Analysis of the Current Situation and Influencing Factors of the Utilization of Health Examination Services for Middle-aged and Elderly People in China

Wei Xuan; Wei Ying; Wang Ning; Zhao Yang; Zhai Xiangming

doi:10.3969/j.issn.1001-568X.2024.06.0002

Abstract：OBJECTIVE Understand the current situation and influencing factors of the utilization of health examination services for middle-aged and elderly people in China,and provide reference basis for relevant departments to formulate policies.METHODS Using the fifth round of national survey data conducted by the China Health and Retirement Longitudinal Study in 2020,the Anderson model was used to systematically analyze the current situation of health examination service utilization among middle-aged and elderly people aged≥45 in China.A multivariate logistic regression model was used to analyze the factors affecting the utilization of health examination services among middle-aged and elderly people.RESULTS Among the 15758 study subjects,7114 middle-aged and elderly people(45.1%)underwent health examinations.The results of multivariate logistic regression analysis showed that age,education level,smoking status,social status,internet use,pension insurance category,medical insurance category,and number of chronic diseases were the influencing factors on the utilization of health examination services for middle-aged and elderly people.CONCLUSION The utilization rate of health examination services for middle-aged and elderly people in country is relatively low.Relevant departments should take health examinations for the elderly as a starting point to provide health guidance,consultation,and management services for the elderly.They should use various forms such as the internet,television,and newspapers to strengthen the promotion of health examination related knowledge,improve the medical insurance system,include all or part of health examination expenses in the scope of medical insurance reimbursement,reduce the economic burden on middle and low-income groups,improve the enthusiasm of residents for physical examinations,and promote early prevention and treatment of diseases.