| 引用本文: |
赵靓,杜芳,张小雨,等.深圳市养老机构失能老人医疗护理服务利用现状及影响因素分析*[J].中国卫生经济,2023,42(8):66-69.[点击复制] |
Zhao Liang,Du Fang,Zhang Xiaoyu,et al.Status Quo and Influencing Factors of the Medical Service Utilization among Disabled Elderly in Nursing Homes of Shenzhen[J].CHINESE HEALTH ECONOMICS,2023,42(8):66-69.[点击复制] |
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| 摘要: |
| 目的：了解深圳市养老机构失能老人的医疗护理服务利用现状与影响因素，为完善失能老人医疗照护服务体系提供依据。方法：基于深圳市养老机构失能老人照护服务利用现状调查数据，利用安德森卫生服务利用行为模型，对失能老人的医疗护理服务利用情况及影响因素进行分析。结果：深圳市养老机构失能老人中，重度失能和多病共病比例大，医疗护理类服务利用率较高，但群体分布不均。婚姻状况、每月退休金、医保报销比例及过去半年住院治疗情况是影响养老机构失能老人利用医疗护理服务的重要因素 （P＜0.05)。结论：养老机构应加强慢性病管理，推进医养融合，扩大医疗护理服务的供给；关注弱势群体，加强对无伴侣和贫困失能老人的社会支持和经济支持，以促进失能老人对医疗护理服务的公平利用。 |
| 关键词: 失能老人 医疗护理服务利用 安德森卫生服务利用行为模型 深圳 |
| DOI： |
| 投稿时间：2023-05-27 |
| 基金项目:深圳市”医疗卫生三名工程”项目资助 （SZSM202111001） |
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| Status Quo and Influencing Factors of the Medical Service Utilization among Disabled Elderly in Nursing Homes of Shenzhen |
| Zhao Liang,Du Fang,Zhang Xiaoyu,Chen Piaopiao,Wu Liqun |
| (Shenzhen Health Development Research and Data Management Center, Shenzhen, Guangdong, 518000 ,China) |
| Abstract: |
| Objective: To explore the utilization of medical service and its influencing factors, and to provide suggestions for the health care system of disabled elderly. Methods: Basing on the survey data of the utilization of medical care among disabled elderly in nursing home in Shenzhen, Andersen’s health services utilization behavioral model was conducted to analyze the utilization and influ- encing factors of health care and nursing services for the disabled elderly. Results: Among the disabled elderly in nursing home in Shenzhen, the proportion of severe disability and comorbidity was large, and the utilization rate of medical care was high. Marital sta- tus, monthly pension, medical insurance reimbursement ratio and hospitalization in the past 6 months were the main factors influencing the utilization of medical service for the disabled elderly in nursing home （P＜0.05). Conclusion: The management of chronic disease should be improved and medical care and nursing care should be integrated to expand the supply of medical service in nursing home. Much attention should be paid to the vulnerable group, which means the social support and economic support should be strengthened to promote the use of medical service by the disabled elderly. |
| Key words: disabled elderly health services utilization Andersen’s health services utilization behavioral model shenzhen |
