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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
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    References listed on IDEAS

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    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.

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