School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Road, Wuhan, 430030, Hubei, China.
China National Center for Biotechnology Development, 16 West Sihuan Middle Road, Beijing, 100039, China.
BMC Geriatr. 2020 Nov 16;20(1):475. doi: 10.1186/s12877-020-01878-0.
Despite the incremental implementation of the essential public health services (EPHS) during the last decade, the goal of EPHS's equalization is impossible to cannot be achieved without appropriate policies targeting older migrants. Therefore, this study aims to examine whether the supply side meets the needs of older migrants and to explore the relationships among health status, the use of health services, and diverse factors.
The data were derived from a national cross-sectional dataset (N = 11,161) of the 2015 Chinese Migrant Dynamic Monitoring Survey. Mediating effects analysis and moderating effects analysis were conducted to explore the interactions between physical status and the use of EPHS in older migrants such as physical examination, health record, and follow-up services.
The use of physical examination, health record, and follow-up services were correlated with each other. Household income, migrating for employment, and migrating for offspring were negatively associated with the use of EPHS. A positive association was observed between the use of EPHS and willingness for long-stay. The mediating effects of household income, migrating for employment, migrating for offspring, and willingness for long-stay were observed on the relationship between physical status and the use of EPHS. The moderating effects of household income and migrating for employment were discovered.
Public health policies that may be worthy of consideration include further enhancing the delivery capacity of primary health institutions, integrating professional clinical resources into the primary health system, and launching the target policies to improve the accessibility of EPHS in older migrants.
尽管在过去十年中逐步实施了基本公共卫生服务（EPHS），但如果没有针对老年移民的适当政策，EPHS 的均等化目标是不可能实现的。因此，本研究旨在考察供应方是否满足老年移民的需求，并探讨健康状况、卫生服务利用与多种因素之间的关系。
数据来自 2015 年中国流动人口动态监测调查的全国性横断面数据集（n=11161）。采用中介效应分析和调节效应分析探讨了老年移民中身体状况与 EPHS 利用（如体检、健康记录和随访服务）之间的相互作用。
体检、健康记录和随访服务之间存在相关性。家庭收入、为就业而迁移和为子女而迁移与 EPHS 的利用呈负相关。EPHS 的利用与长期居留意愿呈正相关。家庭收入、为就业而迁移、为子女而迁移和长期居留意愿在身体状况与 EPHS 利用之间的关系中存在中介效应。发现了家庭收入和就业迁移的调节效应。
值得考虑的公共卫生政策包括进一步增强基层医疗机构的服务能力，将专业临床资源整合到基层卫生系统中，并推出针对改善老年移民获得 EPHS 机会的目标政策。
