Does Electronic Health Records Improve the Health Level of the Floating Population?Based on the Perspective of Medical and Prevention Integration
Electronic health records is not only a basic public health service project of the country,but also an important support for promoting the integration of medical and preventive measures.The implementation effect will have a significant impact on the health of mobile populations.Based on the data of 2017 China Mobile Population Dynamic Monitoring Survey,this paper systematically examines the impact of the establishment and dynamic usage of electronic health records on the health level of floating populations.The result shows that:(1)Establishing electronic health re-cords can effectively improve the health level of floating populations.After conducting robustness tests and using"willingness to stay"and"willingness to settle down"as instrumental variables to alleviate potential endogeneity issues,the conclusion still holds.(2)From the perspective of mecha-nism analysis,health literacy is an important explanatory path,and the establishment of electronic health records can enhance the health literacy of floating populations and thereby improve their health levels.(3)The establishment and dynamic use of electronic health records are crucial.The dynamic use of records can positively regulate the impact of record establishment on the health level of floating populations.This regulatory mechanism first acts on the health literacy of floating popu-lations,and ultimately improves their health level through health literacy.Finally,this study pro-poses specific policy recommendations from three aspects:improving the filing rate of electronic health records to improve the health level of floating populations,strengthening health record pro-motion at the community level to enhance residents'health literacy,and adhering to the balance be-tween file establishment and dynamic use to support the integration of medical and preventive meas-ures.
Electronic Health RecordsBasic Public Health ServicesHealth of Floating PopulationHealth LiteracyMedical and Preventive Integration
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