Utilisation of community healthcare services among older adults with disabilities in Luohu district, Shenzhen: a community-based survey.

Shi, L; Pang, T; Zheng, Q; Liu, G; Zhang, W; Leung, W

Utilisation of community healthcare services among older adults with disabilities in Luohu district, Shenzhen: a community-based survey.

Shi, L Pang, T Zheng, Q Liu, G

Zhang, W Leung, W

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Publisher:: BMJ PUBLISHING GROUP
Publication Type:: Journal Article
Citation:: BMJ Open, 2024, 14, (1), pp. e076249
Issue Date:: 2024-01-29

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Field	Value	Language
dc.contributor.author	Shi, L
dc.contributor.author	Pang, T
dc.contributor.author	Zheng, Q
dc.contributor.author	Liu, G https://orcid.org/0000-0002-0489-2638
dc.contributor.author	Zhang, W
dc.contributor.author	Leung, W
dc.date.accessioned	2025-01-28T05:34:30Z
dc.date.available	2024-01-08
dc.date.available	2025-01-28T05:34:30Z
dc.date.issued	2024-01-29
dc.identifier.citation	BMJ Open, 2024, 14, (1), pp. e076249
dc.identifier.issn	2044-6055
dc.identifier.issn	2044-6055
dc.identifier.uri	http://hdl.handle.net/10453/184345
dc.description.abstract	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.
dc.format	Electronic
dc.language	eng
dc.publisher	BMJ PUBLISHING GROUP
dc.relation.ispartof	BMJ Open
dc.relation.isbasedon	10.1136/bmjopen-2023-076249
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences, 1117 Public Health and Health Services, 1199 Other Medical and Health Sciences
dc.subject.classification	32 Biomedical and clinical sciences
dc.subject.classification	42 Health sciences
dc.subject.classification	52 Psychology
dc.subject.mesh	Humans
dc.subject.mesh	Middle Aged
dc.subject.mesh	Aged
dc.subject.mesh	Community Health Services
dc.subject.mesh	Persons with Disabilities
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Health Personnel
dc.subject.mesh	Self Report
dc.subject.mesh	Humans
dc.subject.mesh	Aged
dc.subject.mesh	Middle Aged
dc.subject.mesh	Disabled Persons
dc.subject.mesh	Health Personnel
dc.subject.mesh	Community Health Services
dc.subject.mesh	Self Report
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Humans
dc.subject.mesh	Middle Aged
dc.subject.mesh	Aged
dc.subject.mesh	Community Health Services
dc.subject.mesh	Disabled Persons
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Health Personnel
dc.subject.mesh	Self Report
dc.title	Utilisation of community healthcare services among older adults with disabilities in Luohu district, Shenzhen: a community-based survey.
dc.type	Journal Article
utslib.citation.volume	14
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
utslib.for	1199 Other Medical and Health Sciences
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Science
pubs.organisational-group	University of Technology Sydney/Faculty of Science/School of Life Sciences
pubs.organisational-group	University of Technology Sydney/UTS Groups
pubs.organisational-group	University of Technology Sydney/UTS Groups/Centre for Inflammation (CFI)
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0/
dc.date.updated	2025-01-28T05:34:29Z
pubs.issue	1
pubs.publication-status	Published online
pubs.volume	14
utslib.citation.issue	1

Abstract:

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.

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http://hdl.handle.net/10453/184345