保定地区老年人卫生服务需求及利用现状调查

doi:10.12183/j.scjpm.2023.0690

Abstract

Abstract: Objective To investigate the demand and utilization of health services of the elderly population, and analyze related influencing factors, and put forward corresponding countermeasures and suggestions for health policy and planning. Methods The multi-stage stratified cluster sampling method was used to investigate the demand and utilization of health services among permanent residents ≥60 years old in Baoding City from June to December 2022. The 2-week prevalence rate, chronic disease prevalence rate, 2-week visit rate, and 1-year hospitalization rate were analyzed by descriptive analysis, and the related influencing factors were analyzed by multivariate logistic regression model. Results A total of 2 613 elderly people were surveyed, with a 2-week prevalence rate of 46.57%, a 2-week visit rate of 30.46%, a chronic disease prevalence rate of 63.22%, and a 1-year hospitalization rate of 13.09%. The results of multivariate logistic regression analysis showed that age （OR=2.056）, number of chronic diseases （OR=3.483）, regular physical examination （OR=0.532）, daily living ability （OR=2.841）, and self-assessment of health status （OR=3.084） had a significant impact on the 2-week prevalence rate of the elderly. Education level （OR=1.379）, number of chronic diseases （OR=2.261）, per capita monthly income （OR=4.362）, medical insurance （OR=3.031）, regular physical examination （OR=0.584）, self-assessment of health status （OR=1.878）, and 2-week illness （OR=14.688） had a significant impact on the 2-week visit rate of the elderly. Conclusions The elderly in Baoding have a high demand for health services, but they are not fully utilized. Health services should focus on the elderly who are poor, elderly, combined chronic diseases, and have poor ability to take care of themselves, give full play to the role of primary medical institutions, improve the social pension insurance system, and improve the utilization rate of health services for the elderly.

Key words: Elderly people, Health service demand, Utilization of health service, Influencing factor

CLC Number:

R197.1

GAO Shuna, ZHANG Lin, LI Yao. Survey on the demand and utilization of health services for the elderly in Baoding[J].South China Journal of Preventive Medicine, 2023, 49(6): 690-695.

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Survey on the demand and utilization of health services for the elderly in Baoding

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