Abstract: Objective To understand the current situation and influencing factors of medical service utilization for the elderly in rural areas of Hebei province. Methods From August to September 2021, 1 395 rural elderly people in Hebei province were conveniently selected by random stratification as the research objects. Anderson behavioral model was used as the analysis framework and Logistic regression model was used to analyze the influence of propensity factors, ability factors and utilization factors on the utilization of medical services for rural elderly people. Results Among the elderly in rural areas, 1 029(73.76%)people occasionally used general medical services; 654(46.88%)people used inpatient medical services within one year. Logistic regression analysis results showed that age(over 70 years old), marital status(single)were two propensity factors, the distance to the medical institution was 1 km or more, the time required to arrive at the medical institution was less than 10 minutes, the commercial insurance, family function, subjective support 5 ability factors, health status and physical health, comorbidity index 2 utilization factors were the influencing factors of medical services for the elderly in rural areas(P<0.05, P<0.01). Conclusion The utilization of general medical services among the elderly in rural areas in Hebei province is low, the utilization of inpatient medical services is at a medium level, and they are basically satisfied with medical services. Tendency factors, ability factors and utilization factors affect the utilization of medical services.

Key words: rural elderly, medical service utilization, Anderson behavioral model