摘要
背景家庭化迁移已成为我国人口流动迁移的主体模式,随子女流动的老年人口数量呈逐年递增趋势。上海市第六次人口普查数据显示,上海市外省市来沪常住人口为897.70万,其中60岁及以上人口为23.41万。但目前关于流动老年人口就医行为的研究较少。目的了解上海市流动老年人口卫生服务利用情况,分析其影响因素。方法采用量性研究和质性研究相结合的研究方法。量性资料来源于2015年国家卫生计生委全国流动人口动态监测项目中上海市流动老年人口(n=752)卫生服务利用数据。质性资料来源于2015年9—12月上海市30例流动老年人个人深入访谈资料,内容包括上海市流动老年人的基本社会经济特征、健康状况和生活质量、卫生服务需求、卫生服务利用情况及存在的问题等。分析上海市流动老年人口的卫生服务利用情况,采用二分类Logistic回归分析其影响因素。结果 752例上海市流动老年人口中,728例(96.8%)自评身体健康/基本健康,174例(23.1%)患有高血压或糖尿病,484例(64.4%)有医疗保险。平常患轻症时,选择就医者427例(56.8%),在本地找/买药或自我治疗者279例(37.1%),从老家带药者18例(2.4%),不处理等待自愈者20例(2.7%),其他8例(1.0%)。Logistic回归分析结果显示:流动原因、本地朋友数量是流动老年人口在患轻症时是否就医的影响因素(P<0.05)。个人深入访谈发现异地医保报销问题、经济收入、怕麻烦、不能独自一人到医疗机构就医影响流动老年人口对卫生服务的利用。结论上海市流动老年人口的健康状况良好,卫生服务利用度较高。流动原因、本地朋友数量影响流动老年人口卫生服务利用度。建议健全基层医疗卫生机构网络的建设,提高流动老年人口的卫生服务可及性;发挥社会团体作用,重视家庭支持,引导流动老年人口合理利用卫生资源;继续推进建立简便快捷的流�
Background Family migration has become a main pattern of population migration in China.The number of elderly people moving with their children is increasing year by year.According to the data of Shanghai part of the Sixth National Population Census of the People's Republic of China,the permanent residents migrated to Shanghai is 8.977 0 million,of whom 0.234 1 million are older people aged 60 or over.However,there are few studies about the health-seeking behaviors of elderly migrants.Objective To investigate health services utilization and influencing factors among elderly migrants in Shanghai.Methods Quantitative and qualitative approaches were used in this mixed-method study.Quantitative data came from the data of health service utilization of the elderly migrants in Shanghai(n=752)in the National Dynamic Monitoring Project of the National Health and Family Planning Commission in 2015.The qualitative data came from in-depth interviews with 30 elderly migrants in Shanghai from September to December 2015,including the basic social and economic characteristics,health status and quality of life,health service needs,health services utilization and existing problems.The health services utilization of elderly migrants in Shanghai was analyzed.And the influencing factors of health services utilization of this population were identified with binary Logistic regression.Results A total of 752 elderly people were included.Among them,the prevalence rates of self-perceived good health,hypertension or diabetes,and having medical insurance were 96.8%(728/752),23.1%(174/752),and 64.4%(484/752),respectively.In terms of the management of a mild illness,the prevalence rates of visiting a doctor,looking for/buying drugs in places near the residence or treating themselves,using drugs brought from hometown,waiting for self-healing without treatment and the others were 56.8%(427/752),37.1%(279/752),2.4%(18/752),2.7%(20/752)and 8(1.0%)respectively.Logistic regression analysis showed that reasons for migration,and number of friends in S
作者
王泳仪
王伟
严非
WANG Yongyi;WANG Wei;YAN Fei(School of Public Health/Key Lab of Health Technology Assessment,Ministry of Health(Fudan University)/Collaborative Innovation Center of Health Risks Governance,Fudan University,Shanghai 200032,China;Shenzhen Nanshan Center for Chronic Disease Control,Shenzhen 518054,China)
出处
《中国全科医学》
CAS
北大核心
2019年第1期32-37,共6页
Chinese General Practice
基金
国家自然科学基金资助项目(71403007)
国家卫生计生委流动人口计划生育服务管理司委托项目
复旦大学新进青年教师科研起步项目
关键词
老年人保健服务
卫生服务使用研究
卫生服务需求
居住流动性
人口群体
影响因素分析
Health services for the aged
Marketing of health services
Health services needs and demand
Residential mobility
Population groups
Root cause analysis
