Factors associated with access to healthcare services for older adults with limited activities of daily living
BackgroundLimited studies focused on the situation and related factors of access to healthcare services for older adults with limited activities of daily living (ADL) in China. This study explores factors associated with access to healthcare services of them based on Andersen's healthcare utili...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-10-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.921980/full |
| _version_ | 1811228320903200768 |
|---|---|
| author | Shumin Mai Jingjing Cai Lu Li Lu Li |
| author_facet | Shumin Mai Jingjing Cai Lu Li Lu Li |
| author_sort | Shumin Mai |
| collection | DOAJ |
| description | BackgroundLimited studies focused on the situation and related factors of access to healthcare services for older adults with limited activities of daily living (ADL) in China. This study explores factors associated with access to healthcare services of them based on Andersen's healthcare utilization model (namely, need, predisposing, and enabling dimensions).MethodsA total of 3,980 participants aged 65 years and older adults with limited ADL from the latest wave (2018) of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) were included. Binary logistic regression was used to explore the influencing factors.ResultsFactors in enabling dimension were associated with access to healthcare services for older adults with limited ADL. Those who lived with better economic status (fair vs poor, OR = 2.98, P < 0.01; rich vs poor, OR = 7.23, P = 0.01), could afford daily life (yes vs no, OR = 2.33, P = 0.03), and lived in the eastern or central region of China (eastern vs western, OR = 2.91, P < 0.01; central vs western, OR = 2.40, P = 0.02) could access to healthcare services more easily. However, factors in predisposing dimension and need dimension showed no statistical significance. Meanwhile, inconvenience in the movement was the major barrier reported by some participants for not going to the hospital when they got sick.ConclusionAccess to healthcare services for older adults with ADL limitation was mainly related to the factors of economic status, affordability for daily life, and living regions in enabling dimension. Strategies focused on health insurance, healthcare system, barrier-free facilities, and social support were proposed to increase the access to healthcare services for participants, which could benefit their health. |
| first_indexed | 2024-04-12T09:57:07Z |
| format | Article |
| id | doaj.art-18aff4d3a5bd4f5783a61c4bffe58dc8 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-12T09:57:07Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-18aff4d3a5bd4f5783a61c4bffe58dc82022-12-22T03:37:39ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-10-011010.3389/fpubh.2022.921980921980Factors associated with access to healthcare services for older adults with limited activities of daily livingShumin Mai0Jingjing Cai1Lu Li2Lu Li3The Institute of Social and Family Medicine, School of Medicine, Zhejiang University, Hangzhou, ChinaThe Institute of Social and Family Medicine, School of Medicine, Zhejiang University, Hangzhou, ChinaThe Institute of Social and Family Medicine, School of Medicine, Zhejiang University, Hangzhou, ChinaShulan International Medical College, Zhejiang Shuren University, Hangzhou, ChinaBackgroundLimited studies focused on the situation and related factors of access to healthcare services for older adults with limited activities of daily living (ADL) in China. This study explores factors associated with access to healthcare services of them based on Andersen's healthcare utilization model (namely, need, predisposing, and enabling dimensions).MethodsA total of 3,980 participants aged 65 years and older adults with limited ADL from the latest wave (2018) of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) were included. Binary logistic regression was used to explore the influencing factors.ResultsFactors in enabling dimension were associated with access to healthcare services for older adults with limited ADL. Those who lived with better economic status (fair vs poor, OR = 2.98, P < 0.01; rich vs poor, OR = 7.23, P = 0.01), could afford daily life (yes vs no, OR = 2.33, P = 0.03), and lived in the eastern or central region of China (eastern vs western, OR = 2.91, P < 0.01; central vs western, OR = 2.40, P = 0.02) could access to healthcare services more easily. However, factors in predisposing dimension and need dimension showed no statistical significance. Meanwhile, inconvenience in the movement was the major barrier reported by some participants for not going to the hospital when they got sick.ConclusionAccess to healthcare services for older adults with ADL limitation was mainly related to the factors of economic status, affordability for daily life, and living regions in enabling dimension. Strategies focused on health insurance, healthcare system, barrier-free facilities, and social support were proposed to increase the access to healthcare services for participants, which could benefit their health.https://www.frontiersin.org/articles/10.3389/fpubh.2022.921980/fullaccess to healthcare servicesactivities of daily livingAndersen's healthcare utilization modelolder adultactive aging |
| spellingShingle | Shumin Mai Jingjing Cai Lu Li Lu Li Factors associated with access to healthcare services for older adults with limited activities of daily living Frontiers in Public Health access to healthcare services activities of daily living Andersen's healthcare utilization model older adult active aging |
| title | Factors associated with access to healthcare services for older adults with limited activities of daily living |
| title_full | Factors associated with access to healthcare services for older adults with limited activities of daily living |
| title_fullStr | Factors associated with access to healthcare services for older adults with limited activities of daily living |
| title_full_unstemmed | Factors associated with access to healthcare services for older adults with limited activities of daily living |
| title_short | Factors associated with access to healthcare services for older adults with limited activities of daily living |
| title_sort | factors associated with access to healthcare services for older adults with limited activities of daily living |
| topic | access to healthcare services activities of daily living Andersen's healthcare utilization model older adult active aging |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.921980/full |
| work_keys_str_mv | AT shuminmai factorsassociatedwithaccesstohealthcareservicesforolderadultswithlimitedactivitiesofdailyliving AT jingjingcai factorsassociatedwithaccesstohealthcareservicesforolderadultswithlimitedactivitiesofdailyliving AT luli factorsassociatedwithaccesstohealthcareservicesforolderadultswithlimitedactivitiesofdailyliving AT luli factorsassociatedwithaccesstohealthcareservicesforolderadultswithlimitedactivitiesofdailyliving |