Inequity in the utilization of the home and community integrated healthcare and daily care services in older adults with limited mobility in China

Sep 7, 2024BMC geriatrics

Unequal use of home and community healthcare and daily care services among older adults with limited mobility in China

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Abstract

About 32.6% of older adults aged 60 years and above in China had in 2018, but only 18.5% utilized home and community care services.

  • Limited mobility, age, income level, region, self-assessed health, and depression are associated with the utilization of home and community care services.
  • The highest single service utilization rate was for regular physical examinations at 15.5%.
  • Inequity in service utilization was notably influenced by income, contributing over 60% to the concentration indices for any type of service and regular physical examinations.
  • Intraregional factors accounted for about 90% of the inequity observed in utilizing any type of service.
  • Pro-rich inequities in service utilization indicate that those with higher income are more likely to access needed services.

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Key numbers

18.5%
Utilization Rate
Percentage of older adults with using home and community care services.
32.6%
Prevalence
Proportion of older adults aged 60 and above with .
60%
Income Contribution to Inequity
Percentage contribution of income to inequity in home and community care services utilization.

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