Does universal health insurance coverage reduce unmet healthcare needs in China? Evidence from the National Health Service Survey

Abstract Background China has nearly achieved universal health insurance coverage, but considerable unmet healthcare needs still exist. Although this topic attracted great attention, there have been few studies examining the relationship between coverage and needs. This study aimed to clarify impact of other associated factors on Chinese residents’ Methods Data was derived from fourth, fifth, sixth National Health Service Survey Jiangsu Province, which were conducted in 2008, 2013, 2018, respectively. Descriptive statistics used analyze prevalence Binary multivariate logistic regression estimate association along with socioeconomic factors. Results 8.99%, 1.37%, 53.37%, 13.16% respondents Province reported non-use outpatient services, inpatient physical examinations, early discharge hospital, The trend showed a decline 2008 2018. had significant reducing effect or hospital. People having 2013 2018 significantly less likely report compared those 2008. its greater rural than urban areas. Other factors, such as age, marital status, educational level, income also affected Conclusions Universal reduced Policy efforts should pay more attention benefits insurances areas optimize urban-rural resources promote effective utilization healthcare.