Influence of different health-care systems on health of older adults: a comparison of Hong Kong, Beijing urban and rural cohorts aged 70 years and older

Australasian Journal on Ageing
J WooXiang Hua Fang

Abstract

To explore the hypothesis that better health status of elderly populations is primarily determined by the provision of freely accessible health service at low or no cost to the user and a social welfare system. Information was collected by questionnaire from surveys of three cohorts of elderly (70 years and older) Chinese. Data from two health-care systems were compared: the low-cost or free government-subsidized system in Hong Kong, and the market-orientated user-pays system in urban (Beijing), and rural China. The Beijing rural cohort had the best health profile, whereas the Hong Kong cohort had the worst, despite the better lifestyle practices in the Hong Kong and Beijing urban cohorts compared with the Beijing rural cohort, and higher socioeconomic status in the Beijing urban and Hong Kong cohorts. However, the Beijing rural cohort had the highest prevalence of functional limitations. While health-care systems may affect life expectancy at birth, psychosocial, lifestyle and socioeconomic factors influence subsequent health status of elderly people in a complex manner.

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Citations

Oct 12, 2010·Journal of the American Geriatrics Society·Britt-Marie SjölundEva von Strauss
May 7, 2011·Geriatrics & Gerontology International·Baozhen DaiZongfu Mao
Nov 6, 2013·Australasian Journal on Ageing·Anna L Howe
Nov 5, 2015·International Journal for Equity in Health·Baozhen Dai
Nov 18, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Mi ZhouLi Huang

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