What Contributes to the Activeness of Ethnic Minority Patients with Chronic Illnesses Seeking Allied Health Services? A Cross-Sectional Study in Rural Western China

摘要: Actively seeking health services lies at the core of effective models chronic disease self-management and contributes to promoting utilization allied (AHS). However, use AHS by ethnic minority Chinese, especially elderly living in rural areas, has not received much attention. This study, therefore, aims explore association between personal characteristics activeness patients with diseases areas western China AHS. A cross-sectional study was conducted collect data on socio-demographic economic characteristics, knowledge level communication channels sampled patients. logistic regression model used examine these predictors surveyed total 1078 minorities over 45 years old who had conditions were randomly selected from three provinces interviewed 2014. It is found that New Cooperative Medical Scheme (NCMS) most salient predictor affecting Chinese The probability 8.51 times greater for those insured NCMS actively seek than without (95% Confidence Interval (CI) 4.76-15.21; p < 0.001). Moreover, participants 60 70 have five six household members are more likely compared other social groups (Odds Ratio (OR) = 1.64, 95% CI 1.28-2.97, 0.007; OR 1.95, 1.15-2.36, 0.002). lower better conditions. Besides predictors, minorities' clearly associated receiving information, which include direct doctors (OR 5.18, 3.58-7.50, 0.001) dissemination elementary public posted bulletin boards 2.30, 1.61-3.27, traditional mass media 1.74, 1.22-2.48, First, government should further improve coverage households suffering satisfy requirements different income levels various ages their care utilization. Second, doctors' advice, common thus be continuously employed China. Third, specified healthcare designed meet needs patient segmentations.