Cao, Lijing, (2012), The prospect for health care rights in China, 72 p. Ph.D. thesis, University of Toronto. (accessed 18 december 2013)
The 2009 reform of China’s health care system attempts to lower the burden of medical costs and provide universal access to health care. This thesis focuses on a particular access and equity gap within the health care system that faced by internal migrants, and explores the potential value of a legally enforceable and justiciable right to health care in the Chinese context to address such gaps. Despite recent advances in the health care reform, lack of a framework of health care rights could be a limiting factor to current health care initiatives which are falling short of their promises of universality in some way. In the long run, establishment of such framework could be a direction that deserves further research.
Full text available on line https://tspace.library.utoronto.ca/bitstream/1807/33715/1/Cao_Lijing_201211_LLM_thesis.pdf
Jessie Fan, Ming Wen, Lei Jin, Guixin Wang, (2013), Disparities in healthcare utilization in China: do gender and migration status matter?, Journal of Family and Economic Issues, p.52-53.
Using a multi-stage cluster sampling approach, we collected healthcare and demographic data from 531 migrants and 529 local urban residents aged 16–64 in Shanghai, China. Logistic regressions were used to analyze the relationship between gender-migration status and healthcare utilization while controlling for predisposing, enabling and needs factors. Other things equal, female migrants and male locals had significantly lower actual healthcare utilization rates, compared to female locals. Female migrants were more likely to report “no money” as a reason for not seeking care, while male locals were more likely to report “self-medication” as a reason. Considering established gender differences in healthcare utilization, we conclude that female migrants as a group face the most healthcare access barriers among all groups.
Full text available on line : http://ideas.repec.org/a/kap/jfamec/v34y2013i1p52-63.html (accessed 10 december 2013)
Bettina Gransow, Zhou Daming, Eds, (2013), Migrants and health in urban China, Berlin, Berliner China Hefte.Bd. 38, 2010, 192 S., br., ISBN 978-3-643-10912-5
The double-edged policy pursued by the Chinese government has created serious challenges for public health strategies implemented at national and local levels. As a result, the challenges created new research opportunities for Chinese and Western scholars, and this volume is a compilation of their work. The papers are organized within three main topics: health risks, health services, and health insurance for rural migrants in Chinese cities. The volume also includes two documentary contributions on migration regulations and civil society services for migrants suffering from occupational diseases and work-related injuries.
Li Wei (2013),From “Floating Population” to “Guest Beijinger”:Identity Formation of Migrant Workers in Beijing, CiNii Scholarly and Academic Information Navigator.
This study analyzes how floating migrant workers settle in the suburban area of Beijing and pays special attention to factors affecting their identity formation as “guest Beijingers”. Firstly, it examines the Chinese “hukou” policy and reveals the institutional restrictions on gaining the Beijing “hukou”.
Secondly, it attempts to show how migrant workers settle down and strive to construct the place identity through the place affiliation and social networks. Specifically, it links the existence of pace identities in the social context of migrant settlement with the varied factors that contribute to these identities. In other words, how migrants construct a sense of being On the one hand, migrants are not granted urban citizenship, since “hukou” restrictions largely prerent them from becoming future Beijing citizens. On the other hand, place identity grows with regard to the expansion and intensification of migrant networks in the receiving society, some of the migrants are not floating anymore and grow strong ambitions for permanent residence in Beijing.
Full text available on line : https://qir.kyushu-u.ac.jp/dspace/bitstream/2324/26017/1/p091.pdf (accessed 21 November 2013)
Li, Yan (2010), Constraints on health and health services access of rural-to-urban migrants in China: a case of Dengcun village of Beijing. PhD thesis, University of Nottingham. (accessed 28 October 2013)
China is experiencing a dramatically increasing process of rural-urban migration, which is almost parallel with the phenomenal economic growth and development in China in the last decades. Given the massive scale of rural-urban migration in China, the health services access and health constraints not only matter to rural-urban migrants but also have important implications for broad public health concerns. However, this issue has not been paid enough attention in academic research.
This study focuses on the multifaceted reality of health constraints and health services access among migrants by originally exploring the social strata, social networks, and the understanding of health and health services among migrants. The research questions are stated as follows: What constraints and difficulties do migrants face with respect to their health and health services access? Is there a hierarchical structure in health services access and medical treatment access among migrants? When there is a shortage of financial resources, do they resort to informal social support (such as informal social networks/ guanxi) to obtain help and why? What are their understanding and experience of health and why?
Furthermore, this study investigates the health constraints and health services access of rural-urban migrants in the absence of equal social protection by the government. By conducting 36 qualitative interviews in Dengcun Village, a migrant community in Beijing, China, this paper:
- Investigates issues concerning environmental health risks of migrants, their health seeking behaviours, and the constraints they encountered in accessing health services with respect to the social strata among migrants. It argues that the main obstacles to access health services are not only the shortage of financial resources among rural-urban migrants, but also lie in the institutional blindness regarding health security provision, rural-urban dualism and the household registration system in China.
- Highlights the key function that social networks play in health and health services access among migrants in China, which has rarely been discussed in previous studies. Examines the range of social networks among migrants, from which they can acquire support, including financial and spiritual, when they are dealing with health problems. The study argues that social networks resemble a double-edged sword to rural-urban migrants in terms of health care access. The fact that migrants lack savings may not be the sole and essential reason for their extreme vulnerability in times of illness. Some migrants, who are in financial difficulties though, may have some assistance, including financial support and emotional support from their social networks. However, on the other hand, the assistance from social networks on their health and heath care access is limited, not only because their social networks is limited, but because the social networks should not bear the responsibility to support health services access of migrants, similar to or more than the state and migrants’ employers.
- Discusses the understanding of health among migrants, and further analyses that although many migrants have not formed proper understanding of the connotation of health and have limited knowledge of health, prime responsibility should not be put on the migrants because their poor understanding of health mainly results from their rural perspective while health and health services access depend on the social-economic environment in which they live and work.
Full text available on line : http://etheses.nottingham.ac.uk/3135/1/537813.pdf
Other publication by Li, Yan
“Understanding Health Constraints Among Rural-to-Urban Migrants in China.” Qualitative health research 23.11 (2013): 1459-1469.