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Health Service Needs from a Household Perspective: An Empirical Study in Rural Empty Nest Families in Sinan and Dangyang, China

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  • Xueyan Cheng

    (Shanghai Health Development Research Center (Shanghai Medical Information Center), Shanghai 200032, China
    School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China)

  • Liang Zhang

    (School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
    School of Political Science and Public Administration, Wuhan University, Wuhan 430030, China)

Abstract

This study aimed to explore the health service needs of empty nest families from a household perspective. A multistage random sampling strategy was conducted to select 1606 individuals in 803 empty nest households in this study. A questionnaire was used to ask each individual about their health service needs in each household. The consistency rate was calculated based on their consistent answers to the questionnaire. We used a collective household model to analyze individuals’ public health service needs on the family level. According to the results, individuals’ consistency rates of health service needs in empty nest households, such as diagnosis and treatment service (H1), chronic disease management service (H2), telemedicine care (H3), physical examination service (H4), health education service (H5), mental healthcare (H6), and traditional Chinese medicine service (H7) were 40.30%, 89.13%, 98.85%, 58.93%, 57.95%, 72.84%, and 63.40%, respectively. Therefore, family-level health service needs could be studied from a family level. Health service needs of H1, H3, H4, H5, and H7 for individuals in empty nest households have significant correlations with each other ( r = 0.404, 0.177, 0.286, 0.265, 0.220, p < 0.001). This will be helpful for health management in primary care in rural China; the concordance will alleviate the pressure of primary care and increase the effectiveness of doctor–patient communication. Health service needs in empty nest households who took individuals’ public needs as household needs ( n = 746) included the H4 (43.3%) and H5 (24.9%) and were always with a male householder (94.0%) or at least one had chronic diseases (82.4%). Health service needs in empty nest households that considered one member’s needs as household needs ( n = 46) included the H1 (56.5%), H4 (65.2%), H5 (63.0%), and H7 (45.7%), and the member would be the householder of the family (90.5%) or had a disease within two weeks (100.0%). In conclusion, family members’ roles and health status play an important role in health service needs in empty nest households. Additionally, physical examination and health education services are the two health services that are most needed by empty nest households, and are suitable for delivering within a household unit.

Suggested Citation

  • Xueyan Cheng & Liang Zhang, 2022. "Health Service Needs from a Household Perspective: An Empirical Study in Rural Empty Nest Families in Sinan and Dangyang, China," IJERPH, MDPI, vol. 19(2), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:2:p:628-:d:718815
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    References listed on IDEAS

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    1. Li, Lydia W. & Zhang, Jiaan & Liang, Jersey, 2009. "Health among the oldest-old in China: Which living arrangements make a difference?," Social Science & Medicine, Elsevier, vol. 68(2), pages 220-227, January.
    2. Ye Chang & Xiaofan Guo & Liang Guo & Zhao Li & Hongmei Yang & Shasha Yu & Guozhe Sun & Yingxian Sun, 2016. "Comprehensive Comparison between Empty Nest and Non-Empty Nest Elderly: A Cross-Sectional Study among Rural Populations in Northeast China," IJERPH, MDPI, vol. 13(9), pages 1-14, August.
    3. Laurens Cherchye & Bram De Rock & Arthur Lewbel & Frederic Vermeulen, 2015. "Sharing Rule Identification for General Collective Consumption Models," Econometrica, Econometric Society, vol. 83(5), pages 2001-2041, September.
    4. Xiaopeng Shang & Yangmei Huang & Bi’e Li & Qing Yang & Yanrong Zhao & Wei Wang & Yang Liu & Junfen Lin & Chonggao Hu & Yinwei Qiu, 2019. "Residents’ Awareness of Family Doctor Contract Services, Status of Contract with a Family Doctor, and Contract Service Needs in Zhejiang Province, China: A Cross-Sectional Study," IJERPH, MDPI, vol. 16(18), pages 1-14, September.
    5. Min Gao & Yanyu Li & Shengfa Zhang & Linni Gu & Jinsui Zhang & Zhuojun Li & Weijun Zhang & Donghua Tian, 2017. "Does an Empty Nest Affect Elders’ Health? Empirical Evidence from China," IJERPH, MDPI, vol. 14(5), pages 1-20, April.
    6. Chaoqun Hu & Wenya Yu & Yipeng Lv & Haiping Chen & Qiangyu Deng & Lulu Zhang, 2017. "Study on the Health Status and Health Service Utilization of the Elderly of a Remote and Poor Village in a Mountainous Area in Jinzhai, Anhui," IJERPH, MDPI, vol. 14(4), pages 1-9, April.
    7. Janet Yuen Ha Wong & Abraham Ka Chung Wai & Shengzhi Zhao & Faustina Yip & Jung Jae Lee & Carlos King Ho Wong & Man Ping Wang & Tai Hing Lam, 2020. "Association of Individual Health Literacy with Preventive Behaviours and Family Well-Being during COVID-19 Pandemic: Mediating Role of Family Information Sharing," IJERPH, MDPI, vol. 17(23), pages 1-10, November.
    8. Linni Gu & Rui Zhu & Zhen Li & Shengfa Zhang & Jing Li & Donghua Tian & Zhijun Sun, 2020. "Factors Associated with Rural Residents’ Contract Behavior with Village Doctors in Three Counties: A Cross-Sectional Study from China," IJERPH, MDPI, vol. 17(23), pages 1-13, December.
    9. repec:bla:econom:v:48:y:1981:i:189:p:1-15 is not listed on IDEAS
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