公共服务的可访问性如何影响移民的健康:来自中国的证据
Jingqian Li1, Yu Wang1,2
1School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
Risk management and healthcare policy
|December 16, 2024
概括
公共服务的可访问性改善了中国的移民健康状况,特别是在受教育程度较低的人群中. 资源分配和均衡是关键因素,效率有利于受过高等教育的移民.
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
- 健康的社会经济决定因素
背景情况:
- 公共服务的可访问性显著影响移民的健康结果.
- 了解这些影响对于地方政府来说至关重要,以优化资源分配.
- 中国庞大而异质的移民人口带来了独特的挑战和机会.
研究的目的:
- 调查公共服务的可访问性与中国移民健康之间的关系.
- 探索这种关系的调解机制 (均衡和效率).
- 检查人口因素和行政结构如何调节这种关联.
主要方法:
- 利用了2017年中国移民动态调查的数据.
- 使用的普通最小平方 (OLS) 和工具变量 (IV) 估计.
- 进行调解和调节效应分析,以揭示潜在机制.
主要成果:
- 在公共服务的可访问性和更好的移民健康之间存在积极的关联,特别是在受教育程度较低的移民中.
- 公共服务均等化显著改善了受教育程度较低的移民的健康状况,而效率则有利于受过高等教育的移民.
- 行政层次和公共服务支出偏好负面地调节了可访问性-健康关系.
结论:
- 优化公共服务资源分配可以提高中国移民人口的健康公平.
- 针对不同移民子群体,需要针对性的策略来解决平等和效率问题.
- 政策干预应考虑行政结构和支出模式,以最大限度地提高健康效益.
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