Forgone care among middle aged and elderly with chronic diseases in China: evidence from the China Health and Retirement Longitudinal Study Baseline Survey

Objective: In general, published studies analyze healthcare utilization, rather than foregone care, among different population groups. The assessment of forgone care as an aspect of healthcare system performance is important because it indicates the gap between perceived need and actual utilization of healthcare services. This study focused on a specific vulnerable group, middle-aged and elderly people with chronic diseases, and evaluated the prevalence of foregone care and associated factors among this population in China. Methods: Data were obtained from a nationally representative household survey of middle-aged and elderly individuals (≥45 years), the China Health and Retirement Longitudinal Study (CHARLS), which was conducted by the National School of Development of Peking University in 2013. Descriptive statistics were used to analyze sample characteristics and the prevalence of foregone care. Andersen’s healthcare utilization and binary logistic models were used to evaluate the d...

研究目标：现有已发表的相关研究多聚焦于不同人群的医疗服务利用（healthcare utilization）情况，而非放弃医疗服务（forgone care）。将放弃医疗服务作为医疗卫生系统绩效的评估维度具有重要意义，因其可反映居民感知的医疗服务需求与实际服务利用之间的缺口。本研究针对特定脆弱群体——患有慢性病的中老年人群，评估了中国该群体中放弃医疗服务的流行率及其相关影响因素。研究方法：本研究数据来源于北京大学国家发展研究院于2013年开展的全国代表性中老年家庭调查——中国健康与养老追踪调查（China Health and Retirement Longitudinal Study, CHARLS），调查对象为45岁及以上的中老年个体。本研究采用描述性统计方法分析样本特征与放弃医疗服务的流行率，并运用安德森（Andersen）医疗服务利用模型与二元Logistic回归模型对……