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BMC Health Services Research
Published in: BMC Health Services Research 1/2018

Open Access 01-12-2018 | Research article

Comparing the needs and utilization of health services between urban residents and rural-to-urban migrants in China from 2012 to 2016

Authors: Lingling Zheng, Ruwei Hu, Zichuan Dong, Yuantao Hao

Published in: BMC Health Services Research | Issue 1/2018

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Abstract

Background

With a large population of internal migrants from all over the world, China has the largest number of internal floating migrants, and most of them (up to 169 million in 2016) are rural-to-urban migrants. Those migrants have difficulty accessing essential health care services because of Hukou, leading to disparities in health needs and utilization between rural-to-urban migrants and residents. To compare the needs and utilization of health services between urban residents and rural-to-urban migrants in China from 2012 to 2016.

Method

We used longitudinal data from the Chinese Labor Dynamic Survey (CLDS) with three waves in 2012, 2014 and 2016. Descriptive analysis was employed to show self-reported illnesses and health services utilization among locals and migrants in the most recent 2 weeks in China. Chi-square tests and log binomial regression models were constructed to explore factors influencing health care needs and utilization.

Result

A total of 19.97% of respondents were rural-to-urban migrants, with an upward trend from 2012 to 2016. Rural-to-urban migrants (11.99%) had higher needs for health services than urban residents (10.47%) in general, while urban residents and migrants had no differences in needs in 2012. Besides, there was no difference in the utilization of health services between residents and migrants in 2012, 2014 or 2016. In addition, increased age, male sex, poor medical insurance coverage and dissatisfaction with income were found to have negative effects on health care needs.

Conclusion

This study has shown that the rural-to-urban migrants had higher health care needs but the same health care utilization compared with urban residents in China. Health policies focusing on equitable health outcomes should pay more attention to rural-to-urban migrants in China’s health care system reform.
Footnotes
3
FRAMEWORK OF PRIORITIES AND GUIDING PRINCIPLES TO PROMOTE THE HEALTH OF REFUGEES AND MIGRANTS
 
4
The data can be applied and obtained from the CLDS of Center for Social Survey, Sun Yat-sen University at http://​isg.​sysu.​edu.​cn/​node/​353. More detail messages about this survey also can be learned on the official website mentioned above or the two previously published papers [35, 43].
 
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Metadata
Title
Comparing the needs and utilization of health services between urban residents and rural-to-urban migrants in China from 2012 to 2016
Authors
Lingling Zheng
Ruwei Hu
Zichuan Dong
Yuantao Hao
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2018
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-018-3522-y

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