我国中老年居民住院服务利用影响因素研究  

Study on influencing factors of hospitalization service utilization of middle-aged and older residents in China

作　　者：李振坤 向阳 刘乃鹏 陶洁[2] 翟飞 LI Zhenkun;XIANG Yang;LIU Naipeng;TAO Jie;ZHAI Fei(Medical Records and Statistics Office,The First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital),Hefei 230001;Medical Records and Statistics Office,South District of the First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital),Hefei 230001,China)

机构地区：[1]中国科学技术大学附属第一医院(安徽省立医院)总院病案统计室,安徽合肥230001 [2]中国科学技术大学附属第一医院(安徽省立医院)南区病案统计室,安徽合肥230001

出　　处：《南京医科大学学报（社会科学版）》2024年第3期243-248,共6页Journal of Nanjing Medical University（Social Sciences）

基　　金：安徽省健康发展战略研究中心招标资政项目“基于公立医院绩效考核的病案首页质控管理体系与实证研究”(2021szk015)。

摘　　要：文章基于2020年中国健康与养老追踪调查数据,借鉴Anderson健康行为模型,研究我国中老年居民住院服务利用的影响因素。结果显示,14491例居民中,2285例(15.8%)过去一年利用过住院服务。二元Logistic回归分析表明,性别、年龄、吸烟、饮酒、自评健康状况、慢性病患病情况和日常生活活动(ADL)能力是中老年居民住院服务利用的影响因素(P<0.05)。性别、吸烟、饮酒与住院服务利用存在一定的相关性(P<0.05)。总体而言,应重点关注60岁以上、男性、吸烟、饮酒、自评健康差、慢病患病数量多和ADL受损群体,精准把握该群体的现实需求,提供安全有效、可靠高质的医疗卫生服务。Based on the data of China Health and Retirement Longitudinal Study(CHARLS)in 2020 and adopts the Anderson health behavior model for reference,to examine the influencing factors of the utilization of hospitalization services among middle-aged and older residents in China.Of 14491 residents,2285(15.8%)used inpatient services in the past year.Binary Logistic regression analysis showed that gender,age,smoking,drinking,self-rated health status,chronic disease conditions and activity of daily living(ADL)were the influencing factors of inpatient service utilization of middle-aged and older residents(P<0.05).Correlation analysis showed that gender,smoking and drinking were correlated with inpatient service utilization(P<0.05).In general,we should focus on the groups over 60 years old,males,smokers,drinkers with poor self-rated health,and those suffered from a higher number of chronic diseases and ADL impairment.It is vital to accurately grasp the actual needs of this group,and provide safe,effective,reliable and high-quality medical and health services.

关 键 词：中老年居民 住院服务利用 中国健康与养老追踪调查 

分 类 号：R195[医药卫生—卫生统计学]