我国城乡老年人口医疗服务可及性差异研究——基于2011年中国老年健康影响因素跟踪调查数据

Disparities of medical care access between rural and urban seniors: Based on the data from 2011 CLHLS

老年人是对医疗卫生服务需求较多的群体,能否获得及时的医疗服务对老年人健康具有重要影响。本文利用2011年中国老年健康影响因素跟踪调查数据,分析了城乡老年人口医疗服务可及性差异以及影响因素。研究结果表明,城乡老年人在"患重病能否得到及时医治"方面存在显著差异,城镇优于农村;这一差异的影响因素主要是城乡间社会经济发展差异和城乡不同的社会保障、医疗保障体系。同时,城乡老年人患重病不能及时医治的主要原因也存在显著差异,农村因经济和地理不可及而得不到医治的比重高于城镇。

Elderly population is a group of people who need more medical care and acquiring immediate medical treatment in time is important for the aged to get a good health status. The article demonstrates the differences of medical accessibility between rural and urban seniors and analyses the influencing factors and changes of the disparities using the 2011 waves of CLHLS data. Results indicate that compared to rural seniors,the aged living in urban area are more likely to achieve immediate treatment when they are seriously ill. The mechanism of the disparities is made by the different socioeconomic development level and social and medical security system. Moreover,the main reasons not to visit doctor when necessary are having no money and inconvenience to travel; the proportion of having no money and far from hospital are significantly larger in rural area than urban.