Study on medical choice preferences of middle-aged and older chronic disease patients based on latent class analysis
10.3969/j.issn.1671-332X.2025.10.030
- VernacularTitle:基于潜类别分析的中老年慢病患者医疗选择偏好研究
- Author:
Zhengyu DUAN
1
;
Yue GONG
;
Juanjuan YAN
;
Zhongyang PEI
;
Jie YANG
Author Information
1. 山西中医药大学健康服务与管理学院 山西太原 030619;山西中医药大学中药与食品工程学院 山西太原 030619
- Publication Type:Journal Article
- Keywords:
Chronic diseases;
Latent class analysis;
Medical preference;
Medical resources
- From:
Modern Hospital
2025;25(10):1602-1606,1611
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the latent classification of medical service utilization behaviors among middle-aged and older chronic disease patients,providing a theoretical basis for the allocation of medical resources.Methods Using data from the 2018 China Health and Retirement Longitudinal Study(CHARLS)database,latent class analysis was employed to conduct subgroup analysis on the medical choice preferences of middle-aged and older chronic disease patients.Logistic regression was used to analyze the influence of various factors on medical preference subgroups.Results The medical choice preferences of middle-aged and older chronic disease patients were classified into three latent subgroups:public hospital treatment preference type,non-public hospital treatment preference type,and public hospital consultation preference type.Compared to the public hospital treatment preference type,patients under 60 years old(OR=0.456,P=0.034),those living in rural areas(OR=0.256,P=0.006),and those with smoking habits(OR=3.11,P＜0.001)were more inclined to choose non-public hospitals for treatment.In contrast,patients over 60 years old(OR=1.916,P=0.015),those with an education level of primary school or above(OR=2.595,P=0.004),and those with smoking habits(OR=2.591,P=0.044)tended to choose public hospitals for consultation or physical examinations.Conclusion Currently,private hospitals play an increasingly prominent role in chronic disease treatment.However,the utilization rate of traditional Chinese medicine among middle-aged and older chronic disease pa-tients is relatively low,and health awareness remains weak.It is recommended to strengthen the regulation of private hospitals,enhance the credibility and accessibility of traditional Chinese medicine,and intensify health education in communities to meet the growing health demands of middle-aged and older chronic disease patients.
