The relationship between accessibility of healthcare facilities and medical care utilization among the middle-aged and elderly population in Taiwan

被引：23

作者：

Yang, Ya-Ting ^{[1
]}

Iqbal, Usman ^{[2
]}

Ko, Hua-Lin ^{[3
]}

Wu, Chia-Rong ^{[3
]}

Chiu, Hsien-Tsai ^{[4
]}

Lin, Yi-Chieh ^{[3
]}

Lin, Wender ^{[5
]}

Hsu, Yi-Hsin Elsa ^{[3
]}

机构：

[1] Natl Taiwan Univ, Inst Hlth Policy & Management, Taipei 10764, Taiwan

[2] Taipei Med Univ, Grad Inst Biomed Informat, Coll Med Sci & Technol, Taipei, Taiwan

[3] Taipei Med Univ, Sch Hlth Care Adm, Taipei, Taiwan

[4] China Med Univ, Dept Publ Hlth, Taichung, Taiwan

[5] Chang Jung Christian Univ, Dept Hlth Care Adm, Tainan, Taiwan

来源：

INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE | 2015年 / 27卷 / 03期

关键词：

accessibility; middle-aged and elderly; medical care utilization; healthcare quality; patient safety; QUALITY-OF-CARE; ACCESS; RESOURCES;

D O I：

10.1093/intqhc/mzv024

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The purpose of this study was to explore the relationship between accessibility of healthcare facilities and medical care utilization among the middle-aged and elderly population in Taiwan. Cross-sectional study from 2007 Taiwan Longitudinal Study on Ageing (TLSA) survey. Community-based study. A total of 4249 middle-aged and elderly subjects were recruited. None. Outpatient visits within 1 month, and hospitalization, emergency visits as well as to shop in pharmacy stores within 1 year, respectively. Adjusting for important confounding variables, the middle-aged and elderly with National Health Insurance (NHI) and commercial insurance compared with those with NHI alone tended to have outpatient visits. The middle-aged and elderly with longer time to access healthcare facilities were less likely to shop in pharmacy stores compared with those with < 30 min. The middle-aged and elderly who perceived inconvenient to access health care tended to shop in pharmacy stores compared with those with perceived convenience. Our study of Taiwan's experience could provide a valuable lesson for countries that are planning to launch universal health insurance system, locate budgets in health care and transportation. The middle-aged and elderly who were facing more challenges in accessing health care, no matter in perceived accessibility or real time to access health care, had less outpatient visits and more drug stores shopping. Strategic policies are needed to improve accessibility in increasing patients' perception on access and escalating convenience of transportation system for improving accessibility.

引用

页码：222 / 231

页数：10