Jitapunkul S, Songkhla M N, Chayovan N, Chirawatkul A, Choprapawon C, Kachondham Y, Buasai S
Department of Medicine, Faculty of Medicine, Chulalongkorn University, Thailand.
J Med Assoc Thai. 1998 Sep;81(9):658-64.
Of the 4,480 elderly subjects in a multistage random sampling household survey of a National Survey of the Welfare of the Elderly in Thailand (SWET), 669 (14.9%) reported that they had been hospitalised during the last year and were recruited in an analysis which aimed to examine associated factors of state hospital utilisation among Thai elderly. Seventy eight per cent had been admitted once during the last year. Mean (standard deviation) duration of hospital stay during the last year was 11.9 (20.1) days. For the last period of hospitalisation, 532 elderly (79.5%) were admitted to state hospitals. One hundred and nineteen elderlies (17.8%) used private hospitals. Only 18 elderly (2.3%) used both state and private hospitals. According to the causes of hospitalisation, the elderly who used state hospitals were not more severely ill than those who used private hospitals. Nine univariate factors associated with state hospital utilisation were entered in a logistric regression model in which five independent determinants were identified including 'do not have electricity', 'heads of the family are not their children', 'do not have own savings', 'live in rural area', and 'have heard about free health care programme'. The Ministry of Public Health and organisations which are concerned with the elderly should allocate more resources to advertising a free health care programme for Thai elderly.
在泰国老年福利全国调查（SWET）的多阶段随机抽样家庭调查中的4480名老年受试者中，669人（14.9%）报告称他们在过去一年中曾住院，并被纳入一项旨在研究泰国老年人国立医院利用相关因素的分析。78%的人在过去一年中曾住院一次。过去一年的平均（标准差）住院时间为11.9（20.1）天。在最后一次住院期间，532名老年人（79.5%）入住国立医院。119名老年人（17.8%）使用私立医院。只有18名老年人（2.3%）同时使用国立和私立医院。根据住院原因，使用国立医院的老年人并不比使用私立医院的老年人病情更严重。九个与国立医院利用相关的单因素被纳入逻辑回归模型，其中确定了五个独立决定因素，包括“没有电”、“户主不是他们的子女”、“没有自己的储蓄”、“居住在农村地区”以及“听说过免费医疗保健计划”。泰国公共卫生部和关注老年人的组织应分配更多资源来宣传针对泰国老年人的免费医疗保健计划。
