Li Guiyuan, Qi Zijian, Yu Wenxin, Wang Qingzhi, Hou Hao, Miao Chunxia, Yan Wenjun, Gao Xiuyin
Department of Social Community and Health Education, School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Huadong Research Institute for Medicine and Biotechniques, Nanjing, Jiangsu, China.
Front Public Health. 2024 Nov 21;12:1378790. doi: 10.3389/fpubh.2024.1378790. eCollection 2024.
As population migration increases and the aging process accelerates, the number of migrant older adults is growing significantly. This trend presents a substantial challenge to urban health services in regions experiencing an influx of older adults individuals. Consequently, examining the healthcare service utilization of the migrant older adults population is crucial to promote healthy aging.
A multi-stage random sampling method was employed to select a study population of 568 migrant older adults individuals, aged 60 years and above, residing in urban Xuzhou City. Multivariate logistic regression analysis, based on Anderson's model, was conducted to explore the factors influencing outpatient and inpatient health service utilization among this population.
Among the 568 migrants, 73 (12.9%) had received outpatient services within the past 2 weeks, while 109 (19.2%) had received inpatient services within the past year. Migrant older adults with education level, time to health centers, and self-assessed health status negatively influenced the outpatient services utilization among migrant older adults. Possession of pension insurance, convenience to visit, sick for the past 2 weeks, and health services need positively influenced the outpatient services utilization among migrant older adults. Furthermore, age, possession of pension insurance and health insurance, convenience to visit, number of chronic diseases, sick for the past 2 weeks, and healthcare service need positively influenced inpatient service utilization among migrant older adults. Education level, self-assessed health status, and time to health centers negatively influenced the inpatient services utilization among migrant older adults.
The overall utilization of healthcare services by migrant older adults in Xuzhou remains inadequate. Addressing this issue requires enhanced medical policy support and assistance, stronger health education initiatives, and improved social integration for the older adults. Additionally, efforts should be made to reduce their financial burdens and improve the accessibility of healthcare services.
随着人口迁移增加和老龄化进程加速，老年移民数量显著增长。这一趋势给老年人口大量涌入地区的城市卫生服务带来了巨大挑战。因此，研究老年移民人口的医疗服务利用情况对于促进健康老龄化至关重要。
采用多阶段随机抽样方法，选取了居住在徐州市区的568名60岁及以上的老年移民作为研究对象。基于安德森模型进行多因素logistic回归分析，以探讨影响该人群门诊和住院卫生服务利用的因素。
在568名移民中，73人（12.9%）在过去2周内接受了门诊服务，109人（19.2%）在过去一年中接受了住院服务。教育水平、到卫生中心的时间以及自我评估的健康状况对老年移民的门诊服务利用产生负面影响。拥有养老保险、就诊便利性、过去2周生病以及对卫生服务的需求对老年移民的门诊服务利用产生积极影响。此外，年龄、拥有养老保险和医疗保险、就诊便利性、慢性病数量、过去2周生病以及对医疗服务的需求对老年移民的住院服务利用产生积极影响。教育水平、自我评估的健康状况以及到卫生中心的时间对老年移民的住院服务利用产生负面影响。
徐州市老年移民的医疗服务总体利用情况仍然不足。解决这一问题需要加强医疗政策支持和援助、强化健康教育举措以及改善老年人的社会融合。此外，应努力减轻他们的经济负担并提高医疗服务的可及性。
