政府数字化转型和中国移民人口使用基本公共卫生服务
1School of Economics, Shandong Technology and Business University, Yantai, Shandong, China. jiahw_riem@foxmail.com.
BMC public health
|November 23, 2024
概括
政府数字化转型 (GDT) 显著改善了中国移民人口的基本公共卫生服务 (BPHS) 使用情况. 数字治理弥合了医疗保健接入差距,特别是在弱势群体和欠发达地区.
科学领域:
- 公共卫生 公共卫生
- 数字治理 数字治理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 评估政府数字化转型 (GDT) 对中国移民人口获得医疗保健的影响至关重要.
- 移民经常面临系统性障碍,无法获得基本公共卫生服务 (BPHS).
- GDT的举措可以提供解决方案来缓解这些医疗保健差异.
研究的目的:
- 评估GDT对中国移民使用BPHS的影响.
- 确定GDT对移民获得医疗保健的机制和异质影响.
- 为公平的医疗服务提供提供基于证据的政策提供信息.
主要方法:
- 利用了2018年中国移民动态调查的数据,与国家政策数据联系在一起.
- 采用普通最小平方回归,倾向性得分匹配和双/偏差机器学习.
- 通过建立健康记录和家庭医生注册来衡量BPHS的利用率.
主要成果:
- 在移民中,GDT显著增加了健康记录建立 (7.53%) 和家庭医生注册 (2.75%).
- 卫生信息的可访问性被确定为一个关键的调解因素.
- 影响对女性,受教育程度较低,年龄较大的移民,农村户口和GDP/人口较低的城市更为明显.
结论:
- 总体而言,GDT大大提高了移民的BPHS利用率,减少了医疗保健获取差距.
- 量身定制的数字健康战略对于满足不同移民需求至关重要.
- 扩大GDT的部署可以促进中国城市化中的移民获得公平的卫生服务.
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