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ORIGINAL RESEARCH article

Front. Public Health
Sec. Aging and Public Health
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1378790
This article is part of the Research Topic Analyses on Health Status and Care Needs among Older Adults View all 24 articles

Factors influencing utilization of healthcare services for internal migrant elderly in Xuzhou, China: based on Anderson's model

Provisionally accepted
Guiyuan Li Guiyuan Li 1Zijian Qi Zijian Qi 1Wenxin Yu Wenxin Yu 1Hao Hou Hao Hou 2Chunxia Miao Chunxia Miao 3Wenjun Yan Wenjun Yan 1Xiuyin Gao Xiuyin Gao 1Qingzhi Wang Qingzhi Wang 1*
  • 1 School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu Province, China
  • 2 School of Public Health, Faculty of Medical Sciences, Wuhan University, Wuhan, Hubei Province, China
  • 3 Xuzhou Medical University, Xuzhou, Jiangsu Province, China

The final, formatted version of the article will be published soon.

    Background: As population migration increases and the aging process accelerates, the number of migrant elderly is growing significantly. This trend presents a substantial challenge to urban health services in regions experiencing an influx of elderly individuals. Consequently, examining the healthcare service utilization of the migrant elderly population is crucial to promote healthy aging.Methods: A multi-stage random sampling method was employed to select a study population of 568 migrant elderly individuals, aged 60 years and above, residing in urban Xuzhou City. Multivariate logistic regression analysis, based on Anderson's model, was conducted to explore the factors influencing outpatient and inpatient health service utilization among this population.Results: Among the 568 migrants, 73 (12.9%) had received outpatient services within the past two weeks, while 109 (19.2%) had received inpatient services within the past year. Migrant elderly with education level, time to health centers, and self-assessed health status negatively influenced the outpatient services utilization among migrant elderly. Possession of pension insurance, convenience to visit, sick for the past two weeks, and health services need positively influenced the outpatient services utilization among migrant elderly. Furthermore, age, possession of pension insurance and health insurance, convenience to visit, number of chronic diseases, sick for the past two weeks, and healthcare service need positively influenced inpatient service utilization among migrant elderly. Education level, self-assessed health status, and time to health centers negatively influenced the inpatient services utilization among migrant elderly. The overall utilization of healthcare services by migrant elderly in Xuzhou remains inadequate.Addressing this issue requires enhanced medical policy support and assistance, stronger health education initiatives, and improved social integration for the elderly. Additionally, efforts should be made to reduce their financial burdens and improve the accessibility of healthcare services.

    Keywords: migrant elderly 1, Outpatient services 2, Inpatient services 3, Anderson's Model 4, Influencing Factors 5

    Received: 30 Jan 2024; Accepted: 11 Nov 2024.

    Copyright: © 2024 Li, Qi, Yu, Hou, Miao, Yan, Gao and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Qingzhi Wang, School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu Province, China

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