Abstract
With the increase of the aging population and the lack of family care, home-based healthcare services have gradually become the main model to cope with aging, so local governments have invested heavily in the construction of home-based healthcare services. However, healthcare services still have problems such as low resource utilization and imbalanced development. The reason is that the supply and demand of healthcare services are not matched and the potential accessibility is low. Therefore, based on the supply and demand of healthcare services, this article pulls out the spatial and social factors that affect the potential accessibility, and tests the influence of individual factors on the potential accessibility among different groups of older adults. It is found that the perceived vulnerability of the older adults will reduce the potential accessibility of healthcare services. The psychosocial status, income and education level with the willingness to use healthcare services of the older adults are directly proportional, while residence has a negative impact on the potential accessibility. Finally, based on this finding, this article puts forward feasible suggestions from the perspective of policy content, publicity, and implementation.
Highlights
In China, with the rapid increase of the aging population and the weakening of the family care function, home-based healthcare services have become the main way to cope with aging [1,2].Home-based healthcare services mean that older adults live at home and the healthcare services centers in community provide daily care, such as medical care, housekeeping, entertainment and mental care [3]
In order to verify Hypothesis 1, this article tests the impacts of distance and perceived vulnerability on potential accessibility, using psychosocial status, income, residence, education level, health status, and gender as control variables
According to the results of Model 1–6, the level of potential accessibility is affected by distance and perceived vulnerability, and by individual characteristics such as the psychosocial status, income, residence, education level of the older adults, indicating the differences of the potential accessibility mainly come from the differences of the personal characteristics of the older adults, and different living environments cause differences of the willingness to use healthcare services for the older adults
Summary
In China, with the rapid increase of the aging population and the weakening of the family care function, home-based healthcare services have become the main way to cope with aging [1,2]. Home-based healthcare services mean that older adults live at home and the healthcare services centers in community provide daily care, such as medical care, housekeeping, entertainment and mental care [3]. In 2019, the “Opinions of the General Office of the State Council on Promoting the Development of Healthcare Service for the Older Adults” (No 5) emphasized that it was necessary to develop a healthcare service systems based on the home, supported by the community, supplemented by the institutions and combined with medical care.
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