Objective: The paper investigates the utilization and evaluation of healthcare security among the elderly population in Beijing and analyzes the influencing factors to provide decision-making basis for improving the healthcare insurance system and achieving healthy ageing. Methods: A questionnaire survey of elderly people attending six different levels of medical institutions in Beijing was conducted to obtain information on elderly people's participation in basic medical insurance, use of basic medical insurance, hospital visiting, and evaluation of satisfaction with medical insurance and analyze the influencing factors of satisfaction using chi-square test and multi-factor logistic regression. Results: The participation rate and utilization rate were high among the elderly people being investigated, who preferred the manual payment in terms of reimbursement methods. The compliance rate of employees' medical insurance for the elderly in the vicinity of medical treatment was low. Many old people were very dissatisfied with or did not know about the reimbursement of medical insurance in a different pooling district. The health status, employees' medical insurance and urban and rural residents' medical insurance can significantly influence the elderly's satisfaction with medical insurance services in Beijing. Conclusion: It is recommended to further increase the participation rate and utilization rate of medical insurance for the elderly, to promote the graded diagnosis and treatment and supporting medical insurance system, to give full play to the policy overlap effect, to promote the rational allocation and utilization of medical resources, to continue to popularize and improve the medical insurance system for medical treatment in different places, to improve the benefits of urban and rural residents' medical insurance, to promote the integration of employees' medical insurance and urban and rural residents' medical insurance, and to finally promote the high-quality development of medical insurance and achieve healthy ageing.
Key words
old people /
healthcare behaviour /
satisfaction with medical insurance /
influencing factors
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