms’ labor cost savings and recruitment of nonwestern immigrants: The unintended effect of a payroll tax reform," HFI Working Papers 5, Institute of Retail Economics (Handelns Forskningsinstitut).
    9. Paige Clayton, 2024. "Different outcomes for different founders? Local organizational sponsorship and entrepreneurial finance," Small Business Economics, Springer, vol. 62(1), pages 23-62, January.
    10. Lindgren, Charlie & Li, Yujiao & Rudholm, Niklas, 2020. "Why do firms compete on price comparison websites? The impact on productivity, profits, and wages," HFI Working Papers 14, Institute of Retail Economics (Handelns Forskningsinstitut).
    11. Patrick, Carlianne & Mothorpe, Christopher, 2017. "Demand for new cities: Property value capitalization of municipal incorporation," Regional Science and Urban Economics, Elsevier, vol. 67(C), pages 78-89.
    12. Collin D. Hodges & Heather M. Stephens, 2022. "Does municipal incorporation always increase property values?," Growth and Change, Wiley Blackwell, vol. 53(1), pages 200-220, March.
    13. Sisi Yang & Katja Hanewald, 2022. "Life Satisfaction of Middle-Aged and Older Chinese: The Role of Health and Health Insurance," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 160(2), pages 601-624, April.
    14. Augusto Cerqua & Guido Pellegrini, 2014. "Beyond the SUTVA: how policy evaluations change when we allow for interactions among firms," Working Papers 2/14, Sapienza University of Rome, DISS.
    15. Leduc, Elisabeth & Tojerow, Ilan, 2020. "Subsidizing Domestic Services as a Tool to Fight Unemployment: Effectiveness and Hidden Costs," IZA Discussion Papers 13544, Institute of Labor Economics (IZA).
    16. Kube, Roland & von Graevenitz, Kathrine & Löschel, Andreas & Massier, Philipp, 2019. "Do voluntary environmental programs reduce emissions? EMAS in the German manufacturing sector," Energy Economics, Elsevier, vol. 84(S1).
    17. Sara Pavone & Elena Ragazzi & Lisa Sella, 2015. "Sostenere le imprese agro-industriali in Piemonte: un?analisi controfattuale," SCIENZE REGIONALI, FrancoAngeli Editore, vol. 2015(3 Suppl.), pages 129-143.
    18. Deni Mazrekaj & Mirjam M. Fischer & Henny M. W. Bos, 2022. "Behavioral Outcomes of Children with Same-Sex Parents in The Netherlands," IJERPH, MDPI, vol. 19(10), pages 1-12, May.
    19. Davidson Heath & Giorgo Sertsios, 2022. "Profitability and Financial Leverage: Evidence from a Quasi-Natural Experiment," Management Science, INFORMS, vol. 68(11), pages 8386-8410, November.
    20. Petrov, Ivan & Ryan, Lisa, 2021. "The landlord-tenant problem and energy efficiency in the residential rental market," Energy Policy, Elsevier, vol. 157(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9291-:d:628096. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.