移民人口中医疗服务利用的空间差异:关于健康公平的观点
Dan Li1, Masaaki Yamada2, Dawei Gao3
1United Graduate School of Agricultural Science, Tokyo University of Agriculture and Technology, Tokyo, Japan.
Frontiers in public health
|October 23, 2024
概括
在中国,国内移民面临着严重的医疗保健障碍. 一篇名为"没有治疗率" (NT-ratio) 的小说强调了差异,东部/东北部地区的风险更高,受年龄和资源的影响.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 空间流行病学 空间流行病学
背景情况:
- 卫生公平是全球优先事项,但社会经济和地理因素造成了移民人口获得医疗服务的障碍.
- 在中国,由于经济改革和城市化迅速发展,国内移民面临着独特的医疗保健挑战.
- 对于缺乏充分利用医疗保健服务的移民人口来说,现有的健康差异加剧了.
研究的目的:
- 探索中国内部移民在医疗保健服务利用方面的差异.
- 引入和应用一种新的方法.
- 没有 处理率 处理率.
- (NT比率) 用于测量移民人口中的健康风险.
- 通过空间分析来确定影响这些差异的关键因素.
主要方法:
- 来自2017年中国移民动态调查 (N=169,989) 的数据.
- 引入并计算了该数据的值.
- 没有 处理比率
- (NT比率) 每个省.
- 采用空间自相对应,热点分析和地质探测器技术.
主要成果:
- 在中国东部和东北部,NT比率,即表明移民在生病时不寻求治疗,显著更高.
- 关键影响因素包括年龄,留下的经验,健康教育和人均医疗资源.
- 空间分析发现,医疗保健接入障碍的区域差异很大.
结论:
- 在中国的内部移民中,特别是东部和东北部地区,医疗保健使用差异仍然存在.
- 优化医疗资源分配和加强医疗保健系统至关重要.
- 建议采取综合健康,教育和社会保障政策,以改善移民健康公平.
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