Affiliation:
1. Shandong Provincial Hospital Affiliated to Shandong First Medical University , Jinan , China
2. Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University , Jinan , China
3. National Health Commission (NHC) Key Lab of Health Economics and Policy Research (Shandong University) , Jinan , China
Abstract
Abstract
Background
The family doctor (FD) contracting system is a key reform in the development of the Chinese health system, and is considered an effective way to ensure equitable access to healthcare services. This study investigates the effects of social integration on FD contracting services among migrant populations.
Methods
In total, 120,106 respondents from the 2018 China Migrants Dynamic Survey were included in this study. Two multivariate regression models were used to estimate the effect of social integration and other factors on FD contracting services among migrant populations.
Results
This study found that only 14.0% of the migrant populations had a FD. Multiple dimensions of social integration and some covariates were shown to be positively associated with FD contracting services, including average monthly household income, local medical insurance (odds ratio [OR] = 1.34, 95% confidence interval [CI] = 1.29–1.39), employment status (OR = 0.86, 95% CI = 0.82–0.91), settlement intention (OR = 1.15, 95% CI = 1.09–1.22), received health education (OR = 4.88, 95% CI = 4.51–5.27), sex (OR = 1.16, 95% CI = 1.12–1.20), age (OR = 1.66, 95% CI = 1.51–1.82), marital status (OR = 1.38, 95% CI = 1.31–1.46), sickness within a year (OR = 0.84, 95% CI = 0.79–0.89), and flow range (OR = 1.12, 95% CI = 1.07–1.16).
Conclusions
All dimensions of social integration, including economic integration, social identity, and social involvement, are associated with FD contracting services among migrant populations. Policymakers should focus on improving the signing rates of migrant populations and implement more effective measures to enhance their social integration, such as settlement incentives and encouraging social participation.
Funder
Special fund for Clinical Research of Shandong Province Medical Association
Wu Jieping Medical Foundation
Publisher
Oxford University Press (OUP)
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