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老年人的求医行为:一项基于社区的横断面研究。

Health-seeking behaviour of elderly individuals: A community-based cross-sectional study.

作者信息

Patle Rupali A, Khakse Gautam M

机构信息

Department of Community Medicine, Shri Vasantrao Naik Government Medical College, Yavatmal, Maharashtra, India,

Department of Community Medicine, Shri Vasantrao Naik Government Medical College, Yavatmal, Maharashtra, India.

出版信息

Natl Med J India. 2015 Jul-Aug;28(4):181-4.

Abstract

BACKGROUND

The health-seeking behaviour of elderly individuals can help in ascertaining the determinants and in developing appropriate policies for their healthcare.

METHODS

In this community-based cross-sectional study, we included 250 elderly persons above 60 years of age living in the urban field practice area of Shri Vasantrao Naik Government Medical College, Yavatmal, Maharashtra. We used a structured proforma to collect information about their health-seeking behaviour.

RESULTS

Overall, 48% of the study subjects chose an allopathic practitioner. The difference in the health-seeking behaviour for self-treatment, treatment from traditional healers and paraprofessionals as one group and allopathic treatment as another group was significant for the determinants of age (p<0.001), educational level (p<0.0001) and poverty status (p=0.0007) and registration under any government scheme (p=0.0446). The average expenditure on health was significantly more among those who were above 75 years of age, employed, educated and above the poverty line, irrespective of gender.

CONCLUSION

Elderly persons who prefer allopathic treatment are likely to be above 75 years of age, those having some education and those above poverty line.

摘要

背景

老年人的就医行为有助于确定其健康问题的决定因素,并为制定适合他们的医疗保健政策提供依据。

方法

在这项基于社区的横断面研究中,我们纳入了250名年龄在60岁以上、居住在印度马哈拉施特拉邦亚瓦特马尔市什里·瓦桑特拉奥·奈克政府医学院城市实地实习区域的老年人。我们使用结构化表格收集他们就医行为的信息。

结果

总体而言,48%的研究对象选择了全科医生。作为一组的自我治疗、传统治疗师和辅助医疗人员治疗与作为另一组的全科治疗在就医行为上的差异,在年龄(p<0.001)、教育水平(p<0.0001)、贫困状况(p=0.0007)以及是否登记参加任何政府计划(p=0.0446)等决定因素方面具有显著性。无论性别如何,75岁以上、就业、受过教育且高于贫困线的人群在医疗保健方面的平均支出显著更高。

结论

倾向于全科治疗的老年人可能年龄在75岁以上,接受过一定教育,且高于贫困线。

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