Abstract: Using the data set of the fourth National Health Care Service Survey conducted in 2008,this study explores the relationship between the parental migration and the remaining children’s health wellbeing.We find that there are significant differences in health condition and healthcare utilization between the children living with both parents and the children left behind in rural area:the children left behind by the migrating parent(s) are much easier to get sick and also have higher probability to get outpatient service than the children living with both parents at home;besides that,there are big differences within the children left behind,especially the children whose mothers are migrating out are the most vulnerable group:they get the highest risk to get sick while lowest possibility to get treatment.

Keywords: Parental Migration, Children Left behind, Two-week Morbidity, Outpatient Visits

摘要： 人口流动导致儿童健康照料关系中的主体与对象发生空间分离,农村留守儿童在健康照料方面面临着更多的不确定性。本研究利用中国第四次卫生服务调查的原始数据,分析我国农村人口流动与留守儿童健康以及卫生服务利用之间的关系。研究发现:(1)与其他农村儿童相比,留守儿童存在着"高患病率,高就诊率"的特征,存在"医疗服务替代日常护理、收费治疗替代家庭照料"的卫生服务过度使用现象;(2)不同的留守儿童之间存在巨大差异,留守儿童因与谁一起留守而拥有不同的健康照料和卫生服务利用机会,仅母亲外出的留守儿童,其患病风险最高、就诊率最低,处于最为不利的境地。

关键词: 农村人口流动, 留守儿童, 两周患病率, 门诊就诊率