School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, PR China.
School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, PR China.
J Am Med Dir Assoc. 2017 Sep 1;18(9):807.e1-807.e8. doi: 10.1016/j.jamda.2017.05.009. Epub 2017 Jun 21.
This study aimed to give an international perspective of health service gaps for caring for elderly individuals and explore the role of primary care for caring for elderly individuals with chronic conditions in Hong Kong.
Cross-sectional, telephone survey.
Hong Kong.
A sample of 1000 Chinese participants in Hong Kong aged 60 or older.
Questionnaire extracted from the Commonwealth Fund 2014 International Health Policy Survey of Older Adults.
Similar to the 11 countries, more than half (about 65%) of Hong Kong respondents suffered from chronic conditions, whereas approximately one-third of them had at least 2 chronic conditions. US respondents had highest rate of having chronic conditions. Only 65% of Hong Kong respondents reported having a regular source of care and a higher proportion of elderly reported having poor self-rated health when compared with overseas counterparts. However, the proportion of elderly individuals who could access same-day or next-day medical care was higher compared with findings of other countries. Both Hong Kong and US respondents were more likely to report cost-related problems when accessing care. Waiting time for specialists in Hong Kong was much longer and coordination between regular doctors was poorer than in all other countries. Although half of Hong Kong respondents had a management plan for chronic conditions, a smaller proportion of them considered it helpful.
Hong Kong has the lowest rate of regular source of care when compared with 11 developed countries, although people in Hong Kong were more likely to be able to access same-day or next-day medical care. To cope with increasing needs of chronic disease care, there may be a need to further develop the provision of regular source of care for elderly individuals, including the development of quality primary care in Hong Kong.
本研究旨在从国际视角审视为照顾老年人而存在的卫生服务差距，并探讨初级保健在香港照顾慢性病老年患者方面的作用。
横断面、电话调查。
中国香港。
中国香港年龄在 60 岁及以上的 1000 名参与者。
从联邦基金 2014 年国际老年人健康政策调查中提取问卷。
与 11 个国家相似，超过一半（约 65%）的香港受访者患有慢性病，而其中约三分之一的人患有至少 2 种慢性病。美国受访者患慢性病的比例最高。只有 65%的香港受访者报告有固定的医疗服务来源，与海外同行相比，更多的老年人报告自己的健康状况较差。然而，与其他国家的调查结果相比，能够获得当天或次日医疗服务的老年人比例较高。香港和美国的受访者在获得医疗服务时更有可能报告与费用相关的问题。在香港，看专科医生的等候时间要长得多，而且与其他国家相比，普通医生之间的协调也较差。尽管一半的香港受访者有慢性病管理计划，但认为该计划有帮助的比例较小。
与 11 个发达国家相比，香港的固定医疗服务来源率最低，尽管香港人更有可能获得当天或次日的医疗服务。为了应对慢性病护理需求的不断增加，可能需要进一步为老年人提供固定的医疗服务，包括在香港发展优质的初级保健。
