School of Public Policy and Administration, Xi'an Jiaotong University, No 28 Xianning West Road, Xi'an 710049, Shaanxi, China.
Int J Environ Res Public Health. 2020 Sep 30;17(19):7168. doi: 10.3390/ijerph17197168.
With the rapid increase of the elderly population in China, healthcare services for the elderly have gradually become an important welfare resource. However, the healthcare service for the elderly still has problems such as mismatched supply and demand and unbalanced resources. In order to effectively eliminate the path barriers to match supply and demand, and improve the accessibility of healthcare services, this paper introduces the sustainability of the healthcare service based on the accessibility theory, and constructs an index system from the three dimensions of potential accessibility, realized accessibility, and sustainable accessibility of healthcare services for the elderly. Then, the paper makes a practice application of the index system based on survey data of healthcare services from Shaanxi province, China. Finally, the paper finds that the total accessibility and sustainable accessibility of healthcare services for the elderly in Shaanxi Province are at an average level. The score of potential accessibility is high, indicating that elderly people have greater opportunities to use healthcare services. The realized accessibility score is low, which indicates that the actual use of healthcare services for the elderly presents low satisfaction.
随着中国老年人口的快速增长，老年人的医疗保健服务逐渐成为一项重要的福利资源。然而，老年人的医疗保健服务仍然存在供需不匹配和资源不平衡等问题。为了有效消除供需匹配的路径障碍，提高医疗保健服务的可及性，本文基于可及性理论引入医疗保健服务的可持续性，并从老年人医疗保健服务的潜在可及性、实现可及性和可持续可及性三个维度构建了一个指标体系。然后，本文基于中国陕西省的医疗保健服务调查数据对该指标体系进行了实践应用。最后，本文发现陕西省老年人医疗保健服务的总可及性和可持续可及性处于平均水平。潜在可及性得分较高，表明老年人有更多机会使用医疗保健服务。实现可及性得分较低，表明老年人对医疗保健服务的实际使用满意度较低。
