Differences in the use of health services by metropolitan and nonmetropolitan elderly.
Differences in the use of health services by metropolitan and nonmetropolitan elderly.
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城市和非城市老年人使用卫生服务的差异。
DOI：
10.1111/j.1748-0361.1994.tb00214.x
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
Rutrough,TS
中科院分区：
文献类型：
--
作者：
Himes,CL;Rutrough,TS
本研究借由Andersen的卫生服务利用架构，探讨居住地对老年人卫生服务利用的重要性。研究发现，非大城市的老年人，无论是农场还是非农场，比大城市的老年人去看医生的次数要少。这种差异不能用他们的倾向或需要特征的差异来解释。在短期住院次数或卧床残疾天数方面没有发现居住地差异。没有证据表明，非都市老年人的替代医生护理或住院天数的床上残疾。此外，几乎没有住宅的变化被发现在医生使用的易感性，使和需要因素的影响。对观察到的医生使用差异的最可能的解释是非大都市地区医生短缺。然而，如果没有能力将背景信息与关于健康状况和服务使用情况的国家数据联系起来，就无法充分说明获得服务的相对重要性。
This study examined the importance of place of residence on the elderly's use of health services through Andersen's framework of health service utilization. The study found that nonmetropolitan elderly, both farm and nonfarm, make fewer physician visits than their metropolitan counterparts. This difference is not explained by differences in their predisposing or need characteristics. No residential differences were found in the number of short‐term hospital stays or in the number of days of bed disability. No evidence was found that nonmetropolitan elderly substitute days of bed disability for physician care or for hospital stays. Also, little residential variation was found in the effect of predisposing, enabling, and need factors on physician use. The most likely explanation for the observed differences in physician use is the shortage of physicians in nonmetropolitan areas. However, without the ability to attach contextual information to national data on health status and service use, the relative importance of access to services cannot be adequately addressed.