文献类型：期刊文献

中文题名：甘肃省老年人卫生服务利用现状及影响因素研究——基于安德森模型

英文题名：Study on the Current Situation and Influencing Factors of Health Service Utilization for the Elderly in Gansu Province——Based on Anderson Model

作者：苏彬[1];杨敬宇[1,2];路杰[3];陈蒙恩[4];孔凡心[4];魏学煊[1];丛天诊[4]

第一作者：苏彬

机构：[1]兰州大学公共卫生学院,甘肃兰州730000;[2]甘肃中医药大学经贸与管理学院,甘肃兰州730000;[3]甘肃省卫生健康统计信息中心,甘肃兰州730000;[4]甘肃中医药大学公共卫生学院,甘肃兰州730000

第一机构：兰州大学公共卫生学院,甘肃兰州730000

年份：2024

卷号：41

期号：2

起止页码：61

中文期刊名：卫生经济研究

收录：;北大核心:【北大核心2023】；

基金：2021—2022年度甘肃医疗保障大数据和政策(协同)研究中心公开招标重点课题“公立医院DRGs实施成效及问题实证研究”;2021年度甘肃省优秀研究生“创新之星”项目“基于DRGs的公立医院试点效果及疾病诊断相关分组研究”(2021CXZX-740);甘肃中医药大学研究生创新创业基金项目“重大疫情下城乡居民门诊慢特病保障机制研究——以兰州市为例”(2022CX73)。

语种：中文

中文关键词：卫生服务利用;老年人;影响因素;安德森模型

外文关键词：health service utilization;elderly;influencing factors;Anderson Model

摘要：目的:了解甘肃省两县区老年人卫生服务利用现状及其影响因素,为完善医疗卫生服务体系建设,提高老年人卫生服务可及性提供参考。方法:构建安德森卫生服务利用行为模型,分析老年人卫生服务利用的影响因素。结果:样本地区老年人近一个月门诊就诊率为4.03%,近一年住院服务利用率为12.98%;多因素Logistics回归分析显示,以前吸烟、到达最近医疗机构时间大于30分钟的老年人门诊服务利用率较高;患慢性病、政府救助对象、离家最近的医疗机构为县级及以上医院的老年人住院服务利用率较高;需要因素对老年人卫生服务利用的影响最大。结论:样本地区老年人卫生服务利用率较低,应通过加强基层卫生服务体系建设、完善医疗保险救助制度、落实基本公共卫生服务项目,提高老年人卫生服务利用,防止因贫致病、因病返贫。
Objective To understand the current situation and influencing factors of health service utilization for the elderly in two counties in Gansu Province,and to provide reference for improving the construction of medical and health service system and the accessibility of health services for the elderly.Methods Anderson behavioral model of health service utilization was constructed to analyze the influencing factors of health service utilization for the elderly.Results The consultation rate of the elderly in the sample areas in the past month was 4.03%,and the utilization rate of inpatient services in the past year was 12.98%.Multifactorial logistics regression analysis showed that the utilization rate of outpatient services was higher for the elderly who had smoked before and whose arrival time to the nearest medical institution was more than 30 minutes.The utilization rate of inpatient services was higher for those who suffered from chronic diseases,those who were recipients of governmental assistance,and those whose nearest medical institution to their home was a county-level or higher hospital.The need factor had the greatest influence on the utilization of health services for the elderly.Conclusion The utilization rate of health services for the elderly in the sample areas is low.It is necessary to improve the utilization of health services for the elderly by strengthening the construction of the primary health service system,improving the medical insurance assistance system,and implementing the basic public health service projects,so as to prevent diseases caused by poverty and returning to poverty due to diseases.Prevent diseases caused by poverty and returning to poverty due to illness.