Department of Public Service Management and Public Policy, School of Public Administration, Sichuan University, Chengdu, China.
Social Development and Social Risk Control Research Center of Sichuan Philosophy and Social Sciences Key Research Base, Chengdu, China.
Front Public Health. 2022 Jan 28;9:818930. doi: 10.3389/fpubh.2021.818930. eCollection 2021.
There were 376 million migrants in China by 2020, who made significant contributions to urban development. However, they used limited medical services and had lower self-reported health status than inflow city residents. Based on this, this study uses the cross-sectional data of the 2017 China Migrants Dynamic Survey (CMDS) to construct a multiple linear regression model to empirically study the role of health education in improving medical services utilization for migrants. It finds that compared to migrants without health education, the probability of the medical service utilization for migrants with health education has increased significantly, and counseling is more effective than other methods for health education. This promotion effect of health education has been established after a series of robustness tests. Furthermore, this study finds that the closer the migrants are to medical service resources, the greater the effect of health education on medical services utilization for migrants. The heterogeneity test shows that the effect of health education on medical services utilization for migrants is greater among the non-elderly and those with lower education levels. From the perspective of health education, the findings in this study provide empirical evidence to support the government in formulating policies to improve the utilization of medical services for migrants and reduce health inequality.
截至 2020 年，中国有 3.76 亿流动人口，他们为城市发展做出了重要贡献。然而，他们使用的医疗服务有限，自我报告的健康状况不如流入城市的居民。基于此，本研究使用 2017 年中国流动人口动态监测调查（CMDS）的横截面数据，构建了一个多元线性回归模型，从实证角度研究了健康教育在提高流动人口医疗服务利用方面的作用。研究发现，与未接受健康教育的流动人口相比，接受健康教育的流动人口利用医疗服务的概率显著提高，咨询比其他健康教育方法更有效。在经过一系列稳健性检验后，证实了这种健康教育的促进作用。此外，本研究还发现，流动人口越接近医疗服务资源，健康教育对其医疗服务利用的影响就越大。异质性检验表明，健康教育对低教育水平和非老年流动人口医疗服务利用的影响更大。从健康教育的角度来看，本研究的发现为政府制定政策支持提供了经验证据，以提高流动人口对医疗服务的利用，减少健康不平等。
