| The problem of population aging has become an inevitable social problem in all countries,and actively responding to population aging has become an important part of their development strategies.The "Healthy China 2030" planning outline clearly proposes to promote the construction of a healthy China.Specifically,it is necessary to adhere to prevention,adjust and optimize the health service system,adhere to joint construction and sharing,and health for all,especially the elderly,women and children,migrant population,etc.Health problems of disadvantaged people,etc.The migrant elderly population has both the identities of the elderly and the migrant population.In the context of "Healthy China",the health of rural-urban migrant elderly people needs special attention.However,due to the sharp decline in professional contribution,the rising demand for social public services and the solidification of social networks,the elderly migrants are facing the challenge of becoming "new citizens,new customers,and new friends" in their inflow places,and they are increasingly becoming "marginal people"(Marginal man),at the same time,this "marginal man" status has also given birth to the negative attitude of migrant elderly people to seek medical treatment.The unscientific behavior of seeking medical treatment of "small illnesses dragging on,and serious illnesses undetermined" has seriously affected the physical condition of the elderly floating population,and has also increased the cost of many follow-up medical treatments.Cultivating the correct medical knowledge of the rural-urban migrant elderly population and optimizing the medical-seeking behavior of the rural-urban migrant elderly population requires urgent attention.The data used in this article comes from the 2017 National Floating Population Health and Family Planning Dynamic Monitoring Survey(Volume A).This project is based on the principle of randomness in sampling sample points in the inflow areas where the floating population is relatively concentrated across the country.National representation.This article studies the medical treatment behavior of rural-urban migrants.The research object is rural-urban migrants who are 60 years old and above and have been sick/injured in the past year.After data screening,missing and invalid values are deleted.,The remaining sample size of rural-urban migrant elderly is 1985.In the questionnaire,the illness/injury in the past year,or physical discomfort,the first time to go to see the illness/injury as the dependent variable "behavior of seeking a doctor." This study uses Stata16 measurement tools,supplemented by Excel and SPSS24,and uses descriptive statistics and logistic regression methods to analyze ruralurban mobility from five dimensions: individual characteristics,mobility characteristics,health status,public health services,and medical insurance.At the same time,through the analysis of the moderating effect and the mediation effect,the influence mechanism of the rural-urban migrant medical treatment behavior is studied.The analysis results are as follows:1.Rural-urban migrants are mainly male,young and healthy elders.The educational level is generally low.The main reason for migration is to work and take care of children.They have little knowledge of national basic public health services,and most of them have not established health records.,Has not received health education,has a high medical insurance participation rate,mainly participates in the new rural cooperative medical care,and most of the insured places are in the place of household registration.2.In general,the proportion of rural-urban migrant elderly people seeking medical care is relatively low.Older rural-urban migrants with poor education and poor health tend to seek medical treatment when they are sick/injured.Rural-urban migrants who have heard of basic national public health services and received health education are more inclined to seek medical treatment.But it does not directly affect the behavior of medical treatment,but through the establishment of a strong intermediary variable of residents’ files.Participating in the new rural cooperative medical system,enrolling in the inflow area,and applying for a social security card can significantly improve the medical behavior of rural-urban migrants.In addition,the flow time can adjust the impact of self-evaluated health status on medical treatment behavior,participating in organizational activities can adjust the impact of whether to establish residents’ health records on medical treatment behavior,and the insured area can adjust whether to establish residents’ health files on the impact of medical treatment behavior and medical services.Accessibility regulates the impact of health education on medical treatment.In this regard,this article suggests that relevant departments should pay more attention to the rural-urban migrant elderly group,pay more attention to their medical treatment,increase the publicity of the national basic public health services,strengthen health education for rural-urban migrant elderly,and expand The coverage of the establishment and establishment of the residents’ health files is to ensure that the files are kept as much as possible.In addition,it further breaks the regional isolation of medical insurance. |
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