65岁以上老年人卫生服务可及性城乡差异

发布时间：2018-03-14 07:22

本文选题：卫生服务　切入点：可及性　出处：《中国老年学杂志》2017年12期 　论文类型：期刊论文

【摘要】：目的了解城乡老年人获得医疗卫生服务的现状及其影响因素。方法采用问卷调查和访谈法对65岁以上老人进行研究。结果相对于城镇,农村老人的卫生服务空间可及性仍较差。潜在可及性(经济可及性)农村受访者中医疗保险覆盖率为95.59%,城镇受访者中医疗保险覆盖率为96.46%,城乡差异不显著。Logistic回归分析发现影响老人看病方便程度的因素有:居住地类型、医药费价格、医院提供的服务和药品种类、医护人员技术水平、医护人员服务态度。结论提高老年人医疗卫生服务的可及性上要重点关注农村地区。此外,解决老年人医疗卫生服务的可及性差的问题可以从医院医药费价格、医护人员技术水平、医院提供的服务和品种类等方面入手。
[Abstract]:Objective to understand the status quo and influencing factors of access to medical and health services for the elderly in urban and rural areas. Methods A questionnaire survey and an interview were used to study the elderly over 65 years of age. The health service space accessibility of the rural elderly is still poor. The coverage rate of medical insurance is 95.59 among the rural respondents and 96.466.The difference between urban and rural areas is not significant. Logistic regression analysis shows that there is no significant difference between urban and rural residents. The analysis found that the factors influencing the convenience of medical treatment for the elderly are: type of residence, The price of medical expenses, the kinds of services and drugs provided by hospitals, the technical level of medical staff, the attitude of medical staff. Conclusion to improve the accessibility of medical and health services for the elderly, we should focus on rural areas. To solve the problem of poor accessibility of medical and health services for the elderly, we can start with the price of hospital medical expenses, the technical level of medical staff, the types of services and products provided by hospitals and so on.
【作者单位】：重庆医科大学医学与社会发展研究中心;重庆医科大学健康领域社会风险预测治理协同创新中心;重庆医科大学公共卫生与管理学院;
【基金】：重庆市教育委员会人文社会科学研究项目(No.15SKG028)
【分类号】：R161.7

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