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Health Insurance and Basic Public Health Service Coverage Among the Floating Population in Hubei Province, 2014-2017.

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China's growing floating population faces health access barriers. This study found inconsistent public health service coverage, highlighting the need for policy optimization and resource allocation to improve access for this demographic.

Keywords:
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Area of Science:

  • Public Health
  • Health Services Research
  • Demography

Background:

  • Rapid economic development and urbanization in China have led to a significant increase in the floating population.
  • This demographic faces substantial barriers in accessing and utilizing essential health services.
  • Understanding factors influencing health service coverage is crucial for targeted interventions.

Purpose of the Study:

  • To analyze trends in health insurance and public health service coverage among China's floating population.
  • To identify socio-demographic factors affecting health service access in Hubei Province (2014-2017).
  • To inform strategies for improving healthcare for mobile populations.

Main Methods:

  • Trend and regression analysis of data from the China Migrant Population Dynamics Monitoring Survey (2014-2017).
  • Inclusion of socio-demographic, economic characteristics, and health insurance data.
  • Measurement of public health service coverage via local health records and health education access.

Main Results:

  • Health insurance coverage remained high (88-93%), but local health record establishment fluctuated significantly (36-64%).
  • Health education access varied, with a notable decline in 2017 (64%).
  • Longer floating duration, employment, willingness to reside long-term, and medical insurance were linked to better health record coverage.

Conclusions:

  • Optimizing health insurance policies and resource allocation is vital for the floating population.
  • Strengthening community health services is necessary to improve healthcare capacity in high-concentration areas.
  • Enhanced public health service coverage and information access require targeted policy adjustments.