Table 4.
Inpatient services utilisation and financial protection effect of SHI schemes among internal migrants in the 2014 National Internal Migrant Dynamic Monitoring Survey (n=170 904)
| Characteristics | No SHI* | Only NCMS* | Only UE/RBMI* | NCMS+UE/RBMI* | Total* | p Value† |
| n=23 539 | n=119 997 | n=21 272 | n=6096 | n=170 904 | ||
| Received inpatient services prescribed by a doctor during the past 12 months | ||||||
| Yes | 696 (3.0) | 3722 (3.1) | 733 (3.4) | 227 (3.7) | 5378 (3.1) | 0.001 |
| No | 22 839 (97.0) | 116 274 (96.9) | 20 539 (96.6) | 5869 (96.3) | 165 521 (96.9) | |
| n=696 | n=3722 | n=733 | n=227 | n=5378 | ||
| Health facilities accessed in the latest inpatient service | <0.001 | |||||
| County/district hospitals and below out of county of origin | 320 (46.0) | 1324 (35.6) | 318 (43.4) | 90 (39.6) | 2052 (38.2) | |
| Municipal hospitals and above out of county of origin | 272 (39.1) | 1467 (39.4) | 328 (44.7) | 94 (41.4) | 2161 (40.2) | |
| County/district hospitals and below within county of origin | 83 (11.9) | 762 (20.5) | 71 (9.7) | 35 (15.4) | 951 (17.7) | |
| Municipal hospitals and above within county of origin | 21 (3.0) | 169 (4.5) | 16 (2.2) | 8 (3.5) | 214 (4.0) | |
| Got reimbursements from private health insurance | 0.374 | |||||
| Yes | 12 (1.7) | 54 (1.5) | 17 (2.3) | 3 (1.3) | 86 (1.6) | |
| No | 684 (98.3) | 3668 (98.5) | 716 (97.7) | 224 (98.7) | 5292 (98.4) | |
| Medical expenditures on the latest inpatient service during the past 12 months (US$) | 735 (471–1176) | 706 (441–1176) | 853 (518–1393) | 772 (515–1176) | 735 (441–1176) | 0.019 |
| OOP payments for the latest inpatient service during the past 12 months (US$) | 735 (441–1147) | 471 (262–882) | 368 (147–662) | 368 (152–662) | 471 (250–882) | 0.032 |
| ESRR (%) | 0.0 (0.0–0.0) | 24.0 (0.0–50.0) | 56.3 (28.1–75.0) | 50.0 (25.8–73.6) | 23.8 (0.0–52.0) | <0.001 |
| Percentage of medical expenditures for the latest inpatient service during the past 12 months in total household expenditure (%) | 14.2 (8.3–23.8) | 13.5 (8.3–25.0) | 14.3 (8.3–26.9) | 13.9 (8.0–27.2) | 13.9 (8.3–25.0) | 0.187 |
| Percentage of OOP payments for the latest inpatient service during the past 12 months in total household expenditure (%) | 13.3 (8.0–22.2) | 9.2 (4.8–18.1) | 6.2 (2.6–12.8) | 5.8 (2.4–13.6) | 9.1 (4.6–17.9) | 0.004 |
| Percentage point change (before–after) (%) | 0.0 (0.0–0.0) | 2.5 (0.0–7.7) | 6.7 (2.3–15.4) | 6.7 (2.2–13.9) | 2.2 (0.0–8.2) | <0.001 |
Data are n (%) or median (IQR).
US$1=¥6.8.
*Numbers might not add up to the column total because of missing data.
†
p Values for analysis of variance with four groups.
ESRR, effective SHI reimbursement ratio; NCMS, new rural cooperative medical scheme; OOP, out-of-pocket; SHI, social health insurance; UE/RBMI, urban employee-based/resident-based basic medical insurance scheme.