Health Services Accessibility and Self-Reported Health Among Chinese Middle-Aged and Older Adults: Propensity Score Matching and Mixed-Effects Ordinal Logit Analysis.

ABSTRACT: This study evaluates the impact of unmet healthcare needs on self-reported health among middle-aged and older Chinese adults (≥45 years), with a focus on urban-rural disparities. Using 2011, 2013, and 2015 CHARLS data, we applied propensity score matching and mixed-effects ordinal logit models, with interaction effects regression for urban-rural differences. We analyzed the impact of unmet healthcare needs-defined as instances where individuals perceived a need for medical care but did not receive it-on self-reported health, which was measured using a 5-point Likert scale. Unmet outpatient care alone did not significantly affect self-reported health but had a negative impact when financial barriers were present (AOR = 0.44, 95% CI = [0.24, 0.82]). Unmet inpatient care significantly decreas

SUBMITTER: Ai H 

PROVIDER: S-EPMC12665022 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature