Inequalities in Unmet Needs for Healthcare Services Among Middle-Aged and Older Adults in China

Unmet needs for healthcare services are widely recognized as an indicator of inequalities in healthcare access and utilization. This study estimated inequalities in unmet needs for healthcare services as well as their contributing factors and reasons among middle-aged and older adults in China. Results indicated that 30.47% and 5.69% of the middle-aged and older population in China reported unmet needs for outpatient and inpatient services, respectively. Mostly pro-poor inequalities concerned unmet needs for both rural and urban residents. The coverage of public health insurance and individuals' health status contributed most to the inequalities in the unmet needs identified. The most prevalent reason for unmet needs was affordability, especially for poor or rural respondents. Despite the rapid development of universal healthcare, unmet needs for healthcare services still existed and remained high among people living in rural areas and with low incomes in China. Policy interventions should focus on improving the public health insurance system and targeting financial barriers to obtaining care, particularly vulnerable populations in China.