我国老年人卫生服务需要及利用情况Meta分析  

Meta-analysis of Health Service Needs and Utilization of the Elderly in China

作　　者：代紫璇 满晓玮[1] DAI Zi-xuan;MAN Xiao-wei(Bijing University of Chinese Medicine,Beijing,102488,China)

机构地区：[1]北京中医药大学,北京102488

出　　处：《中国初级卫生保健》2023年第5期44-47,共4页Chinese Primary Health Care

基　　金：2021年基于SHA2011的北京市经常性卫生费用核算项目(2002cw005)。

摘　　要：目的:探讨我国老年人健康状况和卫生服务利用情况,以更好地满足老年群体的健康需要,为卫生资源的配置提供数据参考。方法:利用国内外数据库检索发表时间为2012年1月1日—2022年9月1日且主题为“中国老年人卫生服务的横断面研究”的相关文献,并进行荟萃分析。共纳入12篇文献,涉及48413位老年人。结果:我国老年人两周患病率为34.10%,慢性病患病率为56.69%,两周就诊率为22.58%。城乡老年人两周患病率分别为32.63%、31.25%,慢性病患病率分别为53.85%、58.63%,两周就诊率分别为24.08%、18.38%。我国东、中、西部地区老年人两周患病率分别为32.21%、47.46%和31.23%,慢性病患病率分别为66.53%、56.74%和52.67%,两周就诊率分别为24.21%、21.70%和21.51%。结论:我国老年人整体健康状态欠佳,需加强老年人慢性病防治,重点关注中、西部地区卫生资源配置情况。OBJECTIVE To explore the health status of older adults and the utilization of health services in China to better meet the health needs of the elderly population and to provide data references for the allocation of health resources.METHODS Domestic and foreign databases were used to search relevant literature published themed“cross-sectional study of elderly health services in China”from 1th January 2012 to 1th September 2022,and a meta-analysis was conducted.A total of 12 articles involving 48413 elderly people were included.RESULTS The meta-analysis results showed that the two-week prevalence of elderly people in China was 34.10%,the prevalence of chronic diseases was 56.69%,and the two-week consultation rate was 22.58%.The subgroup analysis showed that the two-week prevalence rate was 32.63%and 31.25%in urban and rural areas respectively,and the prevalence rate of chronic diseases was 53.85%and 58.63%respectively,and the two-week consultation rate was 24.08%and 18.38%,respectively.The two-week prevalence rates were 32.21%,47.46%,and 31.23%in the east,central and western regions,respectively,and the prevalence rates of chronic diseases were 66.53%,56.74%,and 52.67%,respectively,and the two-week consultation rates were 24.21%,21.70%,and 21.51%,respectively.CONCLUSION The overall health status of the elderly population in China is poor,and the concept of chronic disease prevention and treatment for the elderly needs to be strengthened,with emphasis on the allocation of health resources in the central and western regions.

关 键 词：老年人 卫生服务需要 卫生服务利用 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]