老年流动人口就医流向选择及其影响因素研究

Research on Medical Orientation and Influence Factors of Elderly Floating Population

目的:分析老年流动人口就医流向选择及其影响因素,为合理配置卫生资源、提升流动老人卫生服务可及性和利用水平提供依据。方法:基于2017年流动人口动态监测调查数据,采用描述统计及无序多分类logistic回归方法进行统计分析。结果:流动老人就医流向选择存在不均衡性,选择不理会或自行买药的比例最高,其次依次是本地医院、社区卫生机构/乡镇卫生院和个体诊所。除年龄、受教育程度、健康状况等个体特质外,家庭月均收入、是否独自流动、社会交往以及参保情况对流动老人就医流向选择作用明显。结论:应通过强化健康教育、引导合理就医、完善流动老人社会支持体系等途径,优化流动老人就医流向,促进健康服务均等化,提升流动老人健康水平。

Objective:To analyze the medical orientation and influencing factors of the elderly floating population,so as to provide references for rational allocation of health resources and improvement of the accessibility and utilization level of health services for the elderly floating population.Methods:Descriptive statistics and multi-classification logistic regression were used to analyze the data from China Migrants Dynamic Survey in 2017.Results:There was an imbalance in the medical orientation for the floating elderly,and the proportion of choosing to ignore or self-medication was the highest,followed by local hospitals,community health institutions or township health centers and individual clinics.In addition to age,education and health status and other individual characteristics,the average monthly family income,whether the floating elderly migrated alone,social interaction and medical insurance participation had significant effects on the medical orientation of the floating elderly.Conclusion:It is necessary to optimize the medical orientation of the floating elderly,promote the equalization of health services,and improve the health level of the floating elderly by strengthening health education,guiding rational medical treatment,and improving the social support system for the floating elderly.