ArticleBMC geriatrics2025
Status and factors associated with health service utilization among older adults in China: a recent national population-based survey.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- High need, low use: separating multidimensional need from formal healthcare use among older adults in China using CHARLS 2020.BMC health services research · 2026Article
- Exploring service demands of community-embedded elderly care based on the Kano model: a cross-sectional study in Hefei, China.BMC geriatrics · 2026Article
- Is social work effectiveness related to the well-being of older adults in rural China? A moderated mediation model of social support and self-governance awareness.Frontiers in public health · 2026Article
- Research on the utilization of community health services and its determinants among older adults: a cross-sectional study in Liuzhou City.Frontiers in public health · 2026Article
- Insurance-related differences in high-intensity care utilization among older patients with cancer.Frontiers in public health · 2026Observational
- Measuring and decomposing inequalities in intrinsic capacity among older adults in china: from an urban-rural divide perspective.Aging clinical and experimental research · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundAccelerated population aging and the growing prevalence of various geriatric diseases in China have placed older adults in a vulnerable position regarding access to health services, including medical care and health checkup services. This study aimed to investigate the use of health services by older adults and its influencing factors.
methodsA total of 9401 respondents aged 60 years and older from the 2020 wave (wave 5) of the China Health and Retirement Longitudinal Study (CHARLS) were included. Employing the Behavioral Model of Health Service Use as a framework, the study categorized the determinants of health service utilization among the elderly into three distinct segments: predisposing factors, enabling factors, and needs-based factors. Multiple logistic regression was used to examine three factors affecting the use of medical care services.
resultsThe rate of utilization of health services (including medical care and health checkup services) among older adults was 33.34%. The utilization rates of outpatient visits, hospitalization care, and health checkup services were 21.5%, 23.2%, and 55.30%, respectively. Factors influencing the use of health services varied by different service types. Needs-based factors, including chronic diseases and self-perceived health status, played an essential role in medical care services. Predisposing factors (age, gender, personal income), enabling factors (medical insurance, social insurance), and needs factors (chronic diseases, ADL) will all significantly health service utilization among older adults.
conclusionThe overall level of health service utilization among older adults is low, so policies and decision-makers can consider improving the development of targeted measures for different service types to increase the utilization rate of medical care services for the elderly and promote the health equity of vulnerable groups.
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