PDF(Pubmed)
Abstract：
Objectives: Older migrant workers (OMWs) frequently confront barriers to accessing care, as their Social Health Insurance (SHI) coverage may not extend beyond their hometown. This study seeks to investigate whether Chinese OMWs can still derive benefits from SHI in accessing healthcare services, even when their SHI is not registered in the same location as their current residence. Methods: This study used data from 2015 China Migrants Dynamic Survey and focused on OMWs aged 60 years and older (N = 3,050). Logistic regression models were employed to investigate the factors influencing healthcare use. Results: Having SHI registered in current place of residence and interprovincial migration were significantly associated with increased likelihoods of doctor visits among OMWs. However, inpatient services use did not appear to be associated with the SHI registration place and migration range. Conclusion: Chinese OMWs derive fewer benefits from SHI in accessing healthcare services when their SHI is not registered in current residence. Governments in Low- and Middle-Income Countries should consider implementing targeted policies to provide adequate protection for OMWs and expand the coverage of direct reimbursement for cross-province healthcare services.
摘要：
目标：老年移民工人(OMWs)经常面临获得护理的障碍，因为他们的社会健康保险(SHI)覆盖范围可能不会超出他们的家乡。这项研究旨在调查中国的OMWs是否仍然可以从SHI获得医疗服务的好处，即使他们的SHI与他们目前的住所不在同一地点登记。方法：本研究使用2015年中国移民动态调查数据，重点关注60岁及以上的OMWs(N=3,050)。采用Logistic回归模型对医疗服务使用的影响因素进行调查。结果：SHI在当前居住地注册和省际迁移与OMW中医生就诊的可能性增加显着相关。然而,住院服务的使用似乎与SHI注册地点和迁移范围无关.结论：中国OMWs在SHI未在当前居住地注册时，从SHI获得的医疗服务收益较少。低收入和中等收入国家的政府应考虑实施有针对性的政策，为OMWs提供充分的保护，并扩大跨省医疗保健服务直接报销的覆盖面。
