Health insurance and healthcare utilisation for Shenzhen residents: a tale of registrants and migrants?

Abstract:

BACKGROUND:Shenzhen's rapid growth and urbanisation has attracted a large, mobile, migrant working population. This article explores health protection through the means of social health insurance between migrants and registrants and their point of access to healthcare. METHODS:A cross-sectional questionnaire survey was conducted in Shenzhen, with a random sample of 793 registered and 750 non-registered residents. Chi-square test and multivariate logistic regression were applied to analyse the association between health insurance coverage with Hukou registration status and healthcare utilisation. RESULTS:Amongst 1543 respondents, 43.1% of non-registered residents were uninsured. Being non-registered strongly predicted for no insurance (OR = 5.00; CI 3.53,7.07) and have purchased additional/ private insurance (OR = 2.99; CI 1.66,5.37). Migrants who self-reported chronic health conditions were also more likely to utilise health services in general (OR = 2.77; CI 1.18,6.52). CONCLUSIONS:Inadequate health insurance coverage for migrants as observed in Shenzhen remains a challenge for the Chinese health reform. Our results suggest that the current insurance system must seek to include migrants in order to achieve universal coverage and improved health protection for its population.

journal_name

BMC Public Health

journal_title

BMC public health

authors

Lam KK,Johnston JM

doi

10.1186/1471-2458-12-868

subject

Has Abstract

pub_date

2012-10-12 00:00:00

pages

868

issn

1471-2458

pii

1471-2458-12-868

journal_volume

12

pub_type

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