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南京医科大学学报（社会科学版） 第2期 总第103期
· 170 · Journal of Nanjing Medical University（Social Sciences） 2021年4月

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Comparative study on the influencing factors of outpatient and
inpatient service utilization of middle⁃aged and elderly people

ZENG Zhichao，DENG Qingwen，LU Junhong，ZHENG Yuhang，LIU Wenbin
School of Public Health，Fujian Medical University，Fuzhou 350122，China
Abstract：Based on the 2015 data from the China Health and Retirement Longitudinal Study（CHARLS），
this study determined the utilization of outpatient and inpatient services among middle⁃aged and elderly people in
China，and investigated and compared the differences in the influencing factors between them by the chi⁃square
test and Logistic regression analysis. The results showed that the four⁃week morbidity rate among middle⁃aged
and elderly people was 29.5%，the four⁃week outpatient visit rate was 20.2%，and the proportion of middle⁃aged
and elderly patients who needed outpatient care in the last four weeks but did not visit the clinic was 31.4%.
Besides，the one⁃year hospitalization rate of middle⁃aged and elderly people was 14.0%，and the proportion of
middle⁃aged and elderly patients who needed inpatient care in the last year but did not get hospitalized was
28.8%. For the influencing factors of health services utilization of outpatient and inpatient services of middle⁃
aged and elderly people，the same factors included the condition of chronic diseases，the type of medical
insurance，economic level，self ⁃ reported health，and whether having physical examination in the past two
years，gender and age are different influencing factors of outpatient and inpatient service utilization. It was
strongly recommended to develop a prevention and treatment system for chronic disease by the concerted efforts
among government，society and individuals. First，the hierarchical medical system should be improved to
enhance the accessibility of health services. Second，while improving the income of residents，the coverage of
medical insurance should be expanded to reduce the financial burden of the middle⁃aged and elderly. Third，
health education for middle⁃aged and elderly people should be strengthened to enhance their health awareness.
Key words：middle⁃aged and elderly；health service utilization；CHARLS；comparative study