Does China’s Equalization of Basic Public Health Services policy improve delivery care for migrant women?

Zou, Hong; XIAO, Han; XU, Hongwei

doi:10.1186/s12889-022-14950-8

Cited by 6 publications

(5 citation statements)

References 27 publications

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“…Based on the demand survey of medical services and the reference to the existing research, the different levels of life circle size were set up. Compared with previous studies that used community points or townships as the basic demand units [58,59], our methods improve the accuracy of the estimation of medical accessibility. Moreover, from the perspective of livable life circle, this study defines upper limits scope for accessible and inaccessible medical services, providing a new perspective on setting the maximum distance for accessibility of basic public services.…”

Section: The Contributions Of the Theoretical And Methodologicalmentioning

confidence: 96%

Evaluation of the spatial equality of the medical service function from the perspective of the life circle：A case study of Chengdu City

Zhu,

Rong,

Wang

2024

Preprint

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Background At a time when life is starting to return to normal following the global pandemic, the medical service function as a key component of public infrastructure in livable communities still have an undeniable importance. In practice, however, due to a heterogeneity in the distribution of medical facilities, a significant spatial imbalance can exist in urban and country regions. By integrating the life circle theory and complex system theory, we try to propose a new framework to fill this gap and explain the formation mechanism of the medical service function equality. Furthermore, the feasibility of the framework was verified by evaluating the spatial equality of medical services of the primary, secondary, tertiary and total medical service function in Chengdu City, China. Methods Based on Z-score method, a quantitative method was constructed to quantitative detect the spatial pattern of Chengdu’s medical services. This method can help to accurately identify the spatial equality of the medical service function, thereby facilitating further refined policy formulation to improve these functions. Results The results for accessibility within the life circle indicate that 97.69% of the population and 63.76% of metropolitan Chengdu enjoy total access to medical services, but this desirable accessibility gradually decreases around the central line of Chengdu and the central areas of other districts and counties. The multi-center hierarchical structure of level II, level III and the total function reflects the fact that accessibility to medical facilities in the main urban areas is better than that in the surrounding counties, and in the central urban areas of these surrounding counties are better than that in their peripheral areas. the spatial equality for the total function, level III, and level II exhibits a clear hierarchical structure, namely core-edge pattern. Urban construction is gradually spread from the center to the outside, which fundamentally determines the skeleton of the spatial pattern of medical service facilities in Chengdu. Conclusions Findings of this research contribute new theoretical and methodological insights into addressing the spatial equality of public service functions in complex regional and urban system.

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Section: The Contributions Of the Theoretical And Methodologicalmentioning

confidence: 96%

Evaluation of the spatial equality of the medical service function from the perspective of the life circle：A case study of Chengdu City

Zhu,

Rong,

Wang

2024

Preprint

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“…The PHL system was constructed using the dimensions of PHS, PHR, and PH. In China, PHS primarily encompasses maternal and child health care, resident health records management, and health service management [ 24 – 26 ]. As a result, the indicators for the PHS in this paper are categorized into three aspects: maternal and child health care, health security (encompassing all types of health information), and health services.…”

Section: Methodsmentioning

confidence: 99%

Measurement of China’s public health level: compilation and research of an index

Wei,

et al. 2024

BMC Public Health

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Background With the development of the economy, public health has become increasingly important. Therefore, it is important to establish a comprehensive and scientific the public health level index (PHL) system to measure public health level as a research priority. The current research has limitations in exploring the PHL system; therefore, the field still lacks a comprehensive indicator system to measure the level of public health. Therefore, this paper aims to develop a multi-level public health index system and utilizes China as a case study to evaluate its public health status. The objective is to offer insights and recommendations for the improvement of public health initiatives in China and other regions. Methods Utilizing data from 2011 to 2020, a comprehensive PHL was developed to encompass three vital indices: the Public Health Service Index (PHS), the Public Health Resource Index (PHR), and the Population Health Level Index (PHL). Subsequently, the PHL, PHS, PHR, and PH were meticulously calculated using a comprehensive evaluation method. Amid the current disparity between public health and economic progress, both the spatial Durbin model and the spatial lag model were finally employed to examine the influence of economic level (EL) on PHL, thus affirming the consistent reliability and accuracy of PHS. Results Our findings revealed the following: (i) the PHL, PHS, and PHR indices show increasing trends in China; (ii) both EL and PHL exhibit high-high clustering and low-low clustering states; (iii) the PHL in the area has a positive spatial spillover effect on the surrounding area; (iv) EL will result in the siphoning effect of PHL; and (v) EL can enhance PHL through urbanization, PH, and PHS. Conclusions The PHL system constructed in this paper demonstrates multiple levels, pluralism, spatio-temporal comparability, and robustness. It can reflect not only the input and output of public health initiatives but also the interconnectedness and autonomy within the public health system. Therefore, it can be widely utilized in other areas of public health research.

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“…A significant portion of minority rural migrants relocate from their hometowns to urban areas in pursuit of better job opportunities, higher income, and the aspiration to become urban residents [ 13 ]. Existing studies indicate that the essence of the urbanization process can be understood not only as the transformation of rural and urban household registrations but also as the gradual process by which rural migrants gradually enjoy the same basic public services as local urban residents [ 14 , 15 ]. However, it is crucial to note that minority rural migrants can only enjoy equal public health services as local residents after completing household registration migration [ 13 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of health rights accessibility on the urban integration of minority rural migrants in China: a cross-sectional study

Zhao,

Wu,

Wang

2024

BMC Public Health

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Background Accessing health rights is an integral component of people’s aspirations for a better life. Existing discussions and evaluations regarding the accessibility of health rights for minority rural migrants are insufficient. In comparison to objective health conditions, inequalities in health rights lead to chronic and long-term depletion of human capital among minority rural migrants. This study aimed to assess the overall impact, heterogeneity effects, and mechanisms of health rights accessibility on the urban integration of minority rural migrants. Methods Based on the 2017 China Migrants Dynamic Survey Data (CMDS), this study employs OLS models, 2SLS models, conditional mixed process (CMP) methods, and omitted variable tests to estimate the impact of health rights accessibility on the urban integration of minority rural migrants. Additionally, from the perspectives of migration scope and illness experience, this study explored the heterogeneity in the relationship between health rights accessibility and urban integration. Finally, using the Karlson–Holm–Breen (KHB) model, this study dissects the mechanisms through which health rights accessibility influences the urban integration of minority rural migrants. Results Health rights accessibility significantly enhances the urban integration of minority rural migrants. Moreover, compared to minority rural migrants who move across provinces and who have no history of illness, those who migrate within the same province and who have experienced illness are more sensitive to the positive impact of health rights accessibility. However, the enhancing effect of health rights accessibility does not significantly differ between the new and old generations of minority rural migrants. Furthermore, health rights accessibility can indirectly improve the urban integration of minority rural migrants by elevating health levels, improving health habits, and reinforcing health behaviors. Among these, the indirect effects mediated by health habits are more pronounced. Conclusion The research conclusions underscore the issue of health accessibility and urban integration among minority rural migrants, providing a reexamination and clarification of the policy effects of health rights in promoting the urban integration of minority rural migrants. Relevant policy design should commence with improving the health rights of minority rural migrants, enhancing their health integration capabilities, and effectively boosting their ability to integrate into urban life.

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Does China’s Equalization of Basic Public Health Services policy improve delivery care for migrant women?

Cited by 6 publications

References 27 publications

Evaluation of the spatial equality of the medical service function from the perspective of the life circle：A case study of Chengdu City

Evaluation of the spatial equality of the medical service function from the perspective of the life circle：A case study of Chengdu City

Measurement of China’s public health level: compilation and research of an index

Effect of health rights accessibility on the urban integration of minority rural migrants in China: a cross-sectional study

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