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Medicine (Baltimore) ; 103(6): e37234, 2024 Feb 09.
Article in English | MEDLINE | ID: mdl-38335402

ABSTRACT

China has become an emerging destination for international migration, especially in some Association of South East Asian Nations countries, but the situation of migrants seeking medical care in China remains unclear. A retrospective cross-sectional study was conducted in a hospital in Chongzuo, which provides medical services for foreigners, to investigate the situation of Vietnamese people seeking health care in Guangxi, China. Vietnamese patients who visited the hospital between 2018 and 2020 were included in the study. Demographic characteristics, clinical characteristics, characteristics of payment for medical costs, and characteristics of hospitalization were compared between outpatients and inpatients. In total, 778 Vietnamese outpatients and 173 inpatients were included in this study. The percentages of female outpatients and inpatients were 93.44% and 88.44% (χ2 = 5.133, P = .023), respectively. Approximately 30% of outpatients and 47% of inpatients visited the hospital due to obstetric needs. The proportions of outpatients with basic medical insurance for urban residents, basic medical insurance for urban employees, and new cooperative medical schemes were 28.02%, 3.21%, and 2.31%, respectively. In comparison, the proportion of inpatients with the above 3 types of medical insurance was 16.76%, 1.73%, and 2.31%, respectively. The proportion of different payments for medical costs between outpatients and inpatients were significantly different (χ2 = 24.404, P < .01). Middle-aged Vietnamese females in Guangxi, China, may have much greater healthcare needs. Their main medical demand is for obstetric services. Measurements should be taken to improve the health services targeting Vietnamese female, but the legitimacy of Vietnamese in Guangxi is a major prerequisite for them to access more and better healthcare services.


Subject(s)
Emigration and Immigration , Health Services Needs and Demand , Insurance, Health , Obstetrics , Southeast Asian People , Female , Humans , Middle Aged , China/epidemiology , Cross-Sectional Studies , Insurance, Health/statistics & numerical data , Retrospective Studies , Southeast Asian People/ethnology , Southeast Asian People/statistics & numerical data , Vietnam/ethnology , Health Services Needs and Demand/economics , Health Services Needs and Demand/statistics & numerical data , Transients and Migrants/statistics & numerical data , Emigration and Immigration/statistics & numerical data , Obstetrics/economics , Obstetrics/statistics & numerical data , Patient Acceptance of Health Care , Health Services Accessibility/statistics & numerical data
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