Analysis on Status,Influencing Factors and Differences Between Urban and Rural Areas in Utilization of Outpatient Services Among Elderly Patients with Chronic Diseases in China
Analysis on Status,Influencing Factors and Differences Between Urban and Rural Areas in Utilization of Outpatient Services Among Elderly Patients with Chronic Diseases in China
Objective:To explore the status of outpatient service utilization among elderly patients with chronic diseases in China,its influencing factors and urban-rural differences,so as to provide references for optimizing the allocation of outpatient re-sources and promoting the management of chronic diseases in China.Methods:Using data from the China health and retirement longitudinal study in 2018,we counted the basic situation of outpatient services among elderly patients with chronic diseases and analyzed the urban-rural differences.Then,we applied the zero-inflated negative binomial regression model and logistic regression model to analyze the influencing factors and urban-rural differences.Results:A total of 7463 elderly patients with chronic diseases were included,and the four-week outpatient rate was 17.81％.Urban patients were more likely to choose medical institutions that were public(P＜0.001),above the county/city/district level(P＜0.001),and within 10 km(P＜O.OO1).Utilization of outpatient services among rural elderly patients with chronic diseases was signifiicantly influenced by patients'gender,medical insurance sta-tus,and pension insurance status(P＜0.05),whereas household income,education level,health status,and various health behav-ior factors played a significant role in the urban sample(P＜0.05).Conclusion:The outpatient rate of elderly patients with chronic diseases in China is relatively low,especially those who live in rural areas,have a low level of education and do not have health in-surance.Factors affect outpatient service utilization indicators in different ways and play different roles in urban and rural samples.The role of gender is strong in differentiating the use of outpatient services among rural patients.The income gap among urban resi-dents can lead to a disadvantage in the use of outpatient services for those with lower family income.
关键词
慢性病管理/门诊服务利用/影响因素/城乡差异
Key words
Chronic Disease Management/Utilization of Outpatient Service/Influencing Factor/Urban-rural Difference
维普
万方数据