新疆老年慢性病群体非医疗性社会健康资源利用现状及其影响因素分析  

Analysis on current status of non-medical social health resources utilization and its influencing factors among elderly chronic diseases in Xinjiang

作　　者：赵健霖 张文涵 何桂香[1] ZHAO Jian-lin;ZHANG Wen-han;HE Gui-xiang(School of Public Health,Xinjiang Medical University,Urumchi Xinjiang 830054,China)

机构地区：[1]新疆医科大学公共卫生学院,新疆乌鲁木齐830054

出　　处：《卫生软科学》2022年第11期27-32,共6页Soft Science of Health

基　　金：新疆维吾尔自治区自然科学基金项目-社会健康资源对于新疆老年慢性病群体的健康效应研究(2018D01C174)。

摘　　要：[目的]了解新疆老年慢性病群体非医疗性社会健康资源利用现状及其影响因素,为提高老年慢性病群体对非医疗性社会健康资源的利用提供参考。[方法]通过自编问卷调查新疆地区1660位老年慢性病群体的非医疗性社会健康资源利用情况,构建Anderson模型分析其利用非医疗性社会健康资源的影响因素。[结果]被调查的老年慢性病患者中,93.8%的患者使用过非医疗性社会健康资源,其中利用定期体检和休闲健身的人数最多;二分类logistic回归分析结果显示,使能因素(是否办理慢病医疗卡、家人是否支持您使用健康资源)和需求因素(患慢性病时间、两周内是否感到身体不适)是老年慢性病患者利用社会健康服务的影响因素。[结论]新疆老年慢性病患者利用社会健康服务受多种因素影响,当前非医疗性社会健康资源种类单一,质量参差不齐,无法满足老年慢性病群体的需求,建议完善非医疗性健康资源供给体系,遵循适老化改造趋势,完善监管体系,提高服务匹配度,满足多样化需求。Objective To understand the status quo and influencing factors of the utilization of non-medical social health resources for the elderly chronic disease population in Xinjiang so as to provide reference for improving the utilization of non-medical social health resources for the elderly chronic disease population. Methods A self-compiled questionnaire was used to investigate the utilization of non-medical social health resources among 1660 elderly chronic disease groups in Xinjiang, and the Anderson mode was constructed to analyze the influencing factors of the utilization of non-medical social health resources. Results Among the elderly patients with chronic diseases investigated, 93.8% had used non-medical social health resources, among which the most people used regular physical examination and leisure fitness. The results of binary logistic regression analysis showed that enabling factors(whether to have chronic disease medical card, whether your family supports you to use health resources)and demand factors(time of chronic disease, whether to feel uncomfortable within two weeks)were the influencing factors for elderly patients with chronic disease to use social health services. Conclusions The utilization of social health services by elderly patients with chronic diseases in Xinjiang is influenced by many factors. At present, the type of non-medical social health resource is single, the quality is unevenness, which can not meet the needs of the elderly with chronic diseases. It is suggested to improve non-medical health resources supply system, follow the trend of age-appropriate transformation, perfect supervision system, improve the service matching degree and meet the demand of diversification.

关 键 词：非医疗性社会健康资源 老年慢性病 ANDERSON模型 

分 类 号：R194.3[医药卫生—卫生事业管理] R193.3[医药卫生—公共卫生与预防医学]