Deng Shanshan, Zhang Chenchen, Guo Xing, Lv Hekai, Fan Yanyan, Wang Zhuoxin, Luo Dan, Duan Xiaoxia, Sun Xinying, Wang Fuzhi
School of Nursing, Bengbu Medical College, Bengbu, China.
School of Health Management, Bengbu Medical College, Bengbu, China.
Health Serv Insights. 2022 Oct 31;15:11786329221134352. doi: 10.1177/11786329221134352. eCollection 2022.
While the community health service system was initially established in rural areas of mainland China, the utilization of community health service resources by the rural elderly population is not clear.
Cross-sectional studies on the utilization of community health services by the rural elderly population in mainland China published within the last 10 years were retrieved from the China National Knowledge Infrastructure (CNKI), Wan Fang, Medline and Web of Science (WOS) databases. The quality of the article was evaluated by the Critical Appraisal Skills Programme (CASP), and obstacles to the utilization of community health services by the rural elderly population were analyzed based on the Andersen model.
Twenty-four studies were analyzed, and 3 gaps were found. (i) The cognition of rural elderly residents does not match the current health security system. (ii) There is a gap between the supply of health service resources in rural communities and the health needs of the elderly residents in these areas. (iii) The health services provided by rural primary health service institutions are not targeted.
In mainland China, the provision of community health services to the rural elderly population has improved significantly. However, several factors from the individual level to the system level lead to low levels of access and utilization. This finding means that under the leadership of the government, it is necessary to integrate the strength of multiple departments to cooperate in improving the welfare system, policy publicity, health education, financial support, system guarantees and resource exchange and sharing for the elderly population in rural areas and to jointly promote community health services for the elderly population in rural areas.
中国大陆农村地区初步建立社区卫生服务体系后，农村老年人群对社区卫生服务资源的利用情况尚不清楚。
从中国知网（CNKI）、万方、Medline和科学网（WOS）数据库中检索过去10年内发表的关于中国大陆农村老年人群社区卫生服务利用情况的横断面研究。采用批判性评估技能计划（CASP）对文章质量进行评估，并基于安德森模型分析农村老年人群利用社区卫生服务的障碍。
分析了24项研究，发现3个差距。（i）农村老年居民的认知与当前的健康保障体系不匹配。（ii）农村社区卫生服务资源供给与这些地区老年居民的健康需求之间存在差距。（iii）农村基层医疗卫生服务机构提供的卫生服务缺乏针对性。
在中国大陆，为农村老年人群提供社区卫生服务有了显著改善。然而，从个人层面到系统层面的若干因素导致了低水平的可及性和利用率。这一发现意味着在政府领导下，有必要整合多个部门的力量，合作改善农村老年人群的福利体系、政策宣传、健康教育、财政支持、制度保障以及资源交流与共享，共同推动农村老年人群的社区卫生服务。
