Chou K L, Chi I
Sau Po Centre on Aging, The University of Hong Kong, Pokfulam Road, Hong Kong.
Soc Sci Med. 2004 Mar;58(6):1025-35. doi: 10.1016/s0277-9536(03)00275-2.
This article analyzes cross-sectional data collected from a representative community sample of 2003 Chinese elderly people aged 60 or above in Hong Kong. We examined whether the use of publicly funded health services by older adults is equitable under the framework of Andersen model. A number of predisposing, enabling, and need factors were assessed as predictors of utilization in four categories of services including hospital admission, emergency room, general outpatient clinics, and specialist outpatient clinics. It was found that utilization of these four health services was consistently correlated with need factors. Specifically, self-rated health status and particular types of chronic illness were consistently and significantly related to utilization for all four of services in Hong Kong. On the other hand, age and family support were related to hospital admission whereas functional impairment was associated with the use of emergency room and general outpatient clinics. Findings suggest that publicly funded health services in Hong Kong are used equitably by elderly people.
本文分析了从香港具有代表性的2003名60岁及以上中国老年人社区样本中收集的横断面数据。我们在安德森模型的框架下研究了老年人使用公共资助医疗服务是否公平。评估了一些 predisposing、 enabling 和需求因素作为四类服务（包括住院、急诊室、普通门诊诊所和专科门诊诊所）使用情况的预测指标。研究发现，这四项医疗服务的使用情况与需求因素始终相关。具体而言，自评健康状况和特定类型的慢性病与香港所有四项服务的使用情况始终且显著相关。另一方面，年龄和家庭支持与住院有关，而功能障碍与急诊室和普通门诊诊所的使用有关。研究结果表明，香港的老年人公平地使用了公共资助的医疗服务。
