中国中年和老年人中医疗服务的可及性和自我报告的健康状况:倾向性得分匹配和混合效应的顺序逻辑分析
Heling Ai1, Ariel Shensa2, Faina Linkov2
1Shanghai University of Traditional Chinese Medicine, China.
概括
未满足的医疗保健需求会对自我报告的健康产生负面影响,特别是在中国农村的成年人中. 金融障碍加剧了这些影响,需要有针对性的医疗改革.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 老年学是一门学科.
背景情况:
- 未满足的医疗保健需求是中年和老年人的一个重大问题.
- 在获得医疗保健方面,城市和农村之间的差异在中国仍然存在.
研究的目的:
- 评估未满足的医疗保健需求对中国成年人 (≥45岁) 自己报告的健康状况的影响.
- 调查这种影响的城乡差异.
- 确定金融障碍的作用.
主要方法:
- 利用了2011年,2013年和2015年中国健康和退休长度调查 (CHARLS) 的数据.
- 雇员倾向得分匹配和混合效应的顺序逻辑模型.
- 纳入交互效应回归来分析城乡差异.
主要成果:
- 门诊护理本身没有显著的影响,但金融障碍加剧了其影响.
- 未满足的住院护理显著降低了自我报告的健康状况,财务障碍放大了这种负面影响.
- 不满足住院护理的负面影响仅在农村居民中显著.
结论:
- 未得到满足的医疗保健需求,特别是与财务障碍相关的医疗保健需求,会严重损害自我报告的健康状况.
- 农村人口不成比例地受到未满足的医疗保健需求的影响.
- 针对金融保护和医疗保健服务的有针对性的改革对于解决这些差异至关重要.
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