热带地理 ›› 2020, Vol. 40 ›› Issue (6): 993-1003.doi: 10.13284/j.cnki.rddl.003296
林琳1,2(), 严程棋1, 杨莹3, 范艺馨1, 吴箐1(
)
收稿日期:
2020-06-12
修回日期:
2020-10-21
出版日期:
2020-11-30
发布日期:
2020-12-10
通讯作者:
吴箐
E-mail:eeslinl@mail.sysu.edu.cn;wuqing@mail.sysu.edu.cn
作者简介:
林琳(1964—),女,广东中山人,教授,博士生导师,研究方向为老龄化地理、城乡规划,(E-mail)基金资助:
Lin Lin1,2(), Chengqi Yan1, Ying Yang3, Yixin Fan1, Qing Wu1(
)
Received:
2020-06-12
Revised:
2020-10-21
Online:
2020-11-30
Published:
2020-12-10
Contact:
Qing Wu
E-mail:eeslinl@mail.sysu.edu.cn;wuqing@mail.sysu.edu.cn
摘要:
基于广州13个社区问卷调查数据,运用多元线性回归模型探讨老年人“旁路”就医距离特征及其影响因素,结果发现:1)广州老年人小病及慢性病旁路就医距离以1 km为“就地—旁路”临界点,以5 km为“近旁路—远旁路”临界点,形成核心—边缘旁路就医圈层;2)男性老年人比女性老年人旁路就医距离更远;3)居住社区类型是影响旁路就医距离的关键因素,医疗级配不均对旁路就医距离远近影响较大,也是城乡社区老年人旁路就医距离差异化的重要原因;4)对社区越满意的老年人更倾向选择社区内就地就医。倾向特征、使能资源和医疗需求共同影响老年人旁路就医行为的距离远近,进而影响老年人健康公平结果。
中图分类号:
林琳, 严程棋, 杨莹, 范艺馨, 吴箐. 广州老年人小病慢病“旁路”就医行为及其影响因素[J]. 热带地理, 2020, 40(6): 993-1003.
Lin Lin, Chengqi Yan, Ying Yang, Yixin Fan, Qing Wu. Bypass Behavior and Influencing Factors Among Older Adults with General and Chronic Diseases in Guangzhou[J]. Tropical Geography, 2020, 40(6): 993-1003.
表1
案例地社区基本信息"
社区(村) 名称 | 所属 行政区 | 类型 | 老年人 口数/人 | 社区老龄 化率/% | 所属 街道(镇) |
---|---|---|---|---|---|
穗花北 | 海珠区 | 混合型社区 | 588 | 14.83 | 昌岗 |
贵德东 | 海珠区 | 传统型社区 | 927 | 20.25 | 江南中 |
新民 | 花都区 | 单位制社区 | 574 | 11.96 | 新华 |
三凤 | 花都区 | 自然村 | 181 | 8.68 | 花东 |
明星 | 白云区 | 自然村 | 512 | 13.25 | 人和 |
东兴中 | 越秀区 | 商品房社区 | 1 018 | 13.40 | 梅花 |
兴科 | 天河区 | 单位制社区 | 731 | 19.70 | 长兴 |
体育东 | 天河区 | 混合型社区 | 1 054 | 13.58 | 天河南 |
海中 | 荔湾区 | 自然村 | 556 | 6.81 | 中南 |
世纪 | 荔湾区 | 传统型社区 | 565 | 14.27 | 金花 |
蟠虬 | 荔湾区 | 传统型社区 | 680 | 16.95 | 金花 |
先锋 | 番禺区 | 混合型社区 | 765 | 19.25 | 市桥 |
上漖 | 番禺区 | 城中村 | 516 | 9.72 | 洛浦 |
表5
模型回归分析结果"
变量 | 非标准化系数B | 标准误差 | 标准系数 | t | Sig. |
---|---|---|---|---|---|
年龄 | 9.320 | 42.476 | 0.014 | 0.219 | 0.826 |
性别 | 1726.759 | 678.440 | 0.148 | 2.545 | 0.011** |
婚姻状况 | 77.631 | 771.689 | 0.006 | 0.101 | 0.920 |
居住社区类型 | -3 094.411 | 714.065 | -0.270 | -4.334 | 0.000*** |
有无私家车 | 528.106 | 708.863 | 0.043 | 0.745 | 0.457 |
家庭社会网络 | 1047.461 | 686.729 | 0.093 | 1.525 | 0.128 |
社区社会网络 | 0.172 | 6.658 | 0.002 | 0.026 | 0.979 |
社区综合满意度 | -20.400 | 7.567 | -0.155 | -2.696 | 0.007*** |
自评健康 | -35.983 | 19.824 | -0.104 | -1.815 | 0.071* |
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