城市化、多重发病和对医疗机构的偏好:来自印度拉贾斯坦邦的见解

IF 0.8 Q3 GEOGRAPHY

Journal of Urban and Regional Analysis Pub Date : 2020-10-15 DOI:10.37043/jura.2018.10.2.2

Kshipra Jain, P. Arokiasamy

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引用次数: 3

摘要

印度经历了快速的城市化进程，老年人口不断增加，疾病状况不断变化，产生了一系列新的医疗保健需求。该研究进行了一次新颖的尝试，根据初步调查，探讨了居住在拉贾斯坦邦城市的50岁以上老年人的发病率、多重发病率以及首选医疗机构的原因。与多重发病相比，单一发病的患病率较高，这反映了未来可能存在的保健需求。泊松回归估计确定了属于非sc /ST/OBC组的老年人和60岁以上年龄组的非贫困家庭具有较高的多种疾病风险。总体而言，政府医院的接受度较高，但原因各不相同，既有效率高的原因，也有其他医疗保健提供者缺乏的原因。研究建议结合影响长者偏好的因素，发展适合长者的医疗保健中心，以及扩大政府的医疗保健计划。通过充分解决他们的医疗保健需求，成功的老龄化可以得到促进。

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URBANIZATION, MULTI-MORBIDITIES AND PREFERENCE FOR HEALTH CARE FACILITY: AN INSIGHT FROM RAJASTHAN, INDIA

India experiences rapid pace of urbanization with increasing elderly population and changing disease profile creating new set of health care demands. The study made a novel attempt by exploring the prevalence of morbidities, multi-morbidities along with preferred healthcare facility substantiated by its reasons among the older adults aged 50+ living in urban Rajasthan based on a primary survey. The higher prevalence of single morbidity compared to multi-morbidity reflects the possibility of future healthcare needs. Poisson regression estimates identified the elderly belonging to the non-SC/ST/OBC group and the non-poor household in the age group of 60+ at higher risk of multi-morbidities. The Government hospitals overall enjoy higher acceptance though the reasons vary from their efficiency to lacuna in other healthcare providers. The study suggests incorporating the factors shaping the preferences to develop a suitable healthcare centre for the elderly and the expansion of government healthcare schemes. Successful ageing can get a boost by adequately addressing their healthcare needs.

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来源期刊

Journal of Urban and Regional Analysis GEOGRAPHY-

CiteScore

1.80

自引率

28.60%

发文量

审稿时长

16 weeks