Study on the Utilization Status and Influencing Factors of Health Management Services for Floating Elderly Population with Chronic Diseases:a Comparative Analysis based on the Differences between Urban and Rural Areas
10.11783/j.issn.1002-3674.2023.06.007
- VernacularTitle:流动老年慢病患者健康管理服务利用现状及影响因素研究
- Author:
Qiusha LI
1
,
2
,
3
;
Zixuan ZHAO
;
Jia SONG
Author Information
1. 潍坊医学院公共卫生学院(261053)
2. "健康山东"重大社会风险预测与治理协同创新中心
3. 健康相关重大社会风险预警协同创新中心
- Keywords:
Floating elderly population;
Patients with chronic diseases;
Utilization of health management services;
Binary logistic regression
- From:
Chinese Journal of Health Statistics
2023;40(6):832-835
- CountryChina
- Language:Chinese
-
Abstract:
Objective Our study systematically analyzed the utilization status and influencing factors of health management services for floating elderly patients with chronic diseases in China,and compares the differences between urban and rural areas,in order to provide countermeasures and suggestions for realizing the equalization of basic public health services and improving the quality of life and health level of floating elderly population.Methods We used the dynamic monitoring survey data of China's floating population in 2017,floating elderly aged 60 and above with chronic diseases diagnosed by doctors were selected as the research objects.Under the guidance of social ecological theory,the binary logistic regression model was used to analyze the influencing factors of the utilization of health management services by floating elderly patients with chronic diseases in the whole,rural and urban areas.Results Among the 2158 floating elderly patients with chronic diseases,the utilization rate of health management services was 46.6%,47.2%in rural areas and 45.9%in urban areas.The results of binary logistic regression showed that gender,age,self-rated health status,two-week visiting rate,family monthly income,whether they had heard of national basic public health projects,flow range,flow time and inflow region had an impact on the utilization of health management services by floating elderly patients with chronic diseases(P<0.05).Conclusion The utilization rate of health management services for floating elderly patients with chronic diseases in China is low.Service utilization is affected by multidimensional factors such as personal characteristics,individual behavior,interpersonal level,social environment and mobility characteristics,and there are some differences between urban and rural areas.