印度老年人口的医疗设施利用情况及就医行为
Health facility utilization and Healthcare-seeking behaviour of the elderly population in India.
作者信息
Dumka Neha, Ahmad Tarannum, Hannah Erin, Kotwal Atul
机构信息
National Health Systems Resource Centre (NHSRC), Technical Support Institute with National Health Mission, Knowledge Management Division (KMD), NHSRC, Delhi, India.
出版信息
J Family Med Prim Care. 2023 May;12(5):902-916. doi: 10.4103/jfmpc.jfmpc_553_22. Epub 2023 May 31.
BACKGROUND
The increasing elderly population in India has generated an unmet need for healthcare services concerning them. To address some of those needs, the study aims to provide the current status of health facility utilization, health-seeking behaviour (HSB), and factors influencing them.
METHODOLOGY
Data from the Longitudinal Ageing Study in India (LASI)-Wave I was used to conduct multivariate analysis to assess the association between health facility utilization (inpatient and outpatient) and HSB across all age groups of the elderly.
RESULTS
The likelihood of utilizing public health facilities increased with age for OPD and decreased with age for IPD. HSB was 23% less in the 80 years and above elderly as compared to other age groups. Healthcare service uptake was higher in the elderly with health insurance in a public health facility.
CONCLUSION
Improving health insurance coverage among the Indian elderly may potentially improve healthcare service uptake in public health facilities.
背景
印度老年人口不断增加，产生了对其相关医疗保健服务的未满足需求。为满足其中一些需求，本研究旨在提供卫生设施利用现状、就医行为（HSB）及其影响因素。
方法
利用印度纵向老龄化研究（LASI）第一轮的数据进行多变量分析，以评估所有老年年龄组的卫生设施利用（住院和门诊）与就医行为之间的关联。
结果
门诊方面，使用公共卫生设施的可能性随年龄增长而增加；住院方面，则随年龄增长而降低。80岁及以上老年人的就医行为比其他年龄组低23%。在公共卫生设施中，有医疗保险的老年人对医疗服务的接受程度更高。
结论
提高印度老年人的医疗保险覆盖率可能会潜在地提高公共卫生设施中医疗服务的接受程度。
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