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目的了解民族地区农村留守老年人住院服务利用状况,分析影响住院服务利用的因素。方法利用2008年中国卫生服务调查贵州省黔东南苗族侗族自治州施秉县5乡镇10行政村299名≥60岁农村老年人健康状况及住院服务调查数据,多元Logistic逐步回归方法分析影响因素。结果留守老年人年住院率8.1%,低于非留守老年人平均水平(20.1%),差异有统计学意义(χ2=8.45,P=0.004);留守老年人住院患者人均年住院费用报销金额(288.49±204.42)元低于非留守老年人的(667.07±826.42)元,差异有统计学意义(t=-2.419,P=0.020);留守老年人年住院费用补偿比31.38%低于非留守老年人的34.50%。留守老年人比非留守老年人更不倾向于利用住院服务,患慢性病的老年人比未患慢性病的老年人、在健康档案项目活动中测量过血压的老年人比未测量过血压的老年人、报销过住院费的老年人比未报销过住院费的老年人更倾向于报告利用住院服务,OR值分別为0.40,6.59,3.52,2.68。结论留守老年人比非留守老年人住院服务利用程度低;慢性病、测量血压、住院费报销对住院服务利用有影响。
Objective To understand the utilization of hospitalized services for left-behind elders in rural areas of ethnic minority in China and analyze the factors affecting the utilization of hospital services. Methods Using the survey data of health status and inpatient services of 299 senior citizens ≥60 years old in 10 administrative villages in 5 villages and towns in 5 villages and towns in Siping County, Guizhou Province, Mian and Dong Autonomous Prefecture in 2008, multivariate Logistic stepwise regression analysis was used to analyze the influencing factors. Results The hospitalization rate of left-behind elderly people was 8.1%, lower than the average level of non-left-behind elderly patients (20.1%), the difference was statistically significant (χ2 = 8.45, P = 0.004) 288.49 ± 204.42) was lower than 667.07 ± 826.42 yuan in non-left-behind elderly patients (t = -2.419, P = 0.020). The remuneration ratio of left-behind elderly patients was 31.38% lower than non-left-behind aged patients 34.50% of people. Left-behind elders are less likely to use hospital services than non-left-behind elders, older adults with chronic diseases than older adults without chronic diseases, older adults who have measured blood pressure during health record project activities than older adults who have not measured blood pressure, Older persons reimbursed for hospitalization were more likely to report on inpatient services than their elders who did not reimburse for hospitalization, with OR values of 0.40, 6.59, 3.52 and 2.68 respectively. Conclusion The utilization rate of inpatient services in left-behind elderly patients is lower than that in non-left-behind elderly patients. Chronic diseases, blood pressure measurement and reimbursement of hospitalization expenses have an impact on the utilization of hospital services.