The Study On The Outpatient Service Use And Its Determinants Among The Rural Aged In Weihai

Background: The decline of birth rate and the prolongation of life expectancy lead to the increase of the aged population. We should pay more attention to health care provision for the rural aged. The malnutrition and bad living condition, lack of basic health information and severe health condition have aroused social attention of the health service utilization. It is extraordinarily necessary to research the health service utilization of the aged in rural areas.Objective: To know the general run of things of need and utilization of sanitation service of country elder above sixty in Weihai. We choose felicitous statistical data and methods to analyze determinants of outpatient's utilization in order to provide scientific reference for policy making.Methods: By the method of random sampling, we select the rural aged older than sixty in Weihai, and analyze the need and utilization of health service. We account two-week incidence rate and two-weeks visit rate. We deal with the data bySPSS 15.0. We analyze determinants of two-week visit rate by x~2 test and Logisticregression model and analyze determinants of expenditure of two-week visit by variance analysis and ordinal regression model.Results: The two-week prevalence rate 17.7 percent .The two-week prevalence rate and chronic disease morbidity rate of the female aged is higher than that of male. 74 percent of the patients select fixed village clinic for health service; 40.2 percent of the patients buy medication at private drugstore because the price there is cheap (89.7 percent); the single factor analysis on visiting rate suggests that gender and education background are determinants. 37.7 percent of the aged do not visit doctors because of poverty. The single factor analysis on visiting expenditure suggests that chronic diseases and self-evaluate health status are determinants. Multi-factor analysis suggests that there are no statistical different determinants.Suggestion: We should pay more emphasis on prevention and cure of chronic diseases. We should actively develop the community health service of the rural aged and research the suited health service model for them. The needs and utilization of the rural aged to health recourses are very extensive. We should adjust the price of health service and use macro-control on health costs.