TIẾP CẬN DỊCH VỤ Y TẾ VÀ CÁC YẾU TỐ LIÊN QUAN Ở NGƯỜI CAO TUỔI TẠI XÃ BÌNH NAM, HUYỆN THĂNG BÌNH, TỈNH QUẢNG NAM NĂM 2018

Abstract

  Background: Population aging is a global phenomenon. The prevalence of illness among older people is higher than other ages, but surveys have shown that accessibility to health services in the elderly has not corresponded to their health care needs. Objectives: To determine the prevalence of healthcare access and related factors among the elderly in Binh Nam commune, Thang Binh district, Quang Nam province in 2018. Materials and methods: The study was conducted on 317 elderly people (≥60 years) in Thang Binh district, Quang Nam province from January to August 2018 with a cross-sectional study design. Samples were selected by systematic random method. Data collected by face-to-face interviews based on prepared questionnaires, including information on social demographic characteristics, health status, health care situation and healthcare access in the elderly. Results: The prevalence of healthcare access among the elderly was 89%. The main causes of using medical services was treating chronic diseases (71.6%), 88.6% of elderly people have used health insurance when examining and treating diseases. Factors related to healthcare access among the elderly included  literacy, health status, number of chronic diseases suffer, family care and health information seeking. Conclusion: Chronic illness is an issue of concern in the elderly, especially hypertension and chronic arthritis. Providing health service information and family care is the supportive factor in accessing health services in the elderly.