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. 2020 Jan 14;17(2):514.
doi: 10.3390/ijerph17020514.

Study on the Utilization of Inpatient Services for Middle-Aged and Elderly Rural Females in Less Developed Regions of China

Xiaotong Wen  1 , Lanyue Cui  2 , Fang Yuan  3 , Xiaojun Liu  4 , Mufeng Ouyang  3 , Yuxiao Sun  3 , Yuchen Liu  3 , Yong Liu  1 , Huiqiang Yu  1 , Huilie Zheng  1 , Yuanan Lu  1   3 , Zhaokang Yuan  1
Affiliations

Study on the Utilization of Inpatient Services for Middle-Aged and Elderly Rural Females in Less Developed Regions of China

Xiaotong Wen et al. Int J Environ Res Public Health. .

Abstract

The aim of this study is to understand the utilization of inpatient services and its contributing factors among middle-aged and elderly females (MAEF) in less developed rural regions. Five surveys were conducted between 2006 and 2014 with rural residents of Jiangxi by stratified cluster random sampling. Participant females included only those who were aged 45 and above. Complex sampling logistics analysis was performed to analyze the effect of three factors on inpatient service. Complex sampling logistics regression analysis revealed that the probability of hospitalization for the divorced or widowed females was significantly lower than that of married ones (aOR = 0.177, p < 0.05). However, the probability of early discharge was significantly higher among divorced or widowed females than married ones (aOR = 3.237, p < 0.05). In addition, females with chronic diseases were more likely to be hospitalized (aOR = 3.682, p < 0.05). Also, early discharge (aOR = 7.689, p < 0.05) occurred among the participants who should be hospitalized but were not hospitalized occurred (aOR = 3.258, p < 0.05). The continuous improvement of the new rural cooperative medical policy has promoted the utilization of inpatient services for the MAEF. Findings from this study emphasize the need to strengthen the prevention and treatment of chronic diseases among middle-aged and elderly women.

Keywords: female; inpatient; less developed regions; middle-aged and elderly; rural.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
The sampling process.
Figure 2
Figure 2
The weighted process.
See this image and copyright information in PMC

References

    1. National Bureau of Statistics of the People’s Republic of China China Statistical Yearbook. [(accessed on 26 April 2019)];2018 Available online: http://www.stats.gov.cn/tjsj/ndsj/2018/indexch.htm.
    1. Wang X., He X., Zheng A., Ji X. The effects of China’s New Cooperative Medical Scheme on accessibility and affordability of healthcare services: An empirical research in Liaoning Province. BMC Health Serv. Res. 2014;14:388. doi: 10.1186/1472-6963-14-388. - DOI - PMC - PubMed
    1. Yuan B., Jian W., He L., Wang B., Balabanova D. The role of health system governance in strengthening the rural health insurance system in China. Int. J. Equity Health. 2017;16:44. doi: 10.1186/s12939-017-0542-x. - DOI - PMC - PubMed
    1. Zhang C., Lei X., Strauss J., Zhao Y. Health Insurance and Health Care among the Mid-Aged and Older Chinese: Evidence from the National Baseline Survey of CHARLS. Health Econ. 2017;26:431–449. doi: 10.1002/hec.3322. - DOI - PMC - PubMed
    1. Ogura S., Jakovljevic M.M. Editorial: Global Population Aging—Health Care, Social and Economic Consequences. Front. Public Health. 2018;6:335. doi: 10.3389/fpubh.2018.00335. - DOI - PMC - PubMed

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