Research on health service utilization of the disabled and influencing factors
Zhang Yaoguang1, Wu Shiyong1, Wang Shuai1, Yao Qiang2, Zhu Jiming3
1 Center for Health Statistics and Information, National Health Commission of People′s Republic of China, Beijing 100810, China;
2 School of Political Science &Public Administration, Wuhan University, Wuhan 430072, China;
3 Vanke School of Public Health, Tsinghua University, Beijing 100084, China
Abstract: Objective To understand the level of health service utilization of the disabled and its influencing factors, and provide information for relevant policy formulation and action implementation.Methods Multiple data links have been established for registered disabled persons, dynamic monitoring of disabled persons in 2018 and the Sixth National Statistical Survey on Health services, as well as a database on the health of disabled persons, utilization of health services and influencing factors, and Stata 13.0 was used for quantitative analysis.Results The proportion of the disabled who did not receive treatment within two weeks was 3.9%, and the rate of the disabled who received treatment within two weeks was 36.5%, both higher than those of non-disabled persons. The results of logistic regression analysis on the influencing factors of disabled people′s treatment showed that, taking the eastern region as the control, the OR of central region was 0.73 (95% CI: 0.64-0.83); taking males as the control, the OR of females was 1.23 (95% CI: 1.11-1.37); compared with those without medical insurance, OR of those with basic health insurance was 2.00 (95% CI: 1.23-3.26). After controlling urban and rural areas, regions, age, health insurance, and income, taking people without disabilities as the control, the OR of visual disabled was 1.28 (95%CI: 1.12-1.46), and the OR of physical disabled was 1.31 (95%CI: 1.23-1.40), the OR of mental disabled was 1.61 (95%CI: 1.37-1.90). Conclusion The level of health service utilization of disabled persons is high, but the problem of inadequate health service still exists. It is necessary to formulate targeted policies for persons with different types of disabilities.
张耀光,吴士勇,王帅,姚强,朱继明. 残疾人卫生服务利用及影响因素研究[J]. 中国医院统计, 2022, 29(6): 401-409.
Zhang Yaoguang, Wu Shiyong, Wang Shuai, Yao Qiang, Zhu Jiming. Research on health service utilization of the disabled and influencing factors. journal1, 2022, 29(6): 401-409.