印度尼西亚老年人中粮食不安全和门诊护理的使用情况
Mardiana Dwi Puspitasari1, Mugia Bayu Rahardja1, Indra Murty Surbakti2
1Research Center for Population, National Research and Innovation Agency (BRIN), Jakarta, Indonesia.
Asia-Pacific journal of public health
|May 9, 2024
概括
粮食不安全严重减少了印尼老年人的门诊护理机会. 缺乏医疗保险也阻碍了护理利用,强调资源限制是关键障碍.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 家庭粮食不安全问题是全球老龄化人口日益关注的问题.
- 获得医疗保健服务对于维持老年人的福祉至关重要.
- 了解低收入和中等收入国家医疗保健利用的决定因素至关重要.
研究的目的:
- 调查印尼老年人家庭粮食不安全和门诊护理利用之间的联系.
- 确定影响印尼弱势老年人群获得医疗保健的因素.
主要方法:
- 利用了2020年国家社会经济调查 (SUSENAS) 的个人级别数据和2021年乡村潜在人口普查数据收集调查 (PODES) 的村级数据.
- 采用二级二进制物流回归模型,分析了来自84,096个村庄的29950名老年人的数据.
- 检查了粮食不安全和医疗保险状况对门诊护理利用的影响.
主要成果:
- 在严重粮食不安全的家庭中,老年人不使用门诊护理的可能性更高 (OR 1.963).
- 缺乏医疗保险也与门诊护理利用率的减少有关 (OR 1.654).
- 村级的变化表明,改善的初级医疗保健服务对门诊护理的利用产生了积极的影响 (ICC = 0.162).
结论:
- 家庭粮食不安全是印尼老年人门诊护理利用率下降的主要决定因素.
- 家庭层面的资源限制严重阻碍了获得必要的医疗保健服务.
- 针对粮食安全和医疗保险的政策干预对于改善老年人获得医疗保健至关重要.
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