摘要
目的探讨重庆市≥60岁老年人住院服务利用情况及影响因素,发现老年人住院利用中存在的问题,为制定相关政策提供依据。方法采用多阶段整群随机抽样方法,在重庆市抽取2 335名≥60岁老年人,采用基于城乡对比的单因素分析以及多因素logistic回归方法进行影响因素分析。结果老年人年住院率为10.24%,城市为9.91%,农村为10.59%;应住院而未住院率为41.28%,城市为36.32%,农村为45.62%;因损伤中毒而入院的老年人占5.88%,城市占0.83%,农村占11.02%;82.63%的老年人报销住院费用,城市为76.27%,农村为88.98%;老年人住院经济负担为29.96%,城市为24.22%,农村为44.56%;年龄,消费结构(恩格尔系数)和是否患有慢性病为老年人住院的影响因素。结论重庆市老年人疾病模式正在发生转变,城乡老年人疾病负担重;在住院利用上存在城乡、贫富和年龄差异。
Objective To investigate the factors and problems existing in the hospitalization utilization among resi- dents aged 60 years and above in Chongqing, and to provide references for making relevant policies. Methods Totally 2 335 qualified participants were selected by using multi-stage cluster random sampling. Univariate analysis and logistic regression were used in data analyses. Results The annual hospitalization rate of the elderly residents was 10. 24% （9. 91% for urban residents and 10. 59 % for rural residents）. The non-hospitalization rate was 41.28 % among the elderly with diseases to be treated under hospitalization and the rate was 5.88% for the elderly with injury or poisoning（0. 83% in urban area and 11.02% in rural area）. The propotion of the elderly hospitalized patients getting reimbursement for the cost of hospitalization was 82. 63 % （76. 27 % in the urban and 88.98 % in the rural）. However, the economic burden of the hospitaliztion for the elderly with hospitalization was 29. 96% of their total income and the rural elderly hospitalized patients had a significantly higher economic burden （44. 56 % of total income） than urban elderly patients. Multivariate an- alyses indicated that hospitalization utilization was influenced by age, Engel coefficient and chronic disease among the elderly. Conclusion The disease pattern has been changed among the elderly in Chongqing and their disease burden is heavy. There are significant differences in hospitalization utilization between the urban and rural, rich and poor, older and young elderly.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2014年第2期141-143,共3页
Chinese Journal of Public Health
关键词
老年人
住院利用
影响因素
older person
hospitalization utilization
influencing factor
