The Research on Utilization and Influencing Factors of Community Health Management Services for the Elderly in Nanning of China

บทคัดย่อ

           This research aim was 1) To study the current health situation and health literacy of older adults in the community of Nanning, China, 2) To analyses the current utilization of community health management services and explore the influencing factors, and to provide a reference basis for formulating strategies, 3) To improve the utilization efficiency of community health management services for older adults in Nanning.
          Methods: A random sampling method was employed to collect survey data from 1,166 individuals aged 60 years or older across six communities in Nanning. Questionnaire surveys were conducted, along with structured interviews with managers from four community health service organizations. Data analysis was performed using chi-square tests and multilevel logistic regression with SPSS 26.0 software.
          Results: Among the 1,049 elderly respondents, 60% had utilized community health management services. There was a high utilization rate for health check-ups, assessments, guidance, and record establishment (50-60%), while rehabilitation treatment, regular reviews, chronic disease management, and follow-up services were used less frequently (<28%). Most elderly individuals preferred major county and city hospitals for their first medical consultation (38.99%), compared to 20.81% who chose community healthcare organizations. Key factors influencing service utilization included age (70-74 years: OR=0.613, P=0.002; 75-79 years: OR=0.542, P=0.002; 80 years and older: OR=0.538, P=0.011), living arrangements, chronic diseases, and financial considerations.
          Conclusion: Elderly residents in Nanning exhibit low health literacy and satisfaction levels, coupled with a reluctance to utilize community health management services. Recommendations include increased investment in community medical resources, enhanced training for primary health management personnel, and strengthened community health education and chronic disease management initiatives.