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中国老年人利用非医疗社区医疗保健服务的供需相关决定因素。

Supply and Demand-Related Decisive Factors in the Utilization of Non-Medical Community Healthcare Services among Elderly Chinese.

机构信息

School of Public Policy and Administration, Xi'an Jiaotong University, No 28 Xianning West Road, Xi'an 710049, Shaanxi, China.

出版信息

Int J Environ Res Public Health. 2020 Dec 30;18(1):228. doi: 10.3390/ijerph18010228.

Abstract

There is little research on the utilization of non-medical community healthcare services among the elderly, compared with that of medical community healthcare services. From the perspective of both supply and demand, based on the survey data from Shaanxi province, this study examined supply-related factors (including service supply, service quality, service charge and service accessibility) and demand-related factors (including service need, individual financial status, family care support and knowledge of service) affecting the utilization of non-medical community healthcare services among the elderly in China by using Poisson regression. The findings show that service supply, service quality, service need and knowledge of service are positively associated with the utilization of non-medical community healthcare services among elderly Chinese, but the other factors identified in previous studies are not significant predictors for the utilization of the services among the elderly in the context of China. To our knowledge, this is the first study to examine both supply-related factors and demand-related factors affecting the utilization of non-medical community healthcare services among elderly Chinese.

摘要

与医疗社区医疗服务相比,针对老年人利用非医疗社区医疗服务的研究很少。本研究从供给和需求两个方面,基于陕西省的调查数据,利用泊松回归分析了影响中国老年人利用非医疗社区医疗服务的供给相关因素(包括服务供给、服务质量、服务收费和服务可及性)和需求相关因素(包括服务需求、个人经济状况、家庭照顾支持和服务知识)。研究结果表明,服务供给、服务质量、服务需求和服务知识与中国老年人利用非医疗社区医疗服务呈正相关,但以前研究中确定的其他因素并不是中国老年人利用这些服务的显著预测因素。据我们所知,这是首次研究影响中国老年人利用非医疗社区医疗服务的供给相关因素和需求相关因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e671/7796362/02a92ac369b5/ijerph-18-00228-g001.jpg

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