Article type
Abstract
Objective: Systematically evaluate the participation willingness and influencing factors of Chinese urban and rural residents' basic medical insurance, and to provide higher-level reference evidence for further optimizing and adjusting policies.
Methods: Systematically searched CNKI, VIP, WanFang Data, Web of Science, PubMed and ScienceDirect databases for relevant studies on participation intention of basic medical insurance of urban and rural residents in China. Literature quality was evaluated using 11 criteria recommended by the Institute for Health Care Quality and Research (AHRQ), and Stata16.0 software was used for analysis.
Results: Included in 37 cross-sectional studies , including 62441 subjects. The results showed that the willingness rate of urban and rural residents to participate in basic medical insurance was 71.5% [95%CI (65.9%, 77.2%)]. The study after 2016 (80.5%), the central and western regions (79.6%), over 60 years old (65.7%), and rural residents (74.1%) had a higher intention to participate in insurance. There is a negative correlation between residents' willingness to participate in insurance and self-assessed health status, and a positive correlation with system satisfaction.
Conclusion: The overall participation intention rate of basic medical insurance for urban and rural residents in China is relatively high, but there are still factors such as region, age, and health status of residents that affect residents' willingness to participate in insurance. In this regard, relevant departments need to accurately identify the factors that affect residents’ willingness to participate in insurance and provide support for the development of a sustainable medical insurance system.
Methods: Systematically searched CNKI, VIP, WanFang Data, Web of Science, PubMed and ScienceDirect databases for relevant studies on participation intention of basic medical insurance of urban and rural residents in China. Literature quality was evaluated using 11 criteria recommended by the Institute for Health Care Quality and Research (AHRQ), and Stata16.0 software was used for analysis.
Results: Included in 37 cross-sectional studies , including 62441 subjects. The results showed that the willingness rate of urban and rural residents to participate in basic medical insurance was 71.5% [95%CI (65.9%, 77.2%)]. The study after 2016 (80.5%), the central and western regions (79.6%), over 60 years old (65.7%), and rural residents (74.1%) had a higher intention to participate in insurance. There is a negative correlation between residents' willingness to participate in insurance and self-assessed health status, and a positive correlation with system satisfaction.
Conclusion: The overall participation intention rate of basic medical insurance for urban and rural residents in China is relatively high, but there are still factors such as region, age, and health status of residents that affect residents' willingness to participate in insurance. In this regard, relevant departments need to accurately identify the factors that affect residents’ willingness to participate in insurance and provide support for the development of a sustainable medical insurance system.