Perenboom R J, Lako C J, Schouten E G
Dept. of Public Health, Agricultural University, Wageningen, The Netherlands.
Compr Gerontol B. 1988 Dec;2(3):124-8.
Health status and medical consumption by the elderly seem to be dependent on the place of residence. Several studies have shown that rural elderly are less healthy, but make less use of health services than urban elderly. In this study it has been found that in The Netherlands differences in health and use of health services between both groups are very small, but also that rural elderly have a better health than urban elderly and that these rural elderly make less use of health services. Explanations for this phenomenon cannot be found in differences in income, social contacts, social participation or care delivery systems. Migration also cannot explain the differences. Possible explanations are sought in the urbanization of the rural area. The small differences might be due to the operationalization of the concept urbanization.
老年人的健康状况和医疗消费似乎取决于居住地点。多项研究表明，农村老年人的健康状况较差，但与城市老年人相比，他们使用医疗服务的频率较低。在本研究中发现，在荷兰，两组老年人在健康状况和医疗服务使用方面的差异非常小，但农村老年人的健康状况比城市老年人更好，而且这些农村老年人使用医疗服务的频率更低。这种现象的原因无法从收入、社会交往、社会参与或护理提供系统的差异中找到。移民也无法解释这些差异。可能的解释在于农村地区的城市化。这些微小差异可能是由于城市化概念的操作化所致。
