Jia Jingjing, Liu Xuejiao, Ren Panpan, Chen Mengyao, Xu Jinglin, Zhang Xiang
School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Research Centre for Rural Health Service, Key Research Institute of Humanities and Social Sciences of Hubei Provincial Department of Education, Wuhan, China.
Front Public Health. 2024 Nov 19;12:1480894. doi: 10.3389/fpubh.2024.1480894. eCollection 2024.
To understand the multiple health service needs of rural residents in China and explore the co-occurrence patterns of these needs throughout the entire life course, providing a basis for the formulation and optimization of health service packaging policies.
This study utilized a stratified random sampling method, resulting in a final sample size of 15,125 individuals. The R statistical software was employed to apply the Apriori algorithm to mine the co-occurrence relationships among multiple health service needs across the life course and to explore the packaging model of these services.
The health service needs rate among rural residents in China is 86.76%, with a multiple health service needs rate of 78.72%. The most needed services are health exercise guidance (17.10%), Traditional Chinese Medicine health care (15.53%), and internet health information services (14.40%). The highest combined health service need is for "exercise guidance need + internet health information need + Traditional Chinese Medicine health care need," followed by "exercise guidance need + internet information need." There are significant differences in the content and strength of associations in the co-occurrence structure of multiple health service needs across different age groups. During the life preparation stage, the need for multiple health services is high, with modern medical care and child management having the highest support. In the life protection stage, the focus shifts to preventive health needs, with strong associations among co-occurring needs (the highest support rule being Traditional Chinese Medicine health care + exercise guidance, support = 21.12%). The co-occurrence of medical and preventive health service needs among the older adult is diverse, with the strongest association being between chronic disease management services and rehabilitation services (support = 31.24%).
The multiple health service needs rate among rural residents in China is high, with the greatest needs being for exercise guidance, Traditional Chinese Medicine health care, and internet health information services. There are significant differences in health service needs across different life stages. It is essential to enhance the integration and packaging of health service resources to promote diversity in health services and meet the multiple health service needs of residents throughout their life courses.
了解我国农村居民的多项健康服务需求，探索这些需求在整个生命历程中的共现模式，为制定和优化健康服务包政策提供依据。
本研究采用分层随机抽样方法，最终样本量为15125人。运用R统计软件，应用Apriori算法挖掘多个健康服务需求在生命历程中的共现关系，并探索这些服务的组合模式。
我国农村居民健康服务需求率为86.76%，多项健康服务需求率为78.72%。最需要的服务是健康运动指导（17.10%）、中医保健（15.53%）和互联网健康信息服务（14.40%）。组合需求最高的是“运动指导需求+互联网健康信息需求+中医保健需求”，其次是“运动指导需求+互联网信息需求”。不同年龄组多项健康服务需求共现结构中的关联内容和强度存在显著差异。在生命准备阶段，多项健康服务需求较高，现代医疗保健和儿童管理的支持率最高。在生命保护阶段，重点转向预防性健康需求，共现需求之间的关联较强（最高支持规则为中医保健+运动指导，支持率=21.12%）。老年人医疗和预防性健康服务需求的共现情况多样，最强的关联是慢性病管理服务与康复服务之间（支持率=31.24%）。
我国农村居民多项健康服务需求率较高，最主要的需求是运动指导、中医保健和互联网健康信息服务。不同生命阶段的健康服务需求存在显著差异。加强健康服务资源的整合与组合，促进健康服务多样化，满足居民在整个生命历程中的多项健康服务需求至关重要。
