Multidimensional health groups and healthcare utilization among elderly Chinese: Based on the 2014 CLHLS dataset

Linglong Ye, Jiecheng Luo, Ben Chang Shia, Ya Fang

Research output: Contribution to journalArticle

Abstract

Based on multidimensional health, we aimed to identify health groups among the elderly Chinese population, and examine its relationship with socio-demographic factors on healthcare utilization. Chinese Longitudinal Healthy Longevity Survey in 2014 was adopted. For 2981 participants aged ≥65 years, without missing any health indicators, latent class analysis was adopted to identify health groups. For 1974 participants with complete information, the two-part model was used to assess how health groups and socio-demographic characteristics influence the outpatient and inpatient expenditure. Four health groups were identified and labeled as “Lacking Socialization” (10.4%), “High Comorbidity” (16.7%), “Severe Disability” (7.8%), and “Relative Health” (65.1%). Compared with the relative health group, the lacking socialization group cost higher inpatient expenditure (p = 0.02). Those in the high comorbidity and severe disability groups were more likely to use healthcare services and cost higher outpatient expenditure (p < 0.01 for all). The effects of socio-demographic factors were also discussed. The findings enhanced our understanding of the heterogeneity of multidimensional health status and complex healthcare demands in the elderly Chinese population. Moreover, it is valuable for improving the allocation of healthcare resource targeted for different groups of the ageing population.

Original languageEnglish
Article number3884
JournalInternational Journal of Environmental Research and Public Health
Volume16
Issue number20
DOIs
Publication statusPublished - Oct 2 2019

Fingerprint

Delivery of Health Care
Health
Health Expenditures
Socialization
Demography
Comorbidity
Inpatients
Outpatients
Resource Allocation
Datasets
Population Groups
Health Care Costs
Population
Health Status
Costs and Cost Analysis

Keywords

  • Aging
  • Healthcare utilization
  • Heterogeneity
  • Multidimensional health
  • Person-centered approach

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Cite this

Multidimensional health groups and healthcare utilization among elderly Chinese : Based on the 2014 CLHLS dataset. / Ye, Linglong; Luo, Jiecheng; Shia, Ben Chang; Fang, Ya.

In: International Journal of Environmental Research and Public Health, Vol. 16, No. 20, 3884, 02.10.2019.

Research output: Contribution to journalArticle

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