Abstract
With the rapid increase of the elderly population in China, healthcare services for the elderly have gradually become an important welfare resource. However, the healthcare service for the elderly still has problems such as mismatched supply and demand and unbalanced resources. In order to effectively eliminate the path barriers to match supply and demand, and improve the accessibility of healthcare services, this paper introduces the sustainability of the healthcare service based on the accessibility theory, and constructs an index system from the three dimensions of potential accessibility, realized accessibility, and sustainable accessibility of healthcare services for the elderly. Then, the paper makes a practice application of the index system based on survey data of healthcare services from Shaanxi province, China. Finally, the paper finds that the total accessibility and sustainable accessibility of healthcare services for the elderly in Shaanxi Province are at an average level. The score of potential accessibility is high, indicating that elderly people have greater opportunities to use healthcare services. The realized accessibility score is low, which indicates that the actual use of healthcare services for the elderly presents low satisfaction.
Highlights
By the end of 2019, the Chinese population of 60 years old and above was close to 254 million people, accounting for 18.1% of the total population of China
Based on the demand of healthcare services for the elderly and the theoretical evolution of accessibility, this article explained the concept of accessibility from the perspectives of potential accessibility, realized accessibility, and sustainable accessibility
This article broadens the theory of accessibility from the perspective of sustainability and proposed an evaluation system for home-based healthcare services
Summary
By the end of 2019, the Chinese population of 60 years old and above was close to 254 million people, accounting for 18.1% of the total population of China. The improvement of healthcare services for the elderly must focus on the matching path of supply and demand and emphasize the accessibility of healthcare services for the elderly. By establishing a bridge between the supply and demand of healthcare services can the satisfaction and sense of acquisition of the elderly be effectively improved, and the construction of the system of healthcare services for the elderly be accelerated. (No 179) emphasized that it was necessary to fully use idle social resources and increase services to improve the accessibility of healthcare services for the elderly. This article examines the concept of accessibility, emphasizes the sustainability of healthcare services for the elderly, and points out the conceptual connotation of the accessibility of healthcare services for the elderly It elaborates on the main factors and establishes an indicator system from the three dimensions of potential accessibility, realized accessibility, and sustainable accessibility. Based on the survey data from Shaanxi Province, the paper calculates the indicator system of healthcare services for the elderly to measure the level of accessibility
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