Abstract
BackgroundWith the implementation of Chinese economic reform and rapid urbanization, policies and values surrounding migration have changed and given rise to unprecedented population mobility. This study is designed to examine the effect of Hukou origin on establishment of health records among internal migrants in China.MethodsThe data used for this study are from the 2015 National Internal Migrant Population Dynamic Monitoring Survey, covering 112,782 migrants nationwide. For continuous variables, the p value is calculated using Student t test; for categorical variables, the p value is calculated using chi-square test. Binary logistic regression with an enter method is employed to assess the association of establishment of health records with origin residence.ResultsAbout 35.1% of the migrant population has established health records in their inflow communities, with 37.4% established among those of urban origin and 34.8% established among those of rural origin. The establishment of health records is significantly higher among migrants of urban origin than among migrants of rural origin (OR = 1.057; 1.017–1.098). Our results also show that among populations of both rural and urban origin, inter-province migrants, along with migrants who are employers, have no plans for long-term residence, have no insurance, and have more family income less likely to establish health records.ConclusionsThis study demonstrates that residence is associated with establishment of health records among the migrant population in China. Targeted policies should be made to improve the establishment of health records among migrants of both rural and urban origins.
Highlights
With the implementation of Chinese economic reform and rapid urbanization, policies and values surrounding migration have changed and given rise to unprecedented population mobility
Our study aims to explore the effect of Hukou origin on the establishment of health records for internal migrants in China
We present our results in two models so that we can better understand the effect of Hukou origin on establishment of health records among migrants in China
Summary
With the implementation of Chinese economic reform and rapid urbanization, policies and values surrounding migration have changed and given rise to unprecedented population mobility. This study is designed to examine the effect of Hukou origin on establishment of health records among internal migrants in China. It is estimated that the internal migrant population reached 245 million in China at the end of 2016 [2]. Qian et al BMC Health Services Research (2018) 18:704 facilitate the management of chronic diseases. It is a constituent part of community health service [5]. Health records include basic personal information, health examination information, health management records, and other records of medical and health services [8]. Health records are helpful for supporting, prevention, and early detection of chronic diseases. Patients can use health records to improve their health and effectively manage their diseases. Health records can help caregivers to maintain an ongoing connection with patients in order to offer more customized health services
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