Cotingting Crystle T, Apal Zenas Harvey L, Franco Mark Benjamin M, Lozano Patrick Nicolo Mari G, Quion Ellen Mae C, Tang Clinton S, Cabigon Jhason John J
Ateneo de Manila University School of Medicine and Public Health, Pasig City, Philippines.
Australas J Ageing. 2019 Mar;38(1):E31-E36. doi: 10.1111/ajag.12599. Epub 2018 Nov 16.
This study was done to study, using Andersen's Behavioral Model, factors affecting health service utilisation among older Filipinos.
A total of 237 older people from Marikina City, Philippines, were randomly selected and surveyed face-to-face on factors affecting health service utilisation, specifically age, civil status, educational level, employment status, sex, health insurance coverage, household income, chronic disease status and perceived health status.
Seventy-nine per cent had used health services in the past year (mean: 5.7 visits per year). Female sex and having a chronic disease were significantly associated with health service utilisation. The odds of using health services was 3.1 times higher for those who had a chronic disease and 2.2 times higher for female sex, assuming all other variables are held constant.
Findings of this study support targeting men in health promotion campaigns and implementing population-based, chronic disease screening programs to improve the reach of health services among Filipino older people.
本研究旨在运用安德森行为模型，探究影响菲律宾老年人医疗服务利用的因素。
从菲律宾马里基纳市随机选取237名老年人，就影响医疗服务利用的因素进行面对面调查，这些因素具体包括年龄、婚姻状况、教育程度、就业状况、性别、医疗保险覆盖情况、家庭收入、慢性病状况以及自我感知健康状况。
79%的人在过去一年中使用过医疗服务（平均每年就诊5.7次）。女性和患有慢性病与医疗服务利用显著相关。假设所有其他变量保持不变，患有慢性病的人使用医疗服务的几率高出3.1倍，女性高出2.2倍。
本研究结果支持在健康促进活动中针对男性开展工作，并实施基于人群的慢性病筛查项目，以提高菲律宾老年人医疗服务的可及性。
