The Impact of China’s Family Floating Population on the Participation of Medical Insurance in the Inflow Areas

Yi-Ping He, Sheng-Sheng Xu, Ting-Ping Fu, Dan-Na Zhao Shenzhen Second People’s Hospital, Shenzhen, Guangdong, 518037, People’s Republic of ChinaCorrespondence: Yi-Ping He, Shenzhen Second People’s Hospital, 3002 Sungang West Road, Futian District, Shenzhen, Guangdong, 518037, People’s Republic of China, Tel +86 0755-83366388, Email he_1324_yipi@yeah.netBackground: With the transformation of China’s economy and society, the floating population has also shown a new development trend, from individual migration to co-migration with family members. In 2020, among the 376 million floating population, the population flowing to cities and towns was 330 million, accounting for nearly 88.1%. The family mobility of the floating population is not just a simple personal gathering or geographical migration, but a profound adjustment of the living environment, social interaction and the interests of family members. Migrants no longer simply play the role of “ urban passers-by”, but gradually move with spouses, children, parents, and even settle in the city, which will inevitably produce different public service and social security needs.Objective: To explore the impact of floating population’s familyization on the participation of medical insurance in the inflow areas.Methods: This study adopted the form of non-systematic literature review. The key words were floating population and medical insurance. The related analysis of PubMed, Embase, CNKI, Wanfang, and VIP databases were reviewed and summarized.Results: Due to the flow between domestic immigrants and regions, their medical insurance is difficult to be guaranteed. The domestic floating population’s demand for health services is increasing, but the coverage of medical services provided by medical insurance is not comprehensive enough.Conclusion: It is necessary to integrate the medical insurance system and improve the adaptability of medical insurance to family mobility; protect the welfare needs of migrant families and increase their willingness to participate in medical insurance at the destination; pay attention to the interaction and integration of floating population families, understand and guide them to participate in the status quo of medical insurance, and improve the status quo.Keywords: domestic migration, health insurance, family mobility