Health Service Utilization and Expenditure of the Elderly in China

2016 ◽  
Vol 10 (2) ◽  
pp. 162-174 ◽  
Author(s):  
Jing Hu ◽  
Chien-Chung Huang
Keyword(s):  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
The Elderly

scholarly journals Pattern of Outpatient Health Service Utilization by Older People in Iran

Salmand ◽  
2021 ◽  
Vol 15 (4) ◽  
pp. 410-427
Author(s):  
Maryam Tajvar ◽  
◽  
Mehdi Yaseri ◽  
Badriye Karami ◽  
Mariya Mohammadi ◽  
...  
Keyword(s):  
Health Service ◽  
Health Services ◽  
Older People ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Health Planning ◽  
The Elderly ◽  
National Study ◽  
Outpatient Services ◽  
To Receive

Objectives: Considering the rapid growth of Iran’s elderly population with consequent increase in the costs of health services, it is necessary to be aware of the pattern of outpatient health service utilization, in the elderly for resource allocation and health planning. This study aims to determine the pattern of outpatient service utilization for the elderly in Iran and explore determinant factors. Methods & Materials: This is a cross-sectional study using secondary analysis method and the data from 2015 National Study of Health Service Utilization. Study population consists of older people aged ≥60 years. Of these, 8205 were selected as study samples. The data were collected using personal and household questionnaires collecting information on subjects’ need for, referral to, utilization from, and satisfaction with outpatient services. Logistic regression analysis was used to identify factors related to the need, referral, benefit, and satisfaction with the received outpatient services. Results: Out of 8205 participants, 3172 (39%) reported the need for outpatient services, of which 66% referred for services; of these, 98% (N=2060) benefited outpatient services. Females, older subjects, villagers, unmarried and illiterate subjects were more in need of outpatient services, but their referrals to receive the services were not more than those of other groups. Lack of basic insurance, supplementary insurance, and a personal care had a significant impact on reducing the number of subjects referred to receive outpatient services. Inability to pay treatment costs (30%), self-treatment (28%) and lack of proper insurance coverage (13%) were the most important reasons for not referring to receive outpatient services. The highest satisfaction was related to the behavior of physicians and medical staff and the lowest satisfaction was related to the cost of outpatient services. Conclusion: Although the use of outpatient health services should be based on the need for these services, the present study showed that the older people with higher socio-economic status had higher utilization from the services in Iran. Therefore, there is an inequality in access to outpatient services in the elderly. The reasons for not using outpatient services and dissatisfaction with these services should be seriously considered by health policy makers.

Arthritis health service utilization among the elderly: The role of urban-rural residence and other utilization factors

1998 ◽  
Vol 11 (3) ◽  
pp. 177-185 ◽  
Author(s):  
Kenneth G. Saag ◽  
Bradley N. Doebbeling ◽  
James E. Rohrer ◽  
Sheela Kolluri ◽  
Theresa A. Mitchell ◽  
...  
Keyword(s):  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
The Elderly ◽  
Rural Residence ◽  
Urban Rural

Health Service Utilization and associated factors Among Older Adults in Ambo Town, West Shoa Zone, Oromia, Ethiopia

2019 ◽  
Vol 1 (1) ◽  
pp. 8-19
Author(s):  
Abiru Neme Negewo ◽  
Wadu Wolancho Debocha ◽  
Gadisa Bekele Bedada
Keyword(s):  
Older Adults ◽  
Health Service ◽  
Health Services ◽  
Medical History ◽  
Service Utilization ◽  
Chronic Condition ◽  
Health Service Utilization ◽  
Associated Factors ◽  
The Elderly ◽  
History Of

In any country use of health services by elderly could vary according to the cultural, social, economic and demographic situation of the person who may need care. In certain contexts, it particularly varies with age and sex of the potential service user. However; there is paucity of information on the level and associated factors on health service utilization among elderly population in Ethiopia in general and in the study site in particular. To assess Factors Health Service Utilization and associated factors Among Older Adults in Ambo Town, West Shoa Zone, Oromia, Ethiopia. A community based cross sectional study carried out on 284 elderly populations residing in Ambo town from February- March 2018. The collected data was cleaned, coded and entered into computer and analyzed using SPSS windows version 20.0. Descriptive statistics were done to summarize data. Binary and multiple logistic regression was undertaken to determine the independent predictor of health service utilization.  The following factors were identified as determinants of health service utilization among the elderly in Ambo: a medical history of at least one chronic condition (OR = 1.737; [0.425-2.562]; p < 0.000), who had reported enough money to meet their need were 75% utilize health services when compared to participants who did not have enough money to meet their need 47.3% (OR = 1.587; 95% CI = [1.236 – 2.037], p = 0.004). Age, Income, education, medical history of at least one chronic condition and poor perceived health status were the most pervasive determinants of health service utilization. These factors could help health policy makers and health service providers identify and understand the situation of the elderly and consequently create conducive environment for providing appropriate health services.

scholarly journals Study on the Health Status and Health Service Utilization for the Rural Elderly in the Metropolitan Suburb During the Urbanization Process: A Case for Mingxing Village, Guangzhou

2020 ◽  
Vol 12 (9) ◽  
pp. 3560
Author(s):  
Zhiping Zhong ◽  
Lin Lin ◽  
Ying Yang
Keyword(s):  
Health Status ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
The Elderly ◽  
Rural Elderly ◽  
Living Environment ◽  
National Average ◽  
Depression Symptoms ◽  
Rapid Urbanization

Rapid urbanization development significantly accelerates residents’ income in China, but there still exists a series of problems in rural areas, especially the health status of the rural elderly in the metropolitan suburb, a crucial matter worthy of attention. Regarding the rural elderly in a suburb of Guangzhou as a research object, this paper focuses on comparison of the health status and health service utilization differences between the national and local rural area, and qualitatively analyze and explain it by the cumulative disadvantage theory during the life course. By random sampling in the study group, 122 seniors from Mingxing village in Guangzhou are selected for structured face-to-face interviews. Data analysis of questionnaires (collected by trained investigators) shows that, except for self-care ability, the elderly in the village exhibit more serious hearing, vision, movement disorder, daily activity, and pain problems than the national average. Regarding mental health, the proportion of anxiety and depression symptoms in Mingxing village is 21%, both over the national countryside average. The two-week prevalence, chronic disease prevalence, and inpatient out of hospital are 78%, 85%, and 53%, respectively, which are still higher than the 2013 national rural average. Research demonstrates that the elderly mainly choose village clinics for outpatient treatment, county hospitals for inpatient treatment. The two-week visiting rate is 33%, lower than that in 2013, and the hospitalization rate is 15%, close to 2013 level. In conclusion, the health status and health service utilization of the elderly in Mingxing village in Guangzhou is generally lower than the national average level. Daily living habits, traditional notions and willingness for medical treatment are indispensable factors in affecting the elderly health. Economic status, living environment and education level continue to be the main factors in influencing the health service utilization for the elderly in Mingxing village.

Effects of health literacy on health status and health service utilization amongst the elderly

2008 ◽  
Vol 66 (8) ◽  
pp. 1809-1816 ◽  
Author(s):  
Young Ik Cho ◽  
Shoou-Yih D. Lee ◽  
Ahsan M. Arozullah ◽  
Kathleen S. Crittenden
Keyword(s):  
Health Status ◽  
Health Literacy ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
The Elderly

Variation in Tertiary Prevention and Health Service Utilization Among the Elderly

Medical Care ◽  
1998 ◽  
Vol 36 (7) ◽  
pp. 965-976 ◽  
Author(s):  
Kenneth G. Saag ◽  
Bradley N. Doebbeling ◽  
James E. Rohrer ◽  
Sheela Kolluri ◽  
Rachel Peterson ◽  
...  
Keyword(s):  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
The Elderly ◽  
Tertiary Prevention
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