Journal of Shandong University (Health Sciences) ›› 2020, Vol. 58 ›› Issue (6): 115-120.doi: 10.6040/j.issn.1671-7554.0.2020.382

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Health equity of urban and rural residents in Shandong Province under the background of medical insurance integration

GUO Lei, ZHAO Di, FAN Jiayin, JIA Liying   

  1. School of Health Care Management, Shandong University;
    Key Laboratory of Health Economics and Policy Research of National Health Commission of the Peoples Republic of China;
    New Key Think Tank of Shandong University Health Management and Policy Research Center, Jinan 250012, Shandong, China
  • Published:2022-09-27

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Abstract: Objective To analyze the health equity of urban and rural residents in Shandong Province, findout the problems, and provide suggestions for improving the life quality and health equity in the background of medical insurance integration. Methods The health status and equity of urban and rural residents in Shandong Province were analyzed using EQ-5D-5L scale and concentration index method. Results Residents with different marital status, educational level, income level and employment status had different health status and health equity. The overall concentration index of two-week illnesses and chronic diseases was -0.076 and -0.130, respectively, which mainly distributed among people with low income level, especially rural residents. Conclusion There is significant difference in the overall health status between urban and rural residents. Urban residents have higher overall health status than rural residents, but also greater health inequality. The basic medical insurance system remains to be improved.

Key words: Medical insurance, Integration, Health equity, Concentration index

CLC Number: 

  • R19
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