| 引用本文：范韫仪, 王一然, 郑晓瑛.中国老年残疾人口康复服务利用现状及影响因素分析[J].中国卫生政策研究,2022,15(5):31-39 |
|
| 中国老年残疾人口康复服务利用现状及影响因素分析 |
| 投稿时间：2022-04-21 修订日期：2022-05-17 PDF全文浏览 HTML全文浏览 |
| 范韫仪1, 王一然1,2, 郑晓瑛2 |
1. 北京大学人口研究所 北京 100871;
2. 北京大学亚太经合组织健康科学研究院(HeSAY) 北京 100871 |
| 摘要:目的：探索中国老年残疾人口康复服务利用现状及其影响因素。方法：使用第二次全国残疾人抽样调查数据。应用卡方检验分析老年群体间康复服务利用差异。应用多因素logistic回归模型分析老年残疾人口康复服务利用的影响因素。结果：老年残疾人口康复服务利用率(45.82%)远低于需求率(96.89%)，各项康复服务均存在较大需求与利用缺口。罹患听力残疾、中轻度残疾(三、四级)、高龄(≥80)、离婚或丧偶对老年残疾人口利用康复服务有抑制作用；残疾类型为肢体残疾或精神残疾、男性、未婚、居住在城镇、有残疾人证、有社会保险、较高的受教育水平和户人均年收入对其服务利用有促进作用。不同因素在城乡间作用方向一致，作用程度存在差异。结论：中国老年残疾人口康复服务需求尚未得到较好满足。基本人口特征、家庭特征、社会环境支持、残疾状态均影响其康复服务利用。应落实残疾报告制度；统筹康复服务资源配置；开展老年群体的健康评估与跟踪；加快完善康复服务项目的医疗保障范畴，建立以功能恢复为导向的支付原则。 |
| 关键词:老龄化 残疾 康复 卫生服务利用 |
|
| Rehabilitation service utilization and its associated factors among the elderly with disability in China |
| FAN Yun-yi1, WANG Yi-ran1,2, ZHENG Xiao-ying2 |
1. Institute of Population Research of Peking University, Beijing 100871, China;
2. PKU-APEC Health Science Academy(HeSAY), Beijing 100871, China |
| Abstract:Objective: This study was to explore situations of rehabilitation service use and associated factors among the Chinese elderly with disabilities. Methods: Data from the second China National Sample Survey on Disability (CNSSD) were used in this study. Chi-Square test was used to analyze the difference of rehabilitation service utilization among elderly groups and multivariate logistic regression models were used to analyze the influencing factors of rehabilitation service utilization among the elderly with disability. Results: The utilization rate of rehabilitation services for the elderly disabled population (45.82%) is far lower than the demand rate (96.89%), and there is a large demand and utilization gap in various rehabilitation services. Hearing disability, moderate and mild disability (grade III and IV), old age (≥80), divorce or widowhood have an inhibitory effect on the use of rehabilitation services by the elderly disabled population. Physical or mental disability, male, unmarried, living in cities and towns, with disability certificate, social insurance, high education level and annual household per capita income can promote the utilization of services. Different factors have the same direction and different degree of effect between urban and rural areas. Conclusions: The demand for rehabilitation services of the Chinese elderly disabled population has not been well met. Basic demographic characteristics, family characteristics, social environmental support and disability status all affect the utilization of rehabilitation services. Strategies to implement a disability reporting system, to coordinate the resource allocation of rehabilitation services, to strengthen the health evaluation and follow-up of the elderly, and to complete the medical insurance coverage of rehabilitation services, establish a payment principle oriented to functional recovery are warranted. |
| Key words:Population aging Disability Rehabilitation Health service utilization |
| 摘要点击次数: 1112 全文下载次数: 587 |
|
|
|
|
|
