Li Jingqian, Wang Yu
School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
China Institute for Urban Governance, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
Risk Manag Healthc Policy. 2024 Dec 10;17:3065-3084. doi: 10.2147/RMHP.S475634. eCollection 2024.
The effects of public service accessibility on migrant health can provide insights for local governments to optimize public service resource allocation. This study aimed to investigate the relationship between public service accessibility and the health of heterogeneous migrant populations in China, as well as the underlying mechanisms of this relationship.
Data from the 2017 China Migrants Dynamic Survey were utilized, employing ordinary least squares, instrumental variable estimation, and mediating and moderating effect analyses.
Findings of the regression analysis suggest a positive association between public service accessibility and better health outcomes for migrants, particularly for less educated migrants. Mediating effect analysis revealed that both public service equalization and efficiency significantly mediate the relationship between public service accessibility and migrant health. Enhanced equalization of public services was strongly linked to improved health outcomes among less educated migrants. In contrast, improved public service efficiency significantly benefit highly educated migrants. Moderating effect analysis showed that administrative hierarchy and public service expenditure preference negatively influence the effects of public service accessibility on migrant health. This diminishing effect is more pronounced among less educated migrants in cities with higher administrative hierarchies and among highly educated migrants in cities with a higher proportion of public service expenditure.
This study highlights the relationship between public service accessibility and improved migrant health. Its findings suggest that optimized allocation of public service resources could enhance health equity in China's migrant population.
公共服务可及性对流动人口健康的影响可为地方政府优化公共服务资源配置提供参考。本研究旨在探讨中国公共服务可及性与异质性流动人口健康之间的关系及其潜在机制。
利用2017年中国流动人口动态监测调查数据，采用普通最小二乘法、工具变量估计法以及中介效应和调节效应分析法。
回归分析结果表明，公共服务可及性与流动人口更好的健康结果呈正相关，尤其是受教育程度较低的流动人口。中介效应分析显示，公共服务均等化和效率均显著中介了公共服务可及性与流动人口健康之间的关系。公共服务均等化程度的提高与受教育程度较低的流动人口健康状况改善密切相关。相比之下，公共服务效率的提高对受教育程度较高的流动人口有显著益处。调节效应分析表明，行政层级和公共服务支出偏好对公共服务可及性对流动人口健康的影响具有负向作用。在行政层级较高城市中受教育程度较低的流动人口以及公共服务支出占比更高城市中受教育程度较高的流动人口中，这种减弱效应更为明显。
本研究凸显了公共服务可及性与流动人口健康改善之间的关系。研究结果表明，优化公共服务资源配置可提高中国流动人口的健康公平性。
