The impact of basic public health services on migrants’ settlement intentions

Abstract

An important task in the urbanization process of developing countries is to promote and support migrants’ settlement in cities. Based on the China Migrants Dynamic Survey of 2018, this paper analyzes how basic public health services (BPHSs) impact migrants’ settlement intentions. This study shows that establishing health records and access to health-related knowledge significantly and positively impact migrants’ intentions to settle permanently in inflow areas by increasing their health status and degree of social integration. Yet, this paper discusses how the trends are heterogeneous, finding that BPHSs more significantly impact the settlement intentions of female, less-educated and rural migrants. The findings of this paper provide new factual evidence that may support government policymaking to further improve migrants’ utilization of medical and health resources and their intention to settle down.

Population mobility : spatial spillover effect of government health expenditure in China

“…For cities with large PM, the convenience of public services is considered a priority [ 31 ]. As a larger population migrates to a region, individuals become more cognizant of government expenditure effectiveness and demand appropriate public services, thereby driving UHC forward [ 32 ]. Thus, a high population count amplifies the short-term impact of the GHE on UHC.…”

Relationships between Health Education, Health Behaviors, and Health Status among Migrants in China: A Cross-Sectional Study Based on the China Migrant Dynamic Survey

“…In our study, we included a question from the CMDS questionnaire that asked respondents if they had participated in any of the nine types of public health education programs during the past year. These programs represent National Basic Public Health Services offered by the Chinese government to the entire population through community-based initiatives implemented in local villages since 2009 [ 42 ]. As a result, the program themes and content remain consistent across regions.…”

Disparities in awareness and utilisation of National Essential Public Health Services between the floating population and the registered residents: a cross-sectional study in China

“…[4][5][6] Several studies have investigated the beneficial impacts of NEPHS utilisation on various aspects of the floating population, such as the treatment and control of chronic diseases, 7 8 health status, [9][10][11][12] accessibility and utilisation of healthcare services, [13][14][15] multidimensional poverty 16 and settlement intentions. 17 While the NEPHS attempts to ensure that all floating population and registered residents have equal access to NEPHS awareness and utilisation, most floating population is excluded from NEPHS in the initial stage of policy implementation, and they are unable to access basic public health services as registered residents. 18 Consequently, the NEPHS utilisation by the floating population is relatively low compared with that of local residents.…”

“…The NEPHS has witnessed an expansion of its service categories from 9 in 2009 to 14 in 2017, and the per capita financial subsidy standard has risen from ¥15 in 2009 to ¥89 in 2023 4–6. Several studies have investigated the beneficial impacts of NEPHS utilisation on various aspects of the floating population, such as the treatment and control of chronic diseases,7 8 health status,9–12 accessibility and utilisation of healthcare services,13–15 multidimensional poverty16 and settlement intentions 17. While the NEPHS attempts to ensure that all floating population and registered residents have equal access to NEPHS awareness and utilisation, most floating population is excluded from NEPHS in the initial stage of policy implementation, and they are unable to access basic public health services as registered residents 18.…”