预防保健服务需求及其与住院服务的关系。
The demand for preventive care services and its relationship with inpatient services.
机构信息
Department of Economics, National Cheng Kung University, Taiwan.
出版信息
Health Policy. 2010 Feb;94(2):164-74. doi: 10.1016/j.healthpol.2009.09.012. Epub 2009 Oct 22.
OBJECTIVE
To examine not only the relationship between the utilization of preventive health care services and inpatient services, but to also investigate the factors affecting the utilization of such services by the middle-aged and elderly.
METHOD
We use data obtained from the 2003 Survey of Health and Living Status of the Elderly in Taiwan (SHLSE), hypothesizing that preventive health care services can be regarded as an appropriate substitute for subsequent medical services such as inpatient services; a recursive simultaneous model is used to avoid the problems of endogeneity.
RESULTS
The main results of this study indicate that the utilization of preventive health care services has the effect of reducing the probability of the utilization of inpatient services.
CONCLUSION
The utilization of preventive care services can help to promote healthier lifestyles, provide early detection of illnesses, and reduce the need for subsequent inpatient care services amongst individuals. We suggest that effective outreach strategies to promote the utilization of preventive care services are essential.
目的
不仅考察了中老年人群预防保健服务利用与住院服务利用之间的关系，还探讨了影响这些服务利用的因素。
方法
本研究利用台湾 2003 年老年人健康与生活状况调查（SHLSE）的数据，假设预防保健服务可以作为后续医疗服务（如住院服务）的合适替代，采用递归同时模型以避免内生性问题。
结果
本研究的主要结果表明，预防保健服务的利用具有降低住院服务利用概率的效果。
结论
预防保健服务的利用有助于促进更健康的生活方式，及早发现疾病，并减少个体对后续住院护理服务的需求。我们建议采取有效的推广策略来促进预防保健服务的利用。
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