The Accessibility Of Basic Medical Service Of The Elderly Study On The Differences Between Urban And Rural Areas

Improving the accessibility of basic medical service among older individuals,both in urban and rural areas,is a significant part of the“13^th Five-Year Plan”in China,which is an important way to guarantee the health rights of olds as well.In addition,there was a pressing demand in basic medical service in Hubei province,China,the basic medical service accessibility of urban and rural areas is more serious,and this have brought adverse effects for their physical and mental health,while scholars have been focused on the study of the elderly medical service accessibility status description.Thus,under the guidance of the Anderson’s health service utilization behavior model,this study tries to make analysis on the causes,current situation,as well as the consequences of the inequalities concerning the accessibility of basic medical service existed between older individuals came from urban and rural areas.Also,praitical suggestions were promoted as well.With data collected from the 4^th cross-sectional survey on the living conditions for elderly in China（only 11countries in Hubei province）,this study revealed that olders adults from rural areas was at disadvantange on the access of basic medical service,especially from the following three dimensions:economic availability,time accessibility and preventability.Obviously,the risk factors mentioned above were going against the well being of physical health,mental health and self-evaluation of health among elderly.What’s more,to illuminate the reasons of the existing inequality,this study promoted that,with up to the whole scale,potential factors,demanding factors,as well as predisposing factors were all significantly associated with the economic accessibility and time accessibility,while only the former two were at a significant correlation with preventability.With scale to the specific indicators,gender,economic status belong to the potential factors,demanding factors such as self-evaluaed health status and physical health,predisposing factors including saving status,family imcome,intergeneratinal support and favored treatment during doctors’office visiting were all significantly associated with the accessibility of basic medical service.Taken together,along with the statistics from the adminstration in Hubei province,this study promoted some specific suggestions from the following three aspects:narrowing the gap in the income between urban aged-individuals and rural older adults;adjusting the distribution structure of the basic medical service;focusing on expanding the breadth of the supply of elders basic medical services in rural areas.