ArticleBMC geriatrics2024
Inequity in the utilization of the home and community integrated healthcare and daily care services in older adults with limited mobility in China.
Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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The trial behind it
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Who cites it
4 citing papers in PubMed.
- High need, low use: separating multidimensional need from formal healthcare use among older adults in China using CHARLS 2020.BMC health services research · 2026Article
- A 1-km resolution dataset of affordability-constrained accessibility to elderly care facilities in China.Scientific data · 2026Article
- Research on the utilization of community health services and its determinants among older adults: a cross-sectional study in Liuzhou City.Frontiers in public health · 2026Article
- Longitudinal Associations Between Depression Symptoms and Cognitive Functions in Chinese Older Adults: A Cross-Lagged Panel Network Analysis.Depression and anxiety · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundThis study aimed to analyze the needs and utilization of the home and community integrated healthcare and daily care services ("home and community care services" for short) among older adults in China and to investigate the inequity in services utilization.
methodsCross-sectional data were obtained from the 2018 China Health and Retirement Longitudinal Study. Needs and utilization rates of the home and community care services in older adults of 60 years old and above were analyzed. Binary logistic regression analysis was performed to explore the factors associated with services utilization among older adults with limited mobility. Concentration index, horizontal inequity index, and Theil index were used to analyze inequity in services utilization. Decomposition analyses of inequity indices were conducted to explain the contribution of different factors to the observed inequity.
resultsAbout 32.6% of older adults aged 60 years old and above had limited mobility in China in 2018, but only 18.5% of them used the home and community care services. Among the single service utilization, the highest using rate (15.5%) was from regular physical examination. Limited mobility, age group, income level, region, self-assessed health, and depression were statistically significant factors associated with utilization of any one type of the services. Concentration indices of any one type service utilization and regular physical examination utilization were both above 0.1, and the contribution of income to inequity were both over 60%. Intraregional factor contributed to about 90% inequity of utilizing any one type service, regular physical examination and onsite visit.
conclusionsThis current study showed that older adults with needs of home and community care services underused the services. Pro-rich inequities in services utilization were identified and income was the largest source of inequity. The difference of the home and community care service utilization was great among provinces but minor across regions. Policies to optimize resources allocation related to the home and community care services are needed to better satisfy the needs of older adults with limited mobility, especially in the low-income group and the central region.
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