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Differences in the Potential Accessibility of Home-Based Healthcare Services among Different Groups of Older Adults: A Case from Shaanxi Province China

机译:不同成年人群中家庭医疗保健服务潜在可访问性的差异:其中来自中国陕西省的案例

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摘要

With the increase of the aging population and the lack of family care, home-based healthcare services have gradually become the main model to cope with aging, so local governments have invested heavily in the construction of home-based healthcare services. However, healthcare services still have problems such as low resource utilization and imbalanced development. The reason is that the supply and demand of healthcare services are not matched and the potential accessibility is low. Therefore, based on the supply and demand of healthcare services, this article pulls out the spatial and social factors that affect the potential accessibility, and tests the influence of individual factors on the potential accessibility among different groups of older adults. It is found that the perceived vulnerability of the older adults will reduce the potential accessibility of healthcare services. The psychosocial status, income and education level with the willingness to use healthcare services of the older adults are directly proportional, while residence has a negative impact on the potential accessibility. Finally, based on this finding, this article puts forward feasible suggestions from the perspective of policy content, publicity, and implementation.
机译:随着人口老龄化的增加和家庭护理缺乏,家庭的医疗保健服务逐渐成为应对老化的主要模式,因此地方政府已经在重大投资于家庭保健服务的建设中。但是,医疗保健服务仍然存在低资源利用率和开发的诸如低资源利用和不平衡的问题。原因是医疗保健服务的供需不匹配,潜在的可访问性低。因此,根据医疗保健服务的供需,本文提取了影响潜在可访问性的空间和社会因素,并测试各个因素对不同成年人群体潜在可访问性的影响。结果发现,老年人的感知脆弱性将降低医疗保健服务的潜在可访问性。随着使用年龄较大的成年人的医疗保健服务愿意使用愿意使用的心理社会状况,收入和教育水平直接成比例,居住对潜在可访问性产生负面影响。最后,根据这一发现,本文从政策内容,宣传和实施的角度提出了可行的建议。

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