Studies On The Equalization Of Public Health Services Of Migrant Workers Groups

Migrant workers from those people that engaging in agricultural production activities of the agricultural population with rural household registration, After the reform and opening of China’s, with the social background of the relaxation in the process of urbanization and household registration policy, the huge gap in labor demand caused large quantity of urban farmers came to the city, the Migrant Worker Tide which has great momentum quickly become a major emerging groups in China. with migrant workers’ silence pay out, social development got lots of advancement.Presently, China is in a critical period of transition, appeared a variety of social problems, the whole social concerned the issues of public health and medical care. There are various issues of public health services, There is a considerable gap between the public health services from the goal of equalization. The existence of inter-regional, inter-group differences in the supply of public health services, there has discrepancy between inter-regional, inter-group in the supply of public health services, allocation of public medical resources is also has a serious imbalance. Enjoy healthy is the most basic right of all the people, because of number of groups of migrant workers, their faster mobility, the hard jobs, and the generally low level of education, they have no health consciousness, they are vulnerable groups in our society. Government should provide necessary basic public health services initiatively in order to protect migrant workers. However, living conditions and health problems of the group of migrant workers has not been concerned by society so far.With the continuous advance of China’s medical reform and in-depth, the public health service has become the focus of government attention, July2009by the Ministry of Health and other ministries issued "on the promotion of the gradual equalization of basic public health services of opinions" clearly, To2011they will complete the work of basic health services in the country’s popularity, further narrow the gap between urban and rural public health services and regions. The country developing basic health services and made significant progress at present, but because of China’s large population, health care resources was poor, the gap between urban and rural regional causes the public health services equalization progress was slow, and migrant workers were born in rural areas that was poor in health care resources, although hard to run around in the city, they can’t enjoy the same health services as urban dwellers due to lots of factors, the status of the group of migrant workers can reflects issues in public health service delivery process, public health services research of the group of migrant workers has a strong practical significance.Haikou town in the western province of Anhui Province which is a labor export, with a total area of109.8square kilometers, the population was45,600, within the jurisdiction of12villages and two residents’ committees. Since the early1980s they start to go outside to work, and gradually expand the scale, the author uses the peak of migrant workers return to their hometown conducted their health services research equalization comprehensive, using the theoretical guidance for migrant workers of public health services knowledge and analysis of the situation has positive significance. The survey of migrant peasant workers in the village of Haikou Town, Nangeng Village, Beigeng Village as the research objects of interviews, with random household survey, we got200questionnaires, and there are187were valid. Survey questionnaire includes migrant workers basic situation, physical health, public health services utilization and satisfaction surveys, investigations and psychological health insurance Survey. So that we can made a comprehensive analysis to the equalization of public health services and provide a reliable basis for reality of currently. According to the questionnaires and interviews, the author made a deep analysis to the relevant data collection and collation. The mainly research tool is fieldwork research and in-depth interviews, using the data published on the website, in the database and some data from literature. Through the survey the author found that there has the situation of the migrant workers always delay to treat disease when they are get sick, also they are poor at the awareness of health; however they have higher risk of suffering from chronic diseases, and lower rates of medical treatment; two-week prevalence rate is low, their satisfaction of their own health is not high; primary health care services is poor, the majority of migrant workers are difficult to access to public health services; Medicare conditions of migrant workers is equally bleak, low insurance rates, migrant workers who were interviewed don’t know much about the new rural co-operative medical system; migrant workers enjoy the low proportion of medical insurance reimbursement, and Amount of money is less than city dwellers, the costs reimburse at other cities were not compatible and this problem brought lots of trouble to farmers and workers; psychological status of migrant workers survey shows that migrant workers have psychological pressure, they had less leisure time for entertainment; migrant workers on the situation of currently life were not dissatisfied.; migrant workers are lack at a sense of belonging in the city, and they felt it is difficult to integrate into city life.The reality of non-equalization of public health services is caused by a variety of factors, the reasons included the institutional, cultural and macroeconomic policies, there are constraints of stages of economic development, of course, there are also subjective reasons of their own individual migrant workers. The author based on the current situation put forward proposals. Government should focus on promoting the reform of the household registration system binary; further efforts to increase government financial input, take the functions of fair supply of public health services, and strengthen government leadership responsibility, building medical safety of migrant workers network; Breaking the old thinking and innovation to transfer payment, prompting migrant workers fair access to public health services; give full play to the role of community health agencies, community platform to strengthen public health science advocacy, and promote scientific and healthy lifestyles; the author suggests to establish a health insurance which can cover all citizens, so that can ensure the realization of the health right for all citizens; helping migrant workers to establish mechanisms in order to expression of public health services needs.