Association between China's Tiered Diagnosis and Treatment System and the utilization of basic public health services among migrants.

ABSTRACT:

Background

Despite national policies granting universal eligibility, China's migrant population faces significant practical barriers to accessing Basic Public Health Services (BPHSs), often stemming from the Hukou (household registration) system. The Tiered Diagnosis and Treatment System (TDTS) was introduced as a major reform to strengthen primary care. This study examines the association between exposure to TDTS pilots and the utilization of BPHSs among migrants.

Methods

This cross-sectional study used microdata from the 2018 China Migrants Dynamic Survey (N = 132,598). Multivariate linear probability models were used to assess the association between residing in a TDTS pilot city and two outcomes: establishing a health record (EHR) and registering with a family doctor (RF

SUBMITTER: Jia H 

PROVIDER: S-EPMC12797373 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature