Impact of socioeconomic position on the utilization of rehabilitation services among the Chinese older adults disabled by injury

Luo, Yanan; Fan, Ya-Lin; Fan, Ya-Xian; Zheng, Xiaoying

doi:10.3389/fpubh.2023.1034482

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…Additionally, they may struggle to cover the substantial costs of comprehensive, potentially leading to adverse consequences (Beach et al, 2020;Wang et al, 2023).…”

Section: Binary Logistic Regressionmentioning

confidence: 99%

Assistive device utilization among disabled elderly in China: A cross‐sectional study

Tang,

Zhang,

Yan

et al. 2024

Public Health Nursing

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ObjectiveThis study aimed to examine the characteristics of assistive device users and influencing factors among disabled elderly in China.MethodsA total of 13,510 disabled elderly in Sichuan Province were surveyed. Disability was assessed using the Barthel Activities of Daily Living Scale, mental status, sensory perception, and social engagement evaluation. Univariate analysis and logistic regression analysis were employed to identify the impact factors.ResultsThe prevalence of assistive device utilization among participants was 79.2% (10,700/13,510, 95% CI 78.5%–79.9%), with the wheelchair being the most commonly used device. Various factors were found to influence the usage of the device, including disability level, somatic disability, age, caregivers, income, caregiver fees, and living situation (p < .05). Additionally, several factors were identified associated with the frequency of device usage, such as somatic disability, education background, income, caregiver fees, living situation, access to acquire assistive devices, duration of assistive device usage, education on assistive devices, and satisfaction level (p < .05).ConclusionsThe use of assistive devices among elderly individuals in China is prevalent. There are many factors that affect the use of assistive devices, which can provide a reference for the formulation of policies in the field of assistive devices.

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“…Additionally, they may struggle to cover the substantial costs of comprehensive, potentially leading to adverse consequences (Beach et al, 2020;Wang et al, 2023).…”

Section: Binary Logistic Regressionmentioning

confidence: 99%

Assistive device utilization among disabled elderly in China: A cross‐sectional study

Tang,

Zhang,

Yan

et al. 2024

Public Health Nursing

View full text Add to dashboard Cite

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The impact of medical insurance and old-age security on the utilization of medical services by the older population with disabilities

Tao,

Zeng,

Jiao

2024

BMC Health Serv Res

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Objective In this study, the impact of medical insurance and old-age security on the use of medical services by the older population with disabilities is analyzed. A reference for decision makers is provided to improve medical and old-age security policies and enhance the use of medical services by the older population. Methods Data were drawn from 3,737 older people with disabilities aged 65 years or above from the 2018 China Longitudinal Healthy Longevity Survey. A two-part model based on social ecological theory was used for both analysis and group prediction. Results In terms of the use of outpatient medical services, old-age pension significantly increased the probability of outpatient visits for this population group ( P < 0.05). Urban employee/resident medical insurance, the new rural cooperative medical insurance, and retirement pension significantly affected medical expenses. In terms of the use of inpatient medical services, the new rural cooperative medical insurance and retirement pension significantly influenced the choice of inpatient medical services; retirement pension increased inpatient medical expenditure ( p < 0.01). The expected average probability of hospitalization, unconditional expected cost, and conditional expected cost for the older population with disabilities were 49.5%, RMB 6629.31, and RMB 3281.51, respectively. Both conditional and unconditional expected costs were significantly higher for older people with disabilities with the following attributes: male, married, no less than three chronic conditions, and unassisted daily care; costs were lower for older people with disabilities who are female, not married, had less than three chronic conditions, and had a spouse, child, or other caregiver. Conclusion Medical insurance and old-age security can significantly promote the utilization of medical services by the older population with disabilities. It is therefore recommended to focus on strengthening the support and health management of these people who are unattended to improve the effective use of health services and better meet their needs.

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Impact of socioeconomic position on the utilization of rehabilitation services among the Chinese older adults disabled by injury

Cited by 2 publications

References 23 publications

Assistive device utilization among disabled elderly in China: A cross‐sectional study

Assistive device utilization among disabled elderly in China: A cross‐sectional study

The impact of medical insurance and old-age security on the utilization of medical services by the older population with disabilities

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