Litwin Howard, Sapir Eliyahu V
Israel Gerontological Data Center, Hebrew University, Jerusalem, Israel.
Eur J Ageing. 2009 Sep;6(3):167-176. doi: 10.1007/s10433-009-0126-8.
This study sought to identify the principal factors that predict forgone health care due to cost among European and Israeli older adults. The analysis applied the Andersen-Newman model of health service utilization to data from the first wave of the Survey of Health, Ageing and Retirement in Europe (n = 28,849). Relinquished health care was regressed on the predisposing characteristics, need factors and economic access attributes of the respondents, in general, and in each of 12 countries, in particular. The results showed that forgone health care due to cost occurs among a substantial minority of older adults. Moreover, relinquished care is associated with younger old age, greater health needs and perceived economic inadequacy. Although statistically significant in certain cases, country of residence does not constitute a robust predictor of health care relinquishment. Social policy should address the antecedents of forgone health care in order to more effectively meet the health needs of the older population.
本研究旨在确定欧洲和以色列老年人中因费用而放弃医疗保健的主要预测因素。该分析将卫生服务利用的安德森 - 纽曼模型应用于欧洲健康、老龄化与退休调查第一轮的数据（n = 28,849）。总体而言，尤其是在12个国家中的每一个国家，以受访者的 predisposing 特征、需求因素和经济可及性属性为自变量，对放弃的医疗保健进行回归分析。结果表明，相当一部分老年人会因费用而放弃医疗保健。此外，放弃医疗保健与老年人群体中较年轻的年龄、更大的健康需求以及感知到的经济不足有关。尽管在某些情况下具有统计学意义，但居住国并非医疗保健放弃行为的有力预测因素。社会政策应解决放弃医疗保健的先行因素，以便更有效地满足老年人口的健康需求。
