The Use of Community-based Health Services by the Aged in the Urban and Rural Areas of China and its Influencing Factors:An Analysis Based on Andersen's Behavioral Model of Health Services Use
In the dual context of population aging and the Healthy China Strategy,the development of the health services for the aged is one of the focuses in the development of the community-based medical and health services.Based on Andersen's Behavioral Model of Health Services Use,this paper analyzes the use of the community-based health services and its influencing factors among the aged in the urban and rural areas by using the data-tracking survey of the aged in China in 2020.The results of the latent category model indi-cate that the use of the community-based health services by the aged in the urban and rural areas falls into three categories:the compre-hensive,the low use,and the preventive health care,accounting for 1.13％,85.67％,and 13.19％,respectively.The regression anal-ysis reveals that demand factors and enabling factors are important factors affecting the use of health services by the aged.Among them,the aged with high levels of education and poor health conditions are more likely to use community-based health services,and economic conditions are not the main factor limiting the use of community-based health services by the aged.Compared with the aged in the urban areas,the aged without spouses or living alone in the rural areas have a lower utilization rate of community-based health services.Based on this,the paper concludes that the overall utilization rate of community-based health services for the aged in China is relatively low.It is necessary to further enhance the health awareness of the aged,strengthen the functions of community-based health services for the aged,and focus on such groups as the disabled and the rural aged who are highly dependent on community-based health services.
urban and rural areasthe agedcommunity-based health service useAndersen's Behavioral Model of Health Services Use
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