Abstract
On the basis of the China Migrants Dynamic Survey Data of 2015, the author provides an analysis of how a different household registration impacts migrants’ access to preventive care provided by public health services, such as health records and medical knowledge, in areas of immigration. This study shows that eliminating the distinction between agricultural and non-agricultural permanent residence registration could raise the rate of establishing health files, but it has no significant effect on migrants’ health knowledge. In fact, encouraging those with non-agricultural registration to move to different counties that belong to the same city or to different cities that belong to the same province can notably eliminate the impact of a different household registration status. Improving the income level of low-income migrants can have the same impact. Recommendations to enable migrants to obtain basic public health services include abolishing the separation of agricultural and non-agricultural household registration, increasing the permanent settlement rate of resident migrants, promoting basic medical security systems across the whole country, strengthening career training, and enhancing the education level of migrants.
Highlights
Since the reform and opening-up, the scale of China’s floating population has been increasing, making an important contribution to promoting China’s urban construction and economic and social development
This study focused on the impact of differences in the household registration status of the migrant population on the equity of access to urban basic public healthcare services
The above conclusions present significant differences in the impact of household registration and individual characteristics on migrants’ access to basic public health services. Will this difference caused by the zoning of household registration be alleviated or offset by changes in migrants’ education, income levels, and mobility patterns? we introduce the cross-terms of household registration with education level, income level, and mobility into the model for analysis
Summary
Since the reform and opening-up, the scale of China’s floating population has been increasing, making an important contribution to promoting China’s urban construction and economic and social development. The main contributions of this study are as follows: First, it presents an in-depth analysis of the differences in household registration status among urban migrants and investigates whether these differences affect the fair access to urban basic public health services. It examines the role of non-household factors to further promote the reform of the household registration system and equalize public services, and provides new practical evidence and policy recommendations. The remainder of the paper is structured as follows: the second section describes the data, variables and models, the third section analyzes the empirical results, the fourth section presents the robustness test, and the last section concludes the paper
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