Abstract
BackgroundThe Second China National Sample Survey on Disability in 2006 showed that the participation rate of disabled Chinese rural individuals in social medical insurance participation was less than 30%. However, there has been limited number of studies on the influencing factors, especially contextual factors, affecting their participation in social medical insurance. Therefore, this study aimed to analyze the factors influencing the participation of disabled rural individuals in social medical insurance, including contextual factors.MethodsBased on data derived from the Second China National Sample Survey on Disability, chi-square test and two-level logistic regression model were used to analyze the influencing factors.ResultsThe results showed that the disabled rural individuals in the New Rural Cooperative Medical System pilot counties who lived in communities with rehabilitation stations or with higher per capita income of villagers were more likely to participate in the social medical insurance. Meanwhile, those employed, with less severe disability degree or with less severe barriers in participation in society were more likely to participate in the social medical insurance.ConclusionsContextual factors including economic and policy contexts were important factors influencing their participation in social medical insurance before 2006 in China. Unemployment, severer disability degree and social isolation might also prevent them from gaining equal access to social medical insurance.
Highlights
The Second China National Sample Survey on Disability in 2006 showed that the participation rate of disabled Chinese rural individuals in social medical insurance participation was less than 30%
Compared with the disabled rural individuals who were unemployed, with lower Per Capita Households Income (PCHI), with more severe disability degree or with more severe barriers in participation in society respectively, those employed with higher PCHI, with less severe disability degree or with less severe barriers in participation in society had significantly higher social medical insurance participation rates (p < 0.001)
Our results showed that the odds of participating in social medical insurance of rural disabled persons in New Rural Cooperative Medical System (NRCMS) Pilot County (NPC) were 3.34 times larger as compared to those in non-NPC, which applies to the real situation
Summary
The Second China National Sample Survey on Disability in 2006 showed that the participation rate of disabled Chinese rural individuals in social medical insurance participation was less than 30%. There has been limited number of studies on the influencing factors, especially contextual factors, affecting their participation in social medical insurance. This study aimed to analyze the factors influencing the participation of disabled rural individuals in social medical insurance, including contextual factors. Some international organizations and countries have introduced programs or laws to protect their rights. In China, the Law of the People’s Republic of China on the Protection of Disabled Persons [3] enacted in 1990 and was revised in 2008. These are the current laws protecting their legal rights in China.
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