Analsis on the Influencing Factors of Chronic Diseases on Prevalence and Service Utilization:Based on Anderson Health Behavioral Model
Objective:It aimed to explore the factors associated between the incidence of chronic diseases and health care service utilization. Methods:The 2023 China National Health Service Survey data was analyzed through the Anderson Model. Logistic regression was used to explore the determinants of the incidence of chronic diseases as well as the risk of catastrophic health expenditure incurred by chronic diseases. A negative binomial regression was used to explore the determinants of outpatient visits and length of stay for the patients. Results:Predisposing factors (age,household registration),enabling factors (residents from other provinces,family doctor contract services) and demand factors (physical examination,overweight,obesity,insomnia) were associated with chronic disease incidence. Among enabling factors,the length of stays was increased by basic medical insurance and commercial medical insurance,and reduced by family doctor services. Family factors,higher income,commercial medical insurances,and non-smoking were factors that reduced the risk of catastrophic health expenditure,while age,rural residence,critical illness insurance,multimorbidity,obesity and insomnia increased the risk. Conclusion:China was facing a new situation in the prevention and control of chronic diseases. The impact of economic and social factors on the chronic care utilization was fading,while nature and health factors were more influential in affecting the incidence and utilization of chronic diseases. Basic medical insurance,commercial medical insurance,family doctor contract services,and physical examination could effectively regulate the chronic care utilization and control economic risks of chronic diseases.
noncommunicable chronic diseaseshealth care utilizationoutpatient visitslength of staycatastrophic health expenditure
万方数据
维普
