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首页> 外文期刊>BMC Geriatrics >Comparison of access to health services among urban-to-urban and rural-to-urban older migrants, and urban and rural older permanent residents in Zhejiang Province, China: a cross-sectional survey
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Comparison of access to health services among urban-to-urban and rural-to-urban older migrants, and urban and rural older permanent residents in Zhejiang Province, China: a cross-sectional survey

机译：中国浙江省城乡老年人和城乡老年人之间以及城乡老年人永久居民获得医疗服务的比较：一项横断面调查

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While much literature reported the access of Chinese older migrants to health services, little was known about the differences among sub-groups of older adults, including urban-to-urban and rural-to-urban migrants, and urban and rural permanent residents. This study aimed to examine the access of these four groups to health services in Zhejiang Province, China and provide an evidence for the development of health services policies. A cross-sectional survey was conducted in community-dwelling older adults (aged 60?years or above) in 2013. Participants were recruited by random sampling. Demographic information and access to health services for the elderly populations were obtained via interviews using a self-designed structured questionnaire. Pearson’s chi-square tests and Cochran-Mantel-Haenszel (CMH) tests were performed to examine the differences in access to health services among the four groups. Binary logistic regression was conducted to explore the associations of participants’ visits to doctors with their group status after controlling confounding factors. The two-week hospital visiting rates were significantly lower in migrants (55.56% in rural-to-urban and 62.50% in urban-to-urban) than that in urban and rural permanent residents (67.40 and 82.25%, respectively; p?
机译：尽管许多文献报道了中国老年人移民获得医疗服务的情况，但对老年人亚组之间的差异知之甚少，其中包括城市到城市和农村到城市的移民以及城市和农村的永久居民。这项研究旨在研究这四个群体在中国浙江省获得卫生服务的机会，并为卫生服务政策的发展提供证据。 2013年对居住在社区的老年人（60岁或以上）进行了横断面调查。参与者是通过随机抽样招募的。使用自行设计的结构化问卷，通过访谈获得了老年人口的人口统计学信息和获得卫生服务的机会。进行了Pearson的卡方检验和Cochran-Mantel-Haenszel（CMH）检验，以检验这四个群体在获得医疗服务方面的差异。在控制混杂因素之后，进行了二进制逻辑回归分析，以探讨参与者拜访医生与他们的小组状态之间的关系。流动人口的两周医院就诊率（农村到城市为55.56％，城市到城市为62.50％）显着低于城市和农村永久居民（分别为67.40和82.25％; p？< 0.01）。接受诊断表明需要住院治疗的大多数成年人接受了治疗，在控制了卫生服务需求后，四组之间没有显着差异（χ2= 7.08，p = 0.07）。另一方面，在调查前的2周内，有30.05％的老年人在患病时没有去看医生，而有16.42％（33/201）的成年人在接受了表明有需要的诊断后没有得到医院治疗用于医院治疗。年龄，婚姻状况，受教育程度，主要经济来源以及与家人住在一起等因素均不影响卫生服务的使用。应执行有针对性的社会和卫生政策，整合政府，社会和家庭的力量，以进一步改善针对不同年龄段老年人的卫生服务使用。

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