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捷克共和国全科医生进行预防性健康检查的社会经济预测因素。

Socioeconomic predictors of preventive health check-ups by a general practitioner in the Czech Republic.

作者信息

Zimmermannova Jarmila, Vevoda Jiri, Schovankova Tereza, Holy Ondrej

机构信息

Science and Research Centre, Faculty of Health Sciences, Palacký University Olomouc, Olomouc, Czechia.

Department of Humanities and Social Sciences, Faculty of Health Sciences, Palacký University Olomouc, Olomouc, Czechia.

出版信息

Front Med (Lausanne). 2024 Dec 23;11:1341621. doi: 10.3389/fmed.2024.1341621. eCollection 2024.

Abstract

Health is one of the Sustainable Development Goals. The importance of health promotion is growing in the context of an aging population and increasing life expectancy. Prevention is often underestimated and neglected by citizens. This article aims to identify the socioeconomic predictors of preventive health check-ups by general practitioners in the Czech Republic, focusing on selected age groups. An original dataset is prepared based on data for 2010-2019 provided by the largest health insurance company in the Czech Republic, the General Health Insurance Company. Correlation and regression analysis methods are used to achieve the objectives. Two models are built and tested: (1) preventive examinations model and (2) preventive examinations in age group 65+ model. Based on the results, preventive medical examinations in the pensioner group depended on economic indicators, such as the average wage, employment, and gross domestic product, in the analyzed period. For the total population, overall population size, the average age, urbanized area, and level of education play a key role. The results reveal a difference between the general population group and the 65+ population group. Government interventions and health policies promoting prevention should consider using appropriate incentive policy instruments targeting the 65+ population to prolong active life in senior age.

摘要

健康是可持续发展目标之一。在人口老龄化和预期寿命增加的背景下,健康促进的重要性日益凸显。预防往往被公民低估和忽视。本文旨在确定捷克共和国全科医生进行预防性健康检查的社会经济预测因素,重点关注特定年龄组。基于捷克最大的健康保险公司——国家健康保险公司提供的2010 - 2019年数据,编制了一个原始数据集。使用相关分析和回归分析方法来实现目标。构建并测试了两个模型:(1)预防性检查模型和(2)65岁及以上年龄组预防性检查模型。根据结果,退休人员群体的预防性体检在分析期内取决于经济指标,如平均工资、就业和国内生产总值。对于总人口而言,总人口规模、平均年龄、城市化地区和教育水平起着关键作用。结果揭示了普通人群组和65岁及以上人群组之间的差异。促进预防的政府干预措施和卫生政策应考虑使用针对65岁及以上人群的适当激励政策工具,以延长老年人的积极生活时间。

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