College of Health, Oregon State University, Corvallis, Oregon, USA.
University of South Florida, Tampa, Florida, USA.
BMJ Open. 2024 Jan 29;14(1):e076249. doi: 10.1136/bmjopen-2023-076249.
China faces the challenge of an ageing population with disabilities. Community healthcare centres (CHCs) serve as frontline community healthcare providers for older adults with and without disabilities. Despite their significance, there is a lack of literature examining the utilisation of CHC services among older adults. This study aims to examine and compare the utilisation and satisfaction of CHC healthcare services among older adults with and without disabilities.
Data from the 2019 Community Health Diagnosis Questionnaire, which interviewed 259 older adults residing in the Luohu district of Shenzhen, were used in the current study.
Participants self-reported outcomes including use of CHCs, use of home health services from CHCs and satisfaction with CHCs. Five different disability types and an integrated disability variable were assessed as independent variables. Linear probability models were used to determine the relationship between disability types and outcome variables.
Among 259 older adults aged 60 years and older, 70.66% self-identified as having a disability. No statistically significant associations were found between the use of CHCs, the use of home health services from CHCs and satisfaction with CHCs, and disability status. However, older adults with mobility and cognitive disabilities were more likely to receive home health services from CHCs.
Community health promotion policies should be implemented to improve access to health services for older adults with and without disabilities. In addition, CHCs should implement effective health management plans to ensure the health needs of older adults with disabilities.
中国面临着人口老龄化和残疾问题的挑战。社区医疗中心（CHC）作为有和没有残疾的老年人的第一线社区医疗提供者。尽管它们很重要，但缺乏研究检查 CHC 服务在老年人中的利用情况。本研究旨在检查和比较有和没有残疾的老年人对 CHC 医疗服务的利用和满意度。
本研究使用了 2019 年社区健康诊断问卷的数据，该问卷采访了居住在深圳罗湖区的 259 名老年人。
参与者自我报告的结果包括使用 CHC、使用 CHC 的家庭健康服务和对 CHC 的满意度。评估了五种不同的残疾类型和一个综合残疾变量作为自变量。线性概率模型用于确定残疾类型与结果变量之间的关系。
在 259 名 60 岁及以上的老年人中，70.66%自我认定为残疾。CHC 的使用、CHC 的家庭健康服务的使用和对 CHC 的满意度与残疾状况之间没有统计学上的显著关联。然而，行动和认知残疾的老年人更有可能从 CHC 获得家庭健康服务。
应实施社区健康促进政策，以改善有和没有残疾的老年人获得健康服务的机会。此外，CHC 应实施有效的健康管理计划，以确保残疾老年人的健康需求得到满足。
