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Journal
［2023-11-17］. https：//kns.cnki.net/kcms/detail/21.1546. ［15］HUNKELER E M，HUNG Y Y，RICE D P，et al. Alcohol
R.20231116.1413.002.html consumption patterns and health care costs in an HMO
［11］COSTANTINO G，SOLBIATI M，ELLI S，et al. Utility of ［J］. Drug Alcohol Depend，2001，64（2）：181-190
hospitalization for elderly individuals affected by COVID ［16］MENG Q Q，XIE Z，ZHANG T H. A single⁃item self⁃rat⁃
⁃19［J］. PLoS One，2021，16（4）：e0250730 ed health measure correlates with objective health sta⁃
［12］BRUNELLO A，GALIANO A，FINOTTO S，et al. Older tus in the elderly：a survey in suburban Beijing［J］.
cancer patients and COVID⁃19 outbreak：practical con⁃ Front Public Health，2014，2：27
siderations and recommendations［J］. Cancer Med，2020， ［17］丁文裴，李忠，唐文熙，等. 宜昌市城乡老年人卫生服务
9（24）：9193-9204 需求与利用分析［J］. 医学与社会，2022，35（5）：50-54
［13］ 程雨，王梓琪，郭美君，等. 农村老年居民住院服务利 ［18］曾雁冰，袁志鹏，方亚. 中国老年人就医行为及其影响

用影响因素及边际效应分析［J］. 医学与社会，2021，34 因素研究［J］. 中国卫生统计，2020，37（2）：199-205
（6）：59-63 ［19］国务院办公厅关于推动公立医院高质量发展的意见
［14］ 郝爱华，陈楚天，郎玲玲，等. 老年人自评健康与卫生 国办发〔2021〕18号［J］. 中华人民共和国国务院公报，
服务利用的关系研究［J］. 中国全科医学，2021，24（7）： 2021（17）：174-178
818-823 （本文编辑：姜 鑫）

Study on influencing factors of hospitalization service utilization of

middle⁃aged and older residents in China

1
2
1
1
LI Zhenkun ，XIANG Yang ，LIU Naipeng ，TAO Jie ，ZHAI Fei 1
1. Medical Records and Statistics Office，The First Affiliated Hospital of University of Science and Technology of China（Anhui
Provincial Hospital），Hefei 230001；2. Medical Records and Statistics Office，South District of the First Affiliated Hospital of
University of Science and Technology of China（Anhui Provincial Hospital），Hefei 230001，China
Abstract：Based on the data of China Health and Retirement Longitudinal Study（CHARLS）in 2020 and
adopts the Anderson health behavior model for reference，to examine the influencing factors of the utilization of
hospitalization services among middle⁃aged and older residents in China. Of 14 491 residents，2 285（15.8%）
used inpatient services in the past year. Binary Logistic regression analysis showed that gender，age，smoking，
drinking，self ⁃ rated health status，chronic disease conditions and activity of daily living（ADL）were the
influencing factors of inpatient service utilization of middle ⁃ aged and older residents（P<0.05）. Correlation
analysis showed that gender，smoking and drinking were correlated with inpatient service utilization（P<0.05）.
In general，we should focus on the groups over 60 years old，males，smokers，drinkers with poor self⁃rated
health，and those suffered from a higher number of chronic diseases and ADL impairment. It is vital to
accurately grasp the actual needs of this group，and provide safe，effective，reliable and high⁃quality medical
and health services.
Key words：middle⁃aged and elderly residents；hospitalization service utilization；CHARLS