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首页> 外文期刊>International Journal of Environmental Research and Public Health >The Health Heterogeneity of and Health Care Utilization by the Elderly in Taiwan
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The Health Heterogeneity of and Health Care Utilization by the Elderly in Taiwan

机译：台湾老年人的健康异质性与医疗利用

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A good understanding of the health heterogeneity of elderly people, their characteristics, patterns of health care utilization and subsequent expenditures is necessary to adequately evaluate the policy options and interventions aimed at improving quality and efficiency of care for older people. This article reviews studies that used Latent Class Analysis to identify four health profiles among elderly people in Taiwan: High Comorbidity (HC), Functional Impairment (FI), Frail (FR), and Relatively Healthy (RH). Variables associated with increased likelihood of being in the FR group were older age, female gender, and living with one’s family, and these also correlated with ethnicity and level of education. The HC group tended to use more ambulatory care services compared with those in the RH group. The HC group tended to be younger, better educated, and was more likely to live in urban areas than were people in the FI group. The FI group, apart from age and gender, was less likely be of Hakka ethnicity and more likely to live with others than were individuals in the RH group. The FI group had relatively high probabilities of needing assistance, and the FR group had higher healthcare expenditures. A person-centered approach would better satisfy current healthcare needs of elderly people and help forecast future expenditures.
机译：要充分评估旨在提高老年人护理质量和效率的政策选择和干预措施，必须充分了解老年人的健康异质性，他们的特征，卫生保健利用的方式和后续支出。本文回顾了使用潜在类别分析来确定台湾老年人的四种健康状况的研究：高合并症（HC），功能障碍（FI），体弱（FR）和相对健康（RH）。与FR组中可能性增加相关的变量包括年龄，女性和与家人同住，这些因素还与种族和受教育程度相关。与RH组相比，HC组倾向于使用更多的门诊服务。 HC组比FI组的人更年轻，教育程度更高，并且更有可能居住在城市地区。与RH组相比，FI组除年龄和性别外，不太可能是客家人，与其他人生活在一起的可能性更高。 FI组需要帮助的可能性相对较高，而FR组的医疗保健支出较高。以人为本的方法将更好地满足当前老年人的医疗保健需求，并有助于预测未来的支出。

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