Study on the Utilization of Inpatient Services for Middle-Aged and Elderly Rural Females in Less Developed Regions of China

Wen, Xiaotong; Cui, Lanyue; Fang, Yuan; Liu, Xiaojun; Ouyang, Mufeng; Sun, Yuxiao; Liu, Yuchen; Liu, Yong; Yu, Hwa‐Lung; Zheng, Huilie; Lu, Yuanan; Yuan, Zhigang

doi:10.3390/ijerph17020514

Cited by 11 publications

(10 citation statements)

References 44 publications

(54 reference statements)

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“…This phenomenon is consistent with our hypothesis and is also consistent with the other studies among the Fig. 2 The rate of annual inpatient health service utilization from 2011 to 2018 elderly in China [16,29]. The medical security system is known to have a positive impact on IHSU; accordingly, the increasing rate of IHSU may be related to the massive increase in demand for medical care following the introduction of medical security systems [30,31].…”

Section: Discussionsupporting

confidence: 92%

“…Many studies have confirmed that some demographic or socioeconomic determinants will affect people's use of inpatient services [32][33][34]. In our study, age, chronic diseases, economic status and lifestyle were found to be associated with the IHSU, conforming to previous study analyzing health inequity [29]. First of all, age and chronic diseases had positive elasticity and pure percentage contribution to CI, which indicated older and having chronic diseases were significantly associated with the occurring of IHSU.…”

Section: Discussionsupporting

confidence: 88%

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Trends in equity of inpatient health service utilization for the middle-aged and elderly in China: based on longitudinal data from 2011 to 2018

Fan

Zhao

et al. 2021

BMC Public Health

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Background The aim of this study was to assess the trends in equity of receiving inpatient health service utilization (IHSU) in China over the period 2011–2018. Methods Longitudinal data obtained from China Health and Retirement Longitudinal Studies were used to determine trends in receiving IHSU. Concentration curves, concentration indices, and horizontal inequity indices were applied to evaluate the trends in equity of IHSU. Results This study showed that the annual rate of IHSU gradually increased from 7.99% in 2011 to 18.63% in 2018. Logistic regression shows that the rates of annual IHSU in 2018 were nearly 3 times (OR = 2.86, 95%CL: 2.57, 3.19) higher for rural respondents and 2.5 times (OR = 2.49, 95%CL: 1.99, 3.11) higher for urban respondents than the rates in 2011 after adjusting for other variables. Concentration curves both in urban and rural respondents lay above the line of equality from 2011 to 2018. The concentration index remained negative and increased significantly from − 0.0147 (95% CL: − 0.0506, 0.0211) to − 0.0676 (95% CL: − 0.0894, − 0.458), the adjusted concentration index kept the same tendency. The horizontal inequity index was positive in 2011 but became negative from 2013 to 2018, evidencing a pro-low-economic inequity trend. Conclusions We find that the inequity of IHSU for the middle-aged and elderly increased over the past 10 years, becoming more focused on the lower-economic population. Economic status, lifestyle factors were the main contributors to the pro-low-economic inequity. Health policies to allocate resources and services are needed to satisfy the needs of the middle-aged and elderly.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 88%

Trends in equity of inpatient health service utilization for the middle-aged and elderly in China: based on longitudinal data from 2011 to 2018

Fan

Zhao

et al. 2021

BMC Public Health

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“…This finding is consistent with recent research showing somewhat greater reductions in mortality related to adequate access to healthcare in rural settings than in urban settings [5]. Although the healthcare system was improved in rural China in 2000-2015 [41], these areas continued to have healthcare programs that were less adequate than those in urban areas [25,35,42]. It has been shown that financial barriers are often major obstacles for acquiring care in rural areas [5]; largely because of low income (and few pensions), high out-of-pocket costs, and high medical co-payments [43].…”

Section: Discussionsupporting

confidence: 89%

Adequate access to healthcare and added life expectancy among older adults in China

Li-sha

Dupre

et al. 2020

BMC Geriatr

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Background: Adequate access to healthcare is associated with lower risks of mortality at older ages. However, it is largely unknown how many more years of life can be attributed to having adequate access to healthcare compared with having inadequate access to healthcare. Method: A nationwide longitudinal survey of 27,794 older adults aged 65+ in mainland China from 2002 to 2014 was used for analysis. Multivariate hazard models and life table techniques were used to estimate differences in life expectancy associated with self-reported access to healthcare (adequate vs. inadequate). The findings were assessed after adjusting for a wide range of demographic factors, socioeconomic status, family/social support, health practices, and health conditions. Results: At age 65, adequate access to healthcare increased life expectancy by approximately 2.0-2.5 years in men and women and across urban-rural areas compared with those who reported inadequate access to healthcare. At age 85, the corresponding increase in life expectancy was 1.0-1.2 years. After adjustment for multiple confounding factors, the increase in life expectancy was reduced to approximately 1.1-1.5 years at age 65 and 0.6-0.8 years at age 85. In women, the net increase in life expectancy attributable to adequate access to healthcare was 6 and 8% at ages 65 and 85, respectively. In men, the net increases in life expectancy were generally greater (10 and 14%) and consistent after covariate adjustments. In contrast, the increase in life expectancy was slightly lower in rural areas (2.0 years at age 65 and 1.0 years at age 85) than in urban areas (2.1 years at age 65 and 1.1 years age 85) when no confounding factors were taken into account. However, the increase in life expectancy was greater in rural areas (1.0 years at age 65 and 0.6 years at age 85) than in urban areas (0.4 years at age 65 and 0.2 years at age 85) after accounting for socioeconomic and other factors. Conclusions: Adequate access to healthcare was associated with longer life expectancy among older adults in China. These findings have important implications for efforts to improve access to healthcare among older populations in China.

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“…Middle-aged and elderly females with chronic diseases and non-labor females have a higher probability of getting hospitalized in accordance with a study conducted in a Chinese Province [ 16 ].…”

supporting

confidence: 85%

Potential Risks and Factors of Women’s Health Promotion

Costantino

Casuccio

Restivo

2020

IJERPH

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Study on the Utilization of Inpatient Services for Middle-Aged and Elderly Rural Females in Less Developed Regions of China

Cited by 11 publications

References 44 publications

Trends in equity of inpatient health service utilization for the middle-aged and elderly in China: based on longitudinal data from 2011 to 2018

Trends in equity of inpatient health service utilization for the middle-aged and elderly in China: based on longitudinal data from 2011 to 2018

Adequate access to healthcare and added life expectancy among older adults in China

Potential Risks and Factors of Women’s Health Promotion

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