社区居家养老意愿下居住方式和子女支持对老年人基层卫生服务需求的影响

目的:探讨居住方式和子女支持对老年人基层卫生服务需求的影响,使基层卫生服务更具针对性,以满足不同居家类型老年人的卫生服务需求.方法:利用2016年中国老年社会追踪调查数据,采用负二项Hurdle回归模型(NBH模型)分析.结果:与子女同住会显著提高城乡居家老年人对基层卫生服务的需求(P<0.05),子女经济支持则会显著...

Impact of living styles and children's support on the demand for primary health services of the elderly under the willingness of community home care

Objective: To explore the influence of living styles and children''s support on the demands of primary health services of the elderly, so as to make the primary health services more targeted, with a straightforward purpose to meet the demands of different types of nursing home services among elderly population. Methods: Analysis was carried out using the negative binomial hurdle regression model (NBH model) based on the data from the Social Follow-up Survey conducted among the elderly in 2016 in China. Results: Living with children significantly increased the demand for primary health services of the elderly (P<0.05), the financial support of children significantly reduced the demand for primary health services (P<0.05), and the children''s emotional support significantly reduced the elderly''s demand for primary health services at any time of needed, even once (P<0.05). In addition, household registration, self-rated health, chronic disease, ADL level and the number of children were the factors that influenced elderly''s demand for primary healthcare services (P<0.05). Conclusions and Suggestions: Family care plays an important role in community home care, and family responsibility should be integrated into the home-based community healthcare system. The government should pay attention to the practical needs of elderly population in rural areas; disabled elderly and elderly with chronic diseases in general, enrich the service content of primary healthcare institutions, improve the medical service quality, and enhance the betterment of healthcare needs of the elderly who are willing to provide for the community home care.