Objective:Constructing a framework to assess health inequality among migrants through the perspective of medical insurance,this study examines the inequalities and underlying mechanisms affecting China's internal migrants. Methods:Data were extracted from the 2017 and 2018 China Migrants Dynamic Survey Datasets. The health equity measurement framework developed by Dover,the concentration index and its decomposition method were used to analyse the characteristics and mechanisms of health inequality among migrants. Results:The results showed that the migrants with higher income levels performed better on medical services utilization,medical insurance services utilization,and health outcomes. Medical insurance significantly influenced the inequality in medical services utilization and medical insurance services utilization within the migrants,yet its direct effect on health outcomeswas minor. Conclusion:The impact of medical insurance on health inequality among migrants showed multi-level characteristics. The social stratification effect and the differences in health social effects of medical insurance are the internal mechanisms that lead to health inequality. It is suggested to enhance the equality of medical security of migrants through financing,benefits,and administration to reduce inequality in the medical services utilization,medical insurance services utilization,and health outcomes among China's internal migrants.
MigrantsMedical insuranceHealth inequalityConcentration index
万方数据
维普
