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Factors influencing utilization of healthcare services for internal migrant older adults in Xuzhou, China

Based on Anderson’s model

Bibliographic Data

ID22084083
AuthorsGuiyuan Li (0000-0002-4386-3573, Xuzhou Medical College), Qi Zhang (0009-0000-5229-2496, Xuzhou Medical College), Zijian Qi, Wenxin Yu (0000-0001-7967-7687, Xuzhou Medical College), Qingzhi Wang (0000-0001-8622-3966, Xuzhou Medical College), Hao Hou (0000-0003-2444-133X, Wuhan University), Chunxia Miao (Xuzhou Medical College), Wenjun Yan (0000-0003-4431-838X, Xuzhou Medical College), Xiuyin Gao (Xuzhou Medical College, corresponding author)
Year2024
Volume12
Pages1378790-1378790
Publication date2024-11-21
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1378790
PMID39639911
OpenAlexW4404604108
LanguageEN
Citations received1
References cited60

Background: As population migration increases and the aging process accelerates, the number of migrant older adults is growing significantly. This trend presents a substantial challenge to urban health services in regions experiencing an influx of older adults individuals. Consequently, examining the healthcare service utilization of the migrant older adults population is crucial to promote healthy aging. Methods: A multi-stage random sampling method was employed to select a study population of 568 migrant older adults 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 2 weeks, while 109 (19.2%) had received inpatient services within the past year. Migrant older adults with education level, time to health centers, and self-assessed health status negatively influenced the outpatient services utilization among migrant older adults. Possession of pension insurance, convenience to visit, sick for the past 2 weeks, and health services need positively influenced the outpatient services utilization among migrant older adults. Furthermore, age, possession of pension insurance and health insurance, convenience to visit, number of chronic diseases, sick for the past 2 weeks, and healthcare service need positively influenced inpatient service utilization among migrant older adults. Education level, self-assessed health status, and time to health centers negatively influenced the inpatient services utilization among migrant older adults. Conclusion: The overall utilization of healthcare services by migrant older adults in Xuzhou remains inadequate. Addressing this issue requires enhanced medical policy support and assistance, stronger health education initiatives, and improved social integration for the older adults. Additionally, efforts should be made to reduce their financial burdens and improve the accessibility of healthcare services

Business · China · Economic growth · Geography · Health care · Xuzhou · Global Healthcare and Medical Tourism · Healthcare Systems and Reforms · Intergenerational Family Dynamics and Caregiving · Medicine · Gerontology

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Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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