Health-care utilisation among India’s middle and older aged migrants: scrutinizing the status and predictors using Andersen’s simplified healthcare utilisation framework

IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Journal of Migration Health and Social Care Pub Date : 2023-07-21 DOI:10.1108/ijmhsc-07-2022-0068
Ramkrishna Samanta, Jadab Munda, Sourav Mandal, Mihir Adhikary
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Abstract

Purpose Migration appears to be a determinant in health-care utilisation, particularly among the elderly in India. Ageing and migration are essential socio-demographic phenomena in the 21st century for developing and developed countries to establish better public health-care policies. This study aims to focus on the status and determinants of health-care utilisation among elderly migrants who have migrated after attaining the age of 45 and above. Design/methodology/approach This study used the data from the first wave of the longitudinal ageing study in India (LASI) in 2017–2018. Two outcome variables were used to examine the health-care utilisation, including in-patient and out-patient care. Binary logistic regression was used to explore the predictors of healthcare utilisation in terms of in-patient and out-patient care among the elderly migrant population. Findings A total of 82.9% of elderly migrants had visited out-patient care when they were sick, whereas 15.3% have used in-patient care. Enabling factors, such as wealth quintile and health insurance, and need factor, such as chronic disease and self-rated health, were more significant factors influencing the health-care utilisation. Originality/value This study contributes to our understanding of older migrants’ health-care utilisation. Focussing on this study’s outcome, policymakers and decision makers may consider improving older migrants’ access to health-care by raising their income level, offering local health insurance and health awareness programs.
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印度中老年移民的医疗保健利用:使用Andersen的简化医疗保健利用框架审查现状和预测因素
目的移民似乎是医疗保健利用率的一个决定因素,尤其是在印度的老年人中。老龄化和移民是21世纪发展中国家和发达国家制定更好的公共卫生政策的重要社会人口现象。本研究旨在关注45岁及以上移民的老年移民的医疗保健利用状况和决定因素。设计/方法/方法本研究使用了2017-2018年印度第一波纵向老龄化研究(LASI)的数据。使用两个结果变量来检查医疗保健的利用率,包括住院和门诊护理。二元逻辑回归用于探讨老年流动人口住院和门诊医疗利用率的预测因素。调查结果共有82.9%的老年移民在生病时曾到门诊就诊,而15.3%的人曾使用住院治疗。有利因素,如财富五分位数和健康保险,以及需求因素,如慢性病和自评健康,是影响医疗保健利用率的更重要因素。原创性/价值这项研究有助于我们理解老年移民的医疗保健利用情况。关注这项研究的结果,政策制定者和决策者可以考虑通过提高老年移民的收入水平、提供当地医疗保险和健康意识计划来改善他们获得医疗保健的机会。
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来源期刊
International Journal of Migration Health and Social Care
International Journal of Migration Health and Social Care PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.30
自引率
0.00%
发文量
21
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