Amarteifio Edwina Naa Amerley, Dai Baozhen, Nutakor Jonathan Aseye, Larnyo Ebenezer
Department of Health Policy and Management, School of Management, Jiangsu University, 301 Xuefu Road, Zhenjiang 212013, China.
Healthcare (Basel). 2022 Feb 14;10(2):370. doi: 10.3390/healthcare10020370.
The concept of health security has aroused several interpretations because of theoretical technique indifferences or academic methodology. The focus has been on human security, old age health security (OAHS), whereas there remain issues of low healthcare utilization by older people from rural Ghana while there are social assistance programs. The study aimed at investigating the mediating effect of healthcare utilization on Livelihood Empowerment against Poverty (LEAP) and old age health security OAHS. With purposive sampling technique, participants were selected to participate in the study with standardized quantitative questionnaire to measure the variables involved in the study and a regression technique to analyze the data. The result of the mediation analysis showed a partial mediation between LEAP and Healthcare Utilization (HU) was found to have bridged the gap between the LEAP and OAHS. The LEAP policy also caused an increase in Health Utilization and, subsequently, an increase in old age health security (OAHS). The study is essential to help the National Health Insurance Authority NHIA in restructuring health care premiums to incite utilization of health facilities by the aged.
由于理论技术差异或学术方法的不同，健康安全的概念引发了多种解读。重点一直放在人类安全、老年健康保障（OAHS）上，然而，在加纳农村地区，尽管存在社会援助项目，但老年人的医疗保健利用率仍然较低。该研究旨在调查医疗保健利用对生计赋权脱贫（LEAP）和老年健康保障（OAHS）的中介作用。采用目的抽样技术，选择参与者参与研究，使用标准化定量问卷来测量研究中涉及的变量，并采用回归技术分析数据。中介分析结果表明，LEAP与医疗保健利用（HU）之间存在部分中介作用，这一中介作用缩小了LEAP与OAHS之间的差距。LEAP政策还导致了医疗保健利用率的提高，随后老年健康保障（OAHS）也有所增加。该研究对于帮助国家健康保险管理局（NHIA）调整医疗保险费用以促使老年人利用医疗设施至关重要。
