通讯作者: 和红, hehong@ruc.edu.cn

DOI：10.12201/bmr.202409.00046

The impact and Marginal Effects of Community Satisfaction on Utilization of Primary Health Services among Older Adults

• 摘要：目的: 分析中国老年人基层卫生服务需求和利用率，探讨社区满意度对老年人基层卫生服务利用的影响及边际效应。方法: 基于2018年中国老年社会追踪调查数据，选取6889名60岁及以上老年人纳入本研究。运用Logistic模型探究老年人社区满意度对其基层卫生服务利用的影响,并进行边际效应分析。结果:老年人社区满意度与基层卫生服务利用正相关，平均边际效应为4.6%，均值边际效应为1.4%。更换回归模型后结果保持稳健。社区满意度对高需求老年人基层卫生服务高利用的边际效应为11.0%，强于低需求老年人（0.4%）；对城区老年人基层卫生服务高利用的边际效应为1.6%，强于村镇老年人（1.1%）。结论：高水平的社区满意度，是促进老年人（尤其是高需求老年人）基层卫生服务利用的要素之一。社区满意度对老年人基层卫生服务利用的边际效应存在城乡差异，可能是由于城乡社区卫生资源配置的不平衡。建议社区工作者通过多种途径提升老年人的社区满意度，以助力基层卫生服务利用，但同时政府应促进城乡基层卫生资源配置均衡，以避免城乡基层卫生服务利用不公平性。

  关键词： 老年人；基层卫生服务需求；基层卫生服务利用；社区满意度; ; ; 

   

  Abstract: Objective: To analyze the need for and utilization of primary health services among older adults in China, and to explore the impact and marginal effects of community satisfaction on the utilization of primary health services. Methods: Based on data from the 2018 China Longitudinal Aging Social Survey, 6889 older adults aged 60 years and above were included in this study. Logistic models and marginal effects were used to explore the impact of community satisfaction of older adults on their primary health service utilization. Results: Community satisfaction of the elderly was positively associated with the utilization of primary health services, with a average marginal effect of 4.6% and a marginal effect at the mean of 1.4%. The result remained robust after replacing the regression model. The marginal effect of community satisfaction on high-utilization of primary health services for high-need elderly was 11.0%, which was stronger for older adults in low-need (0.4%). And the marginal effect for older adults living in urban areas was 1.6%, stronger than that for older adults living in rural areas (1.1%). Conclusions: A high level of community satisfaction is one of the elements to promote the utilization of primary health services for the elderly, especially those with high-need. There is a urban-rural difference in the marginal effect of community satisfaction on the utilization of primary health services for older adults, which may be due to the imbalance of the allocation of community health resources between urban and rural areas. It is recommended that community social workers can improve community satisfaction among older adults through various ways to help the utilization of primary health services. At the same time, the government should promote a balanced allocation of primary health resources between urban and rural areas to avoid inequity in the use of primary health services between urban and rural areas.

  Key words: Elderly; Primary health services need; Primary health services utilization; Community satisfaction

  提交时间：2024-09-23

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
• html

• 图表

• 闫辰聿, 和红. 老年人养老规划对社区养老服务需求与利用影响研究. 2022. doi: 10.12201/bmr.202211.00013

  和红, 闫辰聿, 王鑫, 邓澈. 社会参与对中国老年人抑郁水平的影响研究 ——兼论社会网络、社会适应和生活满意度的中介作用. 2023. doi: 10.12201/bmr.202303.00034

  杨辰啸, 乔嘉慧, 鲁贝, 李秋莎, 赵兹旋, 杨春晓, 陈钟鸣, 尹文强. 退休老年群体劳动参与对医疗服务利用的影响研究 ——自评健康的中介作用. 2023. doi: 10.12201/bmr.202306.00017

  张航空, 马琦峰, 李慧慧. 城乡居民医保、老年人健康与医疗服务利用——来自五期CLHLS数据的证据. 2023. doi: 10.12201/bmr.202310.00005

  雷萌, 罗银波, 汪瓒, 郭千千, 刘军安. 农村基层医务人员获得感与离职意愿的关系研究：以工作满意度为中介. 2021. doi: 10.12201/bmr.202010.00843

  侯艳杰, 王瑜, 颜诗源, 张文静, 张琳, 姚俊. 长期护理保险对中老年人医疗服务利用、医疗负担及健康的影响——基于双重差分法的实证研究. 2021. doi: 10.12201/bmr.202107.00029

  张瑞, 邵旸, 樊美琪, 蔡滨, 周罗晶. 患者满意度视角下互联网医疗服务发展对策研究. 2022. doi: 10.12201/bmr.202211.00009

  苏彬彬, 刘尚君, 卢彦君, 姚芳虹, 赵艺皓, 郑晓瑛. 基于集聚度的我国基层卫生人力资源配置评价研究. 2021. doi: 10.12201/bmr.202102.00008

  徐一涵, 范春. 智慧社区主动健康服务的设计与研究. 2020. doi: 10.12201/bmr.202008.00007

  于亚航, 袁蓓蓓. 工作动机在工作满意度和工作绩效中的链式中介效应研究. 2021. doi: 10.12201/bmr.202105.00015

• 序号	提交日期	编号	操作
  1	2024-06-26	bmr.202409.00046V1	下载

• 公开评论  匿名评论  仅发给作者 提交评论