The influence of medical insurance and social security cards on the floating population's settlement intention

Yulin Li,Lingling Huang,Dongmei Dou,Li Xiang

doi:10.1186/s12962-021-00321-4

Abstract

BackgroundMedical insurance and social security cards are an important incentive for the floating population to live a stable life in their current residence, but there has been little studies on their effect on settlement intentions. Therefore, the purpose of this paper was to study the impact of basic medical insurance for urban employees and application for personal social security cards on the settlement intentions of the floating population. With the increase of the desire to settle, the health management and the development of public health will be improved.MethodsBased on the 2017 survey data from the dynamic monitoring of China's floating population, we explored the influence of basic medical insurance for urban employees and social security cards on the floating population's settlement intentions. Additionally, this study also examined the comprehensive causal relationship, with social integration as the mediator variable. We used SPSS 21.0 software. The input method was used to analyze the influence of the above variables by binary logistic regression. Then we used AMOS22.0 software to establish the structural equation model of the relationship between the above three independent variables. Finally, we used bootstrapping method to analyze the direct effect, indirect effect and total effect of independent variables on settlement intention.ResultsThe settlement intention of members of the floating population after participating in basic medical insurance for urban employees was 23.2% higher than that of those who did not participate. The decision as to whether to apply for a personal social security card is related to their settlement intention. The standardized regression coefficients among social insurance and security, social integration, and settlement intention were positive values, and the Z values of the overall effect, indirect effect, and direct effect were all greater than 1.96; the confidence interval of the indirect effect did not include 0. We found that this model is a partial intermediary model, with an intermediary ratio of 10.66%.ConclusionsThis article highlights the important impact of basic medical insurance for urban employees and individual social security cards on the floating population. The conclusions of this study provide suggestions for the government to use when designing policies to enhance the settlement intentions of the floating population and to improve the development of public health undertakings.

Highlights

With the acceleration of economic development and urbanization, a large floating population has emerged in China
Medical insurance is a social insurance system established to compensate workers for economic losses caused by disease risks, which comprises three schemes: Basic Medical Insurance for Urban Employees (BMIUE), the Rural New Cooperative Medical Scheme (RNCMS) and Basic Medical Insurance for Urban Residents (BMIUR) [7,8,9]
Approximately 77.7% did not participate in BMIUE, and 50.5% of the floating population had applied for a personal social security card

Summary

Introduction

With the acceleration of economic development and urbanization, a large floating population has emerged in China. Settlement intention is defined as the thoughts of the floating population about their future relocation arrangements after they have been in their current residence for some time. BMIUE was the medical insurance introduced in China in 1988 It is jointly paid by the unit and the employee; RNCMS was a form of community-based health insurance, was established and offered cover to rural residents in 2003. Medical insurance and social security cards are an important incentive for the floating population to live a stable life in their current residence, but there has been little studies on their effect on settlement intentions. The purpose of this paper was to study the impact of basic medical insurance for urban employees and application for personal social security cards on the settlement intentions of the floating population. With the increase of the desire to settle, the health management and the development of public health will be improved

Objectives

Methods

Results

Discussion

Conclusion