Comparing income-related inequality on health service utilisation between older rural-to-urban migrant workers and older rural residents in China: a cross-sectional study

Feb 2, 2023BMJ open

Income-related differences in health care use among older rural-to-urban migrant workers and older rural residents in China

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Abstract

The concentration indices for 2 weeks outpatient utilisation were -0.2061 for older rural-to-urban migrant workers and -0.2041 for older rural residents.

  • Health service utilisation shows income-related inequalities between older rural-to-urban migrant workers and older rural residents.
  • Poor status and socioeconomic status are significant contributors to outpatient utilisation inequalities.
  • Inpatient utilisation inequality is associated with poor and fair self-assessed health status and sense of happiness among rural elderly.
  • Horizontal inequality indices indicate disparities in health service utilisation between the two groups, with values of 0.1321 and -0.992 for outpatient and -0.0032 and -0.0396 for inpatient services.
  • Findings suggest a socioeconomic gradient in health service utilisation, highlighting the need for targeted health policy reforms.

AI simplified

Key numbers

5.59%
Outpatient Utilization Probability
Older rural-to-urban migrant workers vs. older rural residents
-0.2061
for Outpatient Utilization
Older rural-to-urban migrant workers
7.57%
Inpatient Utilization Probability
Older rural-to-urban migrant workers vs. older rural residents

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