IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i14p2592-d250175.html
   My bibliography  Save this article

Association of Access to Healthcare with Self-Assessed Health and Quality of Life among Old Adults with Chronic Disease in China: Urban Versus Rural Populations

Author

Listed:
  • Tao Zhang

    (Department of Health Management, School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 43003, China)

  • Chaojie Liu

    (School of Psychology and Public Health, La Trobe University, Melbourne 3086, Australia)

  • Ziling Ni

    (Department of Health Management, School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 43003, China)

Abstract

This study examined urban–rural differences in the association of access to healthcare with self-assessed health and quality of life (QOL) among old adults with chronic diseases (CDs) in China. The data of 5796 older adults (≥60) with self-reported CDs were collected from the Study on Global Ageing and Adult Health in China, including indicators of self-assessed health and QOL and information on access to healthcare. Associations of access to healthcare with self-assessed health and QOL at the 10th, 50th, and 90th conditional quantiles were determined after controlling individual and household factors, showing that urban patients who received healthcare within two weeks gave higher ratings on self-assessed health scores at the 10th and 50th quantiles. In rural areas, one-year and two-week access to healthcare was found to be associated with QOL scores at the 10th and 90th quantiles, respectively. Marginal effects of using needed health service decreased with a growth in QOL and self-assessed health scores in both urban and rural locations despite these effects being significant across the whole distribution. Overall, access to healthcare affects the self-assessed health and QOL of the elderly with CDs in China, especially in patients with poor health, though differently for urban and rural patients. Policy actions targeted at vulnerable and rural populations should give priority to reducing barriers to seeking health services.

Suggested Citation

  • Tao Zhang & Chaojie Liu & Ziling Ni, 2019. "Association of Access to Healthcare with Self-Assessed Health and Quality of Life among Old Adults with Chronic Disease in China: Urban Versus Rural Populations," IJERPH, MDPI, vol. 16(14), pages 1-14, July.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:14:p:2592-:d:250175
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/14/2592/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/16/14/2592/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Frank W. Porell & Helen B. Miltiades, 2001. "Access to Care and Functional Status Change Among Aged Medicare Beneficiaries," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(2), pages 69-83.
    2. Liu, Hong & Zhao, Zhong, 2014. "Does health insurance matter? Evidence from China’s urban resident basic medical insurance," Journal of Comparative Economics, Elsevier, vol. 42(4), pages 1007-1020.
    3. Alonso, J. & Orfila, F. & Ruigómez, A. & Ferrer, M. & Antó, J.M., 1997. "Unmet health care needs and mortality among Spanish elderly," American Journal of Public Health, American Public Health Association, vol. 87(3), pages 365-370.
    4. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    5. Liu, Li-Fan & Tian, Wei-Hua & Yao, Hui-Ping, 2012. "Utilization of health care services by elderly people with National Health Insurance in Taiwan: The heterogeneous health profile approach," Health Policy, Elsevier, vol. 108(2), pages 246-255.
    6. Philip Baiden & Wendy Dunnen & Barbara Fallon, 2017. "Examining the Independent Effect of Social Support on Unmet Mental Healthcare Needs Among Canadians: Findings from a Population-Based Study," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 130(3), pages 1229-1246, February.
    7. Tetsuji Yamada & Chia-Ching Chen & Chiyoe Murata & Hiroshi Hirai & Toshiyuki Ojima & Katsunori Kondo & Joseph R. Harris III, 2015. "Access Disparity and Health Inequality of the Elderly: Unmet Needs and Delayed Healthcare," IJERPH, MDPI, vol. 12(2), pages 1-28, February.
    8. Che, Yi & Li, Xin, 2018. "Retirement and health: Evidence from China," China Economic Review, Elsevier, vol. 49(C), pages 84-95.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Pavitra Paul & Ulrich Nguemdjo & Natalia Kovtun & Bruno Ventelou, 2021. "Does Self-Assessed Health Reflect the True Health State?," IJERPH, MDPI, vol. 18(21), pages 1-16, October.
    2. Ling Yang & Kai Zhao & Zhen Fan, 2019. "Exploring Determinants of Population Ageing in Northeast China: From a Socio-Economic Perspective," IJERPH, MDPI, vol. 16(21), pages 1-19, November.
    3. Benedetta Contoli & Valentina Possenti & Rosaria Gallo & Valentina Minardi & Maria Masocco, 2022. "Data from the PASSI d’Argento Surveillance System on Difficulties Met by Older Adults in Accessing Health Services in Italy as Major Risk Factor to Health Outcomes," IJERPH, MDPI, vol. 19(16), pages 1-11, August.
    4. Ryuichi Ohta & Yoshinori Ryu & Chiaki Sano, 2022. "Older People’s Help-Seeking Behaviors in Rural Contexts: A Systematic Review," IJERPH, MDPI, vol. 19(6), pages 1-12, March.
    5. Yang Wang & Yibo Wu & Hongling Chu & Zhijie Xu & Xinying Sun & Hai Fang, 2023. "Association between Health-Related Quality of Life and Access to Chronic Disease Management by Primary Care Facilities in Mainland China: A Cross-Sectional Study," IJERPH, MDPI, vol. 20(5), pages 1-15, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Gu, Danan & Zhang, Zhenmei & Zeng, Yi, 2009. "Access to healthcare services makes a difference in healthy longevity among older Chinese adults," Social Science & Medicine, Elsevier, vol. 68(2), pages 210-219, January.
    2. Mitra, Sophie & Gao, Qin & Chen, Wei & Zhang, Yalu, 2020. "Health, work, and income among middle-aged and older adults: A panel analysis for China," The Journal of the Economics of Ageing, Elsevier, vol. 17(C).
    3. Tianxin Pan & Michael Palmer & Ajay Mahal & Peter Annear & Barbara McPake, 2020. "The long‐run effects of noncommunicable disease shocks," Health Economics, John Wiley & Sons, Ltd., vol. 29(12), pages 1549-1565, December.
    4. Kuusi, T. & Martikainen, P. & Valkonen, T., 2020. "The influence of old-age retirement on health: Causal evidence from the Finnish register data," The Journal of the Economics of Ageing, Elsevier, vol. 17(C).
    5. Yingying Zhang & Steve Bradley & Robert Crouchley, 2023. "Gender Differences in the Effect of Retirement Duration on Cognitive Functioning," Working Papers 379420912, Lancaster University Management School, Economics Department.
    6. Ebaidalla Mahjoub Ebaidalla & Mohammed Elhaj Mustafa Ali, 2017. "Determinants and Impact of Households’s Out-of-Pocket Health Care Expenditure in Sudan: Evidence From Urban and Rural Population," Working Papers 1170, Economic Research Forum, revised 12 2017.
    7. Bai, Jin & Li, Hua, 2024. "Effects of urban-rural medical insurance integration on health: Evidence from rural China," Journal of Asian Economics, Elsevier, vol. 92(C).
    8. Li-Fan Liu, 2014. "The Health Heterogeneity of and Health Care Utilization by the Elderly in Taiwan," IJERPH, MDPI, vol. 11(2), pages 1-14, January.
    9. Feiyan Yang & Li Wei, 2023. "The impact of tax-subsidized health insurance on health and out-of-pocket burden in China," The Geneva Papers on Risk and Insurance - Issues and Practice, Palgrave Macmillan;The Geneva Association, vol. 48(1), pages 194-246, January.
    10. Yang Wang & Yibo Wu & Hongling Chu & Zhijie Xu & Xinying Sun & Hai Fang, 2023. "Association between Health-Related Quality of Life and Access to Chronic Disease Management by Primary Care Facilities in Mainland China: A Cross-Sectional Study," IJERPH, MDPI, vol. 20(5), pages 1-15, February.
    11. Zhang, Yan & Zhao, Guangchuan & Gu, Hai, 2022. "Investing in health capital: Does medical insurance matter?," Research in International Business and Finance, Elsevier, vol. 61(C).
    12. Hana Bataineh & Rose Anne Devlin & Vicky Barham, 2018. "Does unmet health care lead to poorer health outcomes?," Working Papers 1803E, University of Ottawa, Department of Economics.
    13. Eric French & Elaine Kelly & Richard Cookson & Carol Propper & Miqdad Asaria & Rosalind Raine, 2016. "Socio‐Economic Inequalities in Health Care in England," Fiscal Studies, Institute for Fiscal Studies, vol. 37, pages 371-403, September.
    14. Rana Ejaz Ali Khan & Muhammad Ali Raza, 2017. "Utilization of Quality Source of Prenatal-Care in India: An Evidence from IDHS," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 131(3), pages 1163-1178, April.
    15. Anura Amarasinghe & Gerard D'Souza & Cheryl Brown & Tatiana Borisova, 2006. "A Spatial Analysis of Obesity in West Virginia," Working Papers Working Paper 2006-13, Regional Research Institute, West Virginia University.
    16. Kristina Burström & Magnus Johannesson & Finn Diderichsen, 2003. "The value of the change in health in Sweden 1980/81 to 1996/97," Health Economics, John Wiley & Sons, Ltd., vol. 12(8), pages 637-654, August.
    17. Robert Kaestner, 1995. "The Effects of Cocaine and Marijuana Use on Marriage and Marital Stability," NBER Working Papers 5038, National Bureau of Economic Research, Inc.
    18. Martin Fischer & Martin Karlsson & Therese Nilsson, 2013. "Effects of Compulsory Schooling on Mortality: Evidence from Sweden," IJERPH, MDPI, vol. 10(8), pages 1-23, August.
    19. Tansel, Aysit & Keskin, Halil Ibrahim, 2017. "Education Effects on Days Hospitalized and Days out of Work by Gender: Evidence from Turkey," IZA Discussion Papers 11210, Institute of Labor Economics (IZA).
    20. Xuming He & Heng Xi & Xianbo Li, 2024. "Multi-Dimensional Decomposition, Measurement, and Governance Mechanism of Relative Poverty in Chinese Households under the Goal of Common Prosperity: Empirical Analysis Based on CFPS2020 Data," Sustainability, MDPI, vol. 16(12), pages 1-25, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:14:p:2592-:d:250175. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.