Use of health services by Chinese elderly in Beijing

• Published in: Medical care Vol. 36; no. 8; p. 1265
• Main Authors: Foreman, S E, Yu, L C, Barley, D, Chen, L W
• Format: Journal Article
• Language: English
• Published: United States 01.08.1998
• Subjects: Activities of Daily Living; Aged; Causality; China; Family; Female; Health Care Surveys; Health Services for the Aged - statistics & numerical data; Health Services Needs and Demand - statistics & numerical data; Hospitalization - statistics & numerical data; Humans; Income - statistics & numerical data; Least-Squares Analysis; Logistic Models; Male; Medicine, Chinese Traditional; Social Support; Surveys and Questionnaires; Urban Health
• ISSN: 0025-7079
• DOI: 10.1097/00005650-199808000-00014

This article provides an inquiry into use of health services by the elderly. The authors operationalize models of use with a survey of 350 elderly Chinese. Because the survey involves native Chinese, the empirical test can isolate functional social support as well as "structural" social supports (marriage, living with children). The principal findings comport with prior work: the strongest determinants of the use of health services by the elderly are those that relate to need. In addition, structural social support impacts use but demonstrates complex patterns. The availability of family support increases physician visits while diminishing the probability of a hospital stay. Increased Western physician use ties to increased use of Chinese physicians and increased hospitalization. Functional social support plays a role as well. Finally, income effects did not play a large role in determining the use of health services among this population.