Community Integration Enhances Migrants' Satisfaction with Primary Care Across Districts with Varying Economic Levels: Survey Evidence from Guangzhou, China

Yao Xiao¹Sisi Zhong²Lingshan Chen^3,4Diwen Xiao⁵Wenhao Huang⁶Shangjian Wu¹Luwen Zhang^3,4*

• ¹School of Health Management, Guangzhou Medical University, Guangzhou, Guangdong Province, China
• ²School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
• ³School of Health Management, Southern Medical University, Guangzhou, Guangdong, China
• ⁴Center for Health Policy and Governance of Guangdong Provincial Social Science Research Base，Southern Medical University, Guangzhou, China
• ⁵Institute of Public Administration, Party School of the Guangdong Provincial Committee of CPC, Guangzhou, China
• ⁶School of Pharmaceutical Sciences, Guangzhou Medical University, Guangzhou, China

Background: This study investigated the satisfaction of migrant populations in Guangzhou with primary care and explored how community integration and economic development at the district level influenced this satisfaction. This study aimed to provide empirical evidence and recommendations for improving primary care utilization and community integration among migrant populations.We conducted a stratified random sampling of 1,996 migrant individuals from seven districts in Guangzhou. A custom-designed questionnaire was used to collect data on demographic characteristics, satisfaction with primary care, and community integration, including willingness to seek help, neighborhood interactions, and participation in community activities. Multi-variate linear regression analysis was used to identify factors associated with satisfaction with primary care.The mean satisfaction score for primary care was 3.29 ± 0.76. Participation in community activities was positively associated with satisfaction, with participants often reporting higher scores (increases of 0.08 and 0.28 points, respectively; P < 0.05). Greater neighborhood interaction and willingness to seek assistance from local authorities also increased satisfaction (0.11 and 0.37 points, respectively; P < 0.05). Residing in districts with moderate or good economic conditions further enhanced satisfaction (0.37 and 0.10 points, respectively; P < 0.05).Although migrant populations in Guangzhou generally report high satisfaction with primary care, their level of community integration remains limited. Enhancing community public services and fostering a stronger sense of community belonging are promising strategies for improving primary care management and services for migrant populations.