Utilisation of community healthcare services among older adults with disabilities in Luohu district, Shenzhen: a community-based survey
Objective China faces the challenge of an ageing population with disabilities. Community healthcare centres (CHCs) serve as frontline community healthcare providers for older adults with and without disabilities. Despite their significance, there is a lack of literature examining the utilisation of...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-01-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/1/e076249.full |
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| author | Gang Liu Wei Zhang Lu Shi Willie Leung Tiantian Pang Qingming Zheng |
| author_facet | Gang Liu Wei Zhang Lu Shi Willie Leung Tiantian Pang Qingming Zheng |
| author_sort | Gang Liu |
| collection | DOAJ |
| description | Objective China faces the challenge of an ageing population with disabilities. Community healthcare centres (CHCs) serve as frontline community healthcare providers for older adults with and without disabilities. Despite their significance, there is a lack of literature examining the utilisation of CHC services among older adults. This study aims to examine and compare the utilisation and satisfaction of CHC healthcare services among older adults with and without disabilities.Setting Data from the 2019 Community Health Diagnosis Questionnaire, which interviewed 259 older adults residing in the Luohu district of Shenzhen, were used in the current study.Primary outcome measures Participants self-reported outcomes including use of CHCs, use of home health services from CHCs and satisfaction with CHCs. Five different disability types and an integrated disability variable were assessed as independent variables. Linear probability models were used to determine the relationship between disability types and outcome variables.Results Among 259 older adults aged 60 years and older, 70.66% self-identified as having a disability. No statistically significant associations were found between the use of CHCs, the use of home health services from CHCs and satisfaction with CHCs, and disability status. However, older adults with mobility and cognitive disabilities were more likely to receive home health services from CHCs.Conclusion Community health promotion policies should be implemented to improve access to health services for older adults with and without disabilities. In addition, CHCs should implement effective health management plans to ensure the health needs of older adults with disabilities. |
| format | Article |
| id | doaj-art-31ffa0f1e1df4a8894e1c28587335d97 |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-31ffa0f1e1df4a8894e1c28587335d972025-08-20T03:12:42ZengBMJ Publishing GroupBMJ Open2044-60552024-01-0114110.1136/bmjopen-2023-076249Utilisation of community healthcare services among older adults with disabilities in Luohu district, Shenzhen: a community-based surveyGang Liu0Wei Zhang1Lu Shi2Willie Leung3Tiantian Pang4Qingming Zheng5Shenzhen Luohu Disease Prevention and Control Center, Shenzhen, ChinaWomen`s Hospital School of Medicine Zhejiang University, Hangzhou, Zhejiang, ChinaCollege of Health, Oregon State University, Corvallis, Oregon, USAHealth Sciences & Human Performance, The University of Tampa, Tampa, Florida, USAUniversity of South Florida, Tampa, Florida, USAShenzhen Luohu Disease Prevention and Control Center, Shenzhen, ChinaObjective China faces the challenge of an ageing population with disabilities. Community healthcare centres (CHCs) serve as frontline community healthcare providers for older adults with and without disabilities. Despite their significance, there is a lack of literature examining the utilisation of CHC services among older adults. This study aims to examine and compare the utilisation and satisfaction of CHC healthcare services among older adults with and without disabilities.Setting Data from the 2019 Community Health Diagnosis Questionnaire, which interviewed 259 older adults residing in the Luohu district of Shenzhen, were used in the current study.Primary outcome measures Participants self-reported outcomes including use of CHCs, use of home health services from CHCs and satisfaction with CHCs. Five different disability types and an integrated disability variable were assessed as independent variables. Linear probability models were used to determine the relationship between disability types and outcome variables.Results Among 259 older adults aged 60 years and older, 70.66% self-identified as having a disability. No statistically significant associations were found between the use of CHCs, the use of home health services from CHCs and satisfaction with CHCs, and disability status. However, older adults with mobility and cognitive disabilities were more likely to receive home health services from CHCs.Conclusion Community health promotion policies should be implemented to improve access to health services for older adults with and without disabilities. In addition, CHCs should implement effective health management plans to ensure the health needs of older adults with disabilities.https://bmjopen.bmj.com/content/14/1/e076249.full |
| spellingShingle | Gang Liu Wei Zhang Lu Shi Willie Leung Tiantian Pang Qingming Zheng Utilisation of community healthcare services among older adults with disabilities in Luohu district, Shenzhen: a community-based survey BMJ Open |
| title | Utilisation of community healthcare services among older adults with disabilities in Luohu district, Shenzhen: a community-based survey |
| title_full | Utilisation of community healthcare services among older adults with disabilities in Luohu district, Shenzhen: a community-based survey |
| title_fullStr | Utilisation of community healthcare services among older adults with disabilities in Luohu district, Shenzhen: a community-based survey |
| title_full_unstemmed | Utilisation of community healthcare services among older adults with disabilities in Luohu district, Shenzhen: a community-based survey |
| title_short | Utilisation of community healthcare services among older adults with disabilities in Luohu district, Shenzhen: a community-based survey |
| title_sort | utilisation of community healthcare services among older adults with disabilities in luohu district shenzhen a community based survey |
| url | https://bmjopen.bmj.com/content/14/1/e076249.full |
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