Influencing factors of basic public health service utilization of the migrant elderly / 中国卫生政策研究

ABSTRACT

Objective:The aim of this study is to explore the utilization of basic public health services by elder-ly migrants and its influencing factors, and to provide data support for the equalization of public health services. Methods:The framework of the Behavioral Model of Health Services Utilization elaborated by Anderson was used as the theoretical basis. Basing on the data of 2015 National Dynamic Monitoring of Mobile Population,the multivariate logistic regression model was used to analyze the materials coming from in-depth interviews. Results: The utilization rate of basic public health services by the elderly migrant was low and there are differences as compared to other groups. The type of household registration,living duration and the scope of mobility were the main factors influencing the utilization of health services by the elderly migrants. The allocation of funds to primary health care services is in-consistent with the workload,and other difficulties for the community service agencies. Conclusions:The accessibility of basic public health services for the elderly migrants is poor,the health consciousness is weak,and health education should be strengthened. The elderly migrants coming from rural areas,having long-term residence and migrating long distance should be paid more attention too. The administrative departments should strengthen the statistics on elderly migrants,ensure a fair allocation of funds for the basic public health service,and optimize the top-level design of in-formation technology to improve the use of the basic public health services for elderly migrants.