A Study On The Needs And Utilization Of Health Services For The Elderly In Jiangxi Province

Objective:Taking advantage of the opportunity of the sixth national health service survey,this paper aims to grasp the current situation of health service needs and utilization of the elderly population in Jiangxi Province,and explore its influencing factors,so as to provide data support for better improving the health status of the elderly population in Jiangxi Province,meeting the health service needs of the elderly population in Jiangxi Province,realizing healthy aging and providing reference for policy-making.Method:Multi-stage stratified random cluster sampling was adopted in this field survey.SAS 9.0 was used to collate and calibrate the data,and IBM SPSS Statistics 21software was used for mathematical analysis.Univariate relationship analysis was conducted byχ~2test.The relationship analysis among multiple factors is processed by logistics stepwise regression analysis.Test levelαis 0.05.Result:1.A total of 10,123 permanent residents were investigated,among which 2,731were elderly,accounting for 26.98%.2.2731 people over 60 years old were investigated,including 1499 in urban areas and 1232 in rural areas.Among the elderly,48.22%were male and 51.78%were female.The elderly aged 60-year-old accounted for 29.66%,the elderly aged65-year-old accounted for 26.73%,the elderly aged 70 year-old accounted for 16.77%,the elderly aged 75 year-old accounted for 12.71%,and the elderly aged 80 year-old accounted for 14.13%.22.67%of the elderly now smoke,23.62%of the elderly have drunk alcohol in the past 30 days,53.28%of the elderly never exercise,59.98%of the elderly brush their teeth once a day on average,and 56.20%of the elderly have received physical examination in the past 12 months.58.30%of the elderly BMI in the normal range.3.64.05%of the elderly are within 1 km of the nearest medical institution,and only 1.10%of the families are more than 5 km away from the nearest medical institution.87.40%of families can reach the nearest medical center within 15 minutes,while 12.19%can reach the nearest medical center within 20 minutes or more.98.9percent of the elderly have basic medical insurance.4.The two-week prevalence rate of the elderly was 50.20%,and the chronic disease prevalence rate was 58.40%.The main diseases of the elderly in two weeks were chronic diseases,and the top five diseases were hypertension,diabetes,other types of heart disease,cerebrovascular disease and acute and chronic gastroenteritis.The top five chronic diseases in the elderly were hypertension,diabetes,intervertebral disc disease,cerebrovascular disease and other types of heart disease.5.the old two weeks Jiu Zhen Lv was 21.82%,the incidence of two week Jiu Zhen Lv 28.41%,hospitalization rate was 20.07%,the required hospital without hospitalization rate was 18.08%,of the top five diseases for two weeks:high blood pressure,diabetes,acute nasopharyngitis,acute and chronic gastroenteritis and other chronic obstructive pulmonary disease(copd),hospitalization rates in the top five main disease is high blood pressure and other motor system disease,cerebrovascular disease,intervertebral disc disease and other chronic obstructive pulmonary disease(copd).About half of the institutions visited by the elderly within two weeks were primary medical institutions.Hospitals and township hospitals in counties/county-level cities/prefecture-administered cities/cities under the provincial jurisdiction were the main medical institutions for the elderly.6.Region,chronic disease,smoking,physical examination,activities of daily living and physical exercise were the influencing factors of the disease in two weeks.Age,BMI,health records,smoking,drinking and physical examination were the influencing factors of two-week chronic disease.Age,health records,employment,smoking,physical exercise,BMI,chronic diseases and self-care ability were the influencing factors of hospitalization rate.Chronic disease,whether married or not,the severity of self perceived illness and injury,and the time of onset were the influencing factors of two-week illness without seeing a doctor.Conclusion:1.The proportion of middle-aged and elderly residents in Jiangxi Province is relatively high.2.The proportion of elderly residents with healthy behaviors is higher,but there are differences between urban and rural areas.3.The accessibility of health services for elderly residents is good,but there is still room for improvement.4.The basic medical security system has been basically covered,and the role of commercial medical insurance needs to be improved.5.The two-week prevalence rate and chronic disease rate of elderly residents are higher,and the two-week visit rate and hospitalization rate are lower.The flow of medical services in community-level medical institutions has improved,and the capacity of community-level medical services has been further enhanced.