The impact and Marginal Effects of Community Satisfaction on Utilization of Primary Health Services among Older Adults

Corresponding author: He Hong, hehong@ruc.edu.cn

DOI: 10.12201/bmr.202409.00046

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  Abstract: Objective: To analyze the need for and utilization of primary health services among older adults in China, and to explore the impact and marginal effects of community satisfaction on the utilization of primary health services. Methods: Based on data from the 2018 China Longitudinal Aging Social Survey, 6889 older adults aged 60 years and above were included in this study. Logistic models and marginal effects were used to explore the impact of community satisfaction of older adults on their primary health service utilization. Results: Community satisfaction of the elderly was positively associated with the utilization of primary health services, with a average marginal effect of 4.6% and a marginal effect at the mean of 1.4%. The result remained robust after replacing the regression model. The marginal effect of community satisfaction on high-utilization of primary health services for high-need elderly was 11.0%, which was stronger for older adults in low-need (0.4%). And the marginal effect for older adults living in urban areas was 1.6%, stronger than that for older adults living in rural areas (1.1%). Conclusions: A high level of community satisfaction is one of the elements to promote the utilization of primary health services for the elderly, especially those with high-need. There is a urban-rural difference in the marginal effect of community satisfaction on the utilization of primary health services for older adults, which may be due to the imbalance of the allocation of community health resources between urban and rural areas. It is recommended that community social workers can improve community satisfaction among older adults through various ways to help the utilization of primary health services. At the same time, the government should promote a balanced allocation of primary health resources between urban and rural areas to avoid inequity in the use of primary health services between urban and rural areas.

  Key words: Elderly; Primary health services need; Primary health services utilization; Community satisfaction

  Submit time: 23 September 2024

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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