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Equality of public health service and family doctor contract service utilisation among migrants in China

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  • Chen, Yu
  • Huang, Feng
  • Zhou, Qin

Abstract

China initiated the equalisation of an essential public health service programme in 2009 with the goal of developing a more equitable and effective public health system for all people. This study employs data from the China Migrants Dynamic Survey to examine regional-level and household-level income-related inequalities in public health service utilisation and its determinants. Wagstaff concentration indices indicate that essential public health services and family doctor contract services are concentrated among less developed prefectures and poorer households. Decomposition analysis based on recentered influence function regression shows that education contributes to pro-poor inequality in health records and health education utilisation. China's policies of essential public health services and family doctor contract services reduce income-related inequalities in health service utilisation, which has important implications for developing countries striving to achieve universal health service coverage and equal health outcomes.

Suggested Citation

  • 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).
    • Handle: RePEc:eee:socmed:v:333:y:2023:i:c:s0277953623005051
    DOI: 10.1016/j.socscimed.2023.116148
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    1. Gary S. Becker & Tomas J. Philipson & Rodrigo R. Soares, 2005. "The Quantity and Quality of Life and the Evolution of World Inequality," American Economic Review, American Economic Association, vol. 95(1), pages 277-291, March.
    2. Facundo Alvaredo & Lucas Chancel & Thomas Piketty & Emmanuel Saez & Gabriel Zucman, 2017. "Global Inequality Dynamics: New Findings from WID.world," American Economic Review, American Economic Association, vol. 107(5), pages 404-409, May.
    3. Heckley, Gawain & Gerdtham, Ulf-G. & Kjellsson, Gustav, 2016. "A general method for decomposing the causes of socioeconomic inequality in health," Journal of Health Economics, Elsevier, vol. 48(C), pages 89-106.
    4. Lucinda Cash-Gibson & Diego F Rojas-Gualdrón & Juan M Pericàs & Joan Benach, 2018. "Inequalities in global health inequalities research: A 50-year bibliometric analysis (1966-2015)," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-22, January.
    5. Baeten, Steef & Van Ourti, Tom & van Doorslaer, Eddy, 2013. "Rising inequalities in income and health in China: Who is left behind?," Journal of Health Economics, Elsevier, vol. 32(6), pages 1214-1229.
    6. Guido Erreygers & Roselinde Kessels, 2013. "Regression-Based Decompositions of Rank-Dependent Indicators of Socioeconomic Inequality of Health," Research on Economic Inequality, in: Health and Inequality, volume 21, pages 227-259, Emerald Group Publishing Limited.
    7. Fleurbaey, Marc & Schokkaert, Erik, 2009. "Unfair inequalities in health and health care," Journal of Health Economics, Elsevier, vol. 28(1), pages 73-90, January.
    8. Owen O'Donnell & Eddy van Doorslaer & Adam Wagstaff & Magnus Lindelow, 2008. "Analyzing Health Equity Using Household Survey Data : A Guide to Techniques and Their Implementation," World Bank Publications - Books, The World Bank Group, number 6896.
    9. Kjellsson, Gustav & Gerdtham, Ulf-G., 2013. "On correcting the concentration index for binary variables," Journal of Health Economics, Elsevier, vol. 32(3), pages 659-670.
    10. Sergio Firpo & Nicole M. Fortin & Thomas Lemieux, 2009. "Unconditional Quantile Regressions," Econometrica, Econometric Society, vol. 77(3), pages 953-973, May.
    11. Dan Tang & Jiwen Wang, 2021. "Basic Public Health Service Utilization by Internal Older Adult Migrants in China," IJERPH, MDPI, vol. 18(1), pages 1-14, January.
    12. Siegrist, Johannes & Shackelton, Rebecca & Link, Carol & Marceau, Lisa & von dem Knesebeck, Olaf & McKinlay, John, 2010. "Work stress of primary care physicians in the US, UK and German health care systems," Social Science & Medicine, Elsevier, vol. 71(2), pages 298-304, July.
    13. Xia Meng, 2019. "Does a Different Household Registration Affect Migrants’ Access to Basic Public Health Services in China?," IJERPH, MDPI, vol. 16(23), pages 1-13, November.
    14. 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).
    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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