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Effects of public health policies on the health status and medical service utilization of Chinese internal migrants

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  • Fu, Minghui
  • Liu, Chuanjiang
  • Yang, Mian

Abstract

This paper examines the effects of the “Equalization Program of Basic Public Health and Family Planning Services for Migrants” (EHFPSM), a novel internal migrant-targeted public health policy, of China implemented in 2013. By combining the individual-level data from the “China Migrants Dynamic Survey” and city-level statistical data, we find that EHFPSM contributes to a 6.9% statistically significant increase in the probability of electronic health records coverage and a 7.2% increase in the probability of reimbursement in the last inpatient visit, as well as a 1.2% decrease in the probability of one-year prevalence. The mechanism test shows that this program promotes the migrants' understanding of the policies and social insurance coverage to enhance their health status. EHFPSM brings about more significant decreases in disease prevalence for male and less-educated migrants, and higher reimbursement probability for urban hukou migrants. Our paper facilitates better understanding of the role of public health policies in promoting the internal migrants' health from the perspective of China.

Suggested Citation

  • Fu, Minghui & Liu, Chuanjiang & Yang, Mian, 2020. "Effects of public health policies on the health status and medical service utilization of Chinese internal migrants," China Economic Review, Elsevier, vol. 62(C).
  • Handle: RePEc:eee:chieco:v:62:y:2020:i:c:s1043951x20300614
    DOI: 10.1016/j.chieco.2020.101464
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    1. Zhang, Xiaobo & Kanbur, Ravi, 2005. "Spatial inequality in education and health care in China," China Economic Review, Elsevier, vol. 16(2), pages 189-204.
    2. Yuanyuan Ma & Anne Nolan, 2017. "Public Healthcare Entitlements and Healthcare Utilisation among the Older Population in Ireland," Health Economics, John Wiley & Sons, Ltd., vol. 26(11), pages 1412-1428, November.
    3. Paolo Pinotti, 2017. "Clicking on Heaven's Door: The Effect of Immigrant Legalization on Crime," American Economic Review, American Economic Association, vol. 107(1), pages 138-168, January.
    4. Xin Meng, 2012. "Labor Market Outcomes and Reforms in China," Journal of Economic Perspectives, American Economic Association, vol. 26(4), pages 75-102, Fall.
    5. Lu, Shengfeng & Chen, Sixia & Wang, Peigang, 2019. "Language barriers and health status of elderly migrants: Micro-evidence from China," China Economic Review, Elsevier, vol. 54(C), pages 94-112.
    6. Rhodes, S.D. & Mann, L. & Simán, F.M. & Song, E. & Alonzo, J. & Downs, M. & Lawlor, E. & Martinez, O. & Sun, C.J. & O'Brien, M.C. & Reboussin, B.A. & Hall, M.A., 2015. "The impact of local immigration enforcement policies on the health of immigrant Hispanics/Latinos in the United States," American Journal of Public Health, American Public Health Association, vol. 105(2), pages 329-337.
    7. Cynthia Kinnan & Shing-Yi Wang & Yongxiang Wang, 2018. "Access to Migration for Rural Households," American Economic Journal: Applied Economics, American Economic Association, vol. 10(4), pages 79-119, October.
    8. Dai, Xiaoyong & Wang, Fang, 2019. "Does the high- and new-technology enterprise program promote innovative performance? Evidence from Chinese firms," China Economic Review, Elsevier, vol. 57(C).
    9. Michael Grossman, 1972. "The Demand for Health: A Theoretical and Empirical Investigation," NBER Books, National Bureau of Economic Research, Inc, number gros72-1, March.
    10. Zhou, Guoliang & Chen, Ran & Chen, Mingsheng, 2020. "Equity in health-care financing in China during the progression toward universal health coverage," China Economic Review, Elsevier, vol. 61(C).
    11. Hardy, L.J. & Getrich, C.M. & Quezada, J.C. & Guay, A. & Michalowski, R.J. & Henley, E., 2012. "A call for further research on the impact of state-level immigration policies on public health," American Journal of Public Health, American Public Health Association, vol. 102(7), pages 1250-1254.
    12. Gao, Qin & Yang, Sui & Li, Shi, 2012. "Labor contracts and social insurance participation among migrant workers in China," China Economic Review, Elsevier, vol. 23(4), pages 1195-1205.
    13. Christopher S. Carpenter & Emily C. Lawler, 2019. "Direct and Spillover Effects of Middle School Vaccination Requirements," American Economic Journal: Economic Policy, American Economic Association, vol. 11(1), pages 95-125, February.
    14. Hatzenbuehler, Mark L. & Prins, Seth J. & Flake, Morgan & Philbin, Morgan & Frazer, M. Somjen & Hagen, Daniel & Hirsch, Jennifer, 2017. "Immigration policies and mental health morbidity among Latinos: A state-level analysis," Social Science & Medicine, Elsevier, vol. 174(C), pages 169-178.
    15. Qin, Xuezheng & Pan, Jay & Liu, Gordon G., 2014. "Does participating in health insurance benefit the migrant workers in China? An empirical investigation," China Economic Review, Elsevier, vol. 30(C), pages 263-278.
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    Cited by:

    1. Minghui Fu & Chuanjiang Liu & Yuting Ma & Liukun Wang, 2022. "Does City Public Service Distance Increase Sense of Gain to Public Health Service? Evidence from 1394 Migrant Workers in Six Provinces," IJERPH, MDPI, vol. 19(10), pages 1-20, May.
    2. Chen, Yu & Huang, Feng & Zhou, Qin, 2023. "Equality of public health service and family doctor contract service utilisation among migrants in China," Social Science & Medicine, Elsevier, vol. 333(C).
    3. Jianming Wang & Tsung Piao Chou & Chia-Pin Chen & Xiangzhi Bu, 2020. "Leaders’ Future Orientation and Public Health Investment Intention: A Moderated Mediation Model of Self-Efficacy and Perceived Social Support," IJERPH, MDPI, vol. 17(18), pages 1-15, September.
    4. Le Wen & Krishna P. Paudel & Qinying He, 2022. "Temporary Migration and Savings Rates: Evidence from China," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 34(6), pages 2810-2849, December.

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    More about this item

    Keywords

    Internal migrant; Public health; Health status; Difference-in-differences; China;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J61 - Labor and Demographic Economics - - Mobility, Unemployment, Vacancies, and Immigrant Workers - - - Geographic Labor Mobility; Immigrant Workers
    • J68 - Labor and Demographic Economics - - Mobility, Unemployment, Vacancies, and Immigrant Workers - - - Public Policy
    • R23 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - Household Analysis - - - Regional Migration; Regional Labor Markets; Population

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