新冠疫情首次封锁期间影响老年人医疗服务需求的社会因素
Social Factors Contributing to Healthcare Service Requirements during the First COVID-19 Lockdown among Older Adults.
作者信息
Shaked Ohad, Korn Liat, Shapiro Yair, Zigdon Avi
机构信息
School of Graduate Studies, Ariel University, Ariel 40700, Israel.
Natali Healthcare Solutions, Ramat Gan 15208, Israel.
出版信息
Healthcare (Basel). 2022 Sep 23;10(10):1854. doi: 10.3390/healthcare10101854.
This study examined social characteristics and their relations to healthcare service demand among older adults during the first COVID-19 lockdown in 2020. The sample was based on a cohort of 103,955 adults over the age of 65. A general index of needs was composed based on healthcare service use data and was predicted in a multi-nominal logistic regression. The frequency of the total needs significantly (p < 0.000) declined while supportive community services (4.9%, 2.0%), living in a community framework (27.0%, 15.2%), and living in a private residence (29.7%, 20.1%) were significantly associated (p < 0.000) with less frequent needs compared to the complementary groups. Supportive communities turned out to be an extremely important service for older adults. Policy makers should consider expanding supportive community services for older adults, as it was shown to have a positive correlation with lower healthcare service use, which might be an indicator of better overall health.
本研究调查了2020年首次新冠疫情封锁期间老年人的社会特征及其与医疗服务需求的关系。样本基于103955名65岁以上成年人的队列。根据医疗服务使用数据编制了一个总体需求指数，并在多项逻辑回归中进行预测。与互补组相比，总需求频率显著下降（p<0.000），而支持性社区服务（4.9%，2.0%）、生活在社区框架内（27.0%，15.2%）和居住在私人住宅中（29.7%，20.1%）与需求频率较低显著相关（p<0.000）。事实证明，支持性社区对老年人来说是一项极其重要的服务。政策制定者应考虑扩大针对老年人的支持性社区服务，因为它与较低的医疗服务使用呈正相关，这可能是整体健康状况较好的一个指标。
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