The number of migrant population in China remains high, primarily driven by the developments in industrialisation and urbanisation. The health status and healthcare-seeking experience of this group has become a hot social issue, and promoting their access to equitable essential healthcare services is an important part of China's healthcare system reform.

To compare the experience of using essential medical services between migrant and permanent populations in Guangzhou, to provide evidence for improving the level of using essential medical services in migrant population and for promoting the healthcare equity.

From September to November 2019, we used a multistage random sampling method to select 1 568 cases (including migrant and permanent residents) treated by six general practitioner teams from six community health centers in Guangzhou. Their demographics and experiences of using essential medical services were collected by a questionnaire survey using a self-developed General Data Questionnaire and the simplified Primary Care Assessment Tool-Adult Edition (PCAT-AE) . We compared the total score of the PCAT-AE and its domains scores between the two groups. We used the generalized linear model to analyze the association between the residency status and the experience of using essential medical services.

Altogether, 1 568 cases who handed in responsive questionnaires were included for final analysis, among whom 186 (11.86%) were migrant residents. The average total score of the PCAT-AE of all participants, permanent and migrant cases was 3.19 (1.22) , 3.24 (1.23) , and 2.93 (0.75) , respectively. Compared with the permanent residents, the migrants showed lower total score and dimension scores of the PCAT-AE (P<0.05) . The results of the generalized linear model demonstrated that compared with the permanent residents, migrants had worse experience in using services〔b (95%CI) =-0.128 (-0.218, -0.037) , P=0.006〕, such as the use of first-contact care〔b (95%CI) =-0.245 (-0.341, -0.148) , P<0.001〕, continuing care〔b (95%CI) =-0.175 (-0.292, -0.059) , P=0.003〕, family-centered care〔b (95%CI) =-0.112 (-0.225, 0.001) , P=0.050〕, community-oriented care〔b (95%CI) =-0.176 (-0.286, -0.066) , P=0.002〕, and culturally competent care〔b (95%CI) =-0.270 (-0.383, -0.156) , P<0.001〕.

The migrants had worse experience of using essential medical services than the permanent residents. In view of this, it is recommended for primary healthcare institutions to provide continuous, accessible, and comprehensive life-cycle essential healthcare services for migrants according to their characteristics, so as to promote the quality development of community health services.

随着我国工业化和城镇化进程的不断推进，我国流动人口数量高居不下，该弱势群体的健康状况和就诊体验成为社会关注的热点问题，促进其享有公平、可及的基本医疗服务是我国医疗体制改革的重要内容。

了解广州市流动人口对基本医疗服务的体验情况，分析其与户籍人口对基本医疗服务的体验差异，旨在为提高流动人口的基本医疗服务利用质量、促进健康公平提供依据。

于2019年9—11月，采用多阶段随机抽样方法，抽取由广州市6家社区卫生服务中心6个全科医生团队接诊的患者为研究对象，采用一般情况调查表、中文版初级卫生保健评估量表成人简化版（PCAT-AE）对其进行调查，了解其对基本医疗服务的体验情况。比较户籍人口和流动人口的中文版PCAT-AE总得分及各维度得分，采用广义线性模型分析流动人口与户籍人口对基本医疗服务的体验差异。

共回收有效问卷1 568份。1 568例患者中，186例（11.86%）为流动人口。1 568例患者中文版PCAT-AE总得分为3.19（1.22）分，户籍人口中文版PCAT-AE总得分为3.24（1.23）分，流动人口中文版PCAT-AE总得分为2.93（0.75）分。户籍人口中文版PCAT-AE总得分及各维度得分高于流动人口，差异均有统计学意义（P<0.001）。广义线性模型结果显示：流动人口对基本医疗服务的整体体验水平比户籍人口低〔b（95%CI）=-0.128（-0.218，-0.037），P=0.006〕，体现在首诊利用〔b（95%CI）=-0.245（-0.341，-0.148），P<0.001〕、连续性照护〔b（95%CI）=-0.175（-0.292，-0.059），P=0.003〕、以家庭为中心〔b（95%CI）=-0.112（-0.225，0.001），P=0.050〕、以社区为导向〔b（95%CI）=-0.176（-0.286，-0.066），P=0.002〕及文化胜任力〔b（95%CI）=-0.270（-0.383，-0.156），P<0.001〕5个方面。

流动人口对基本医疗服务体验比户籍人口差。基层医疗卫生机构需要针对流动人口特征为其提供全周期、全方位、可及、连续的基本医疗服务，促进社区卫生服务的高质量发展。