...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>International Journal of Environmental Research and Public Health >Demand and Signing of General Practitioner Contract Service among the Urban Elderly: A Population-Based Analysis in Zhejiang Province, China
【24h】

Demand and Signing of General Practitioner Contract Service among the Urban Elderly: A Population-Based Analysis in Zhejiang Province, China

机译：城市老年人的全科医生合同服务需求与签订：基于浙江省的人口分析

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

This study aims to examine whether the urban elderly in the Zhejiang Province of China signed contracts with their general practitioner (GP) based on their health service needs, and to further identify the determinants of their demand and signing decisions. A community-based cross-sectional study was conducted in 16 community health service (CHS) institutions in Zhejiang Province, China. The urban elderly over 60 years of age were enrolled when visiting the sampled CHS. Baseline characteristics were compared between participants using Chi-Square tests for categorical variables. Univariate and multivariable logistic regression analyses were used to identify determinants of the GP contract service demand and signing decisions, respectively. Among the 1440 urban elderly, 56.67% had signed contracts with their GP, and 55.35% had a demand of the GP contract service. The influencing factors of demand were a history of diabetes or cardiovascular disease (OR = 1.33, 95% CI, 1.05–1.68); urban resident basic medical insurance (URBMI) vs. urban employee basic medical insurance (UEBMI) (OR = 1.96, 95% CI, 1.46–2.61); and middle-income vs. low-income (OR = 0.67, 95% CI, 0.50–0.90 for RMB 1001–3000; OR = 0.59, 95% CI, 0.39–0.90 for RMB 3001–5000). Having a demand for the GP contract service was the strongest determinant of signing decisions (OR = 13.20, 95% CI, 10.09–17.27). Other factors also contributed to these decisions, including gender, caregiver, and income. The urban elderly who had signed contracts with GPs were mainly based on their health care needs. Elderly people with a history of diabetes or cardiovascular disease, as well as those with URBMI, were found to have stronger needs of a GP contract service. It is believed that the high-income elderly should be given equal priority to those of low-income.
机译：这项研究旨在检查中国浙江省的城市老年人是否根据其全科医生的医疗需求与他们的全科医生签署了合同，并进一步确定了他们的需求和决定的决定因素。在中国浙江省的16个社区卫生服务（CHS）机构中进行了基于社区的横断面研究。在访问抽样的CHS时，招募了60岁以上的城市老年人。使用卡方检验对分类变量进行比较，比较参与者之间的基线特征。单变量和多变量逻辑回归分析分别用于确定GP合同服务需求和签署决策的决定因素。在1440名城市老年人中，有56.67％与GP签订了合同，而55.35％有GP合同服务的需求。需求的影响因素是糖尿病史或心血管疾病史（OR = 1.33，95％CI，1.05-1.68）;城镇居民基本医疗保险（URBMI）与城镇职工基本医疗保险（UEBMI）（OR = 1.96，95％CI，1.46-2.61）;中等收入与低收入之间的关系（对于1001-3000元人民币，OR = 0.67，95％CI，0.50-0.90;对于3001-5000元人民币，OR = 0.59，95％CI，0.39-0.90）。对GP合同服务的需求是签署决定的最重要决定因素（OR = 13.20，95％CI，10.09-17.27）。其他因素也促成了这些决定，包括性别，照料者和收入。与全科医生签订合同的城市老年人主要根据他们的医疗保健需求而定。发现患有糖尿病或心血管疾病的老年人以及患有URBMI的老年人对GP合同服务的需求更大。人们认为，高收入老年人应与低收入老年人同等优先。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号