There is little research on the utilization of non-medical community healthcare services among the elderly, compared with that of medical community healthcare services. From the perspective of both supply and demand, based on the survey data from Shaanxi province, this study examined supply-related factors (including service supply, service quality, service charge and service accessibility) and demand-related factors (including service need, individual financial status, family care support and knowledge of service) affecting the utilization of non-medical community healthcare services among the elderly in China by using Poisson regression. The findings show that service supply, service quality, service need and knowledge of service are positively associated with the utilization of non-medical community healthcare services among elderly Chinese, but the other factors identified in previous studies are not significant predictors for the utilization of the services among the elderly in the context of China. To our knowledge, this is the first study to examine both supply-related factors and demand-related factors affecting the utilization of non-medical community healthcare services among elderly Chinese.

Background Along with the increasing number of older adults in China, the demand for older adults services of China's aging population has been transformed and upgraded, and the demand for community cultural and leisure services of the older adults has become increasingly prominent. The research on the influencing factors of the utilization of community cultural and leisure services of the older adults can help improve the service effect and enhance the quality of life of the older adults. Based on Anderson's model, we constructed an analytical framework of the influencing factors of the utilization of community cultural and leisure services for the older adults from both the supply and demand sides, and then used Poisson regression method to empirically test the analytical framework based on the survey data of three cities in Shaanxi Province in 2019. Results The results found that supply-side factors significantly influenced the utilization of community cultural and leisure services by the older adults, mainly including service facility supply, service content supply, and service location accessibility; demand-side factors significantly influenced the utilization of community cultural and leisure services by the older adults, mainly including service acceptability, service satisfaction, and service need. The study also found that, unlike the results of previous studies, the use of community cultural and leisure services by older adults was not constrained by economic level. Conclusions Both supply-side factors and demand-side factors significantly affect the utilization of community spiritual culture services by the older adults. In strengthening and improving the supply of community cultural and leisure services, the previous "top-down" and "service-centered" approach should be changed to a "bottom-up" and "demand-centered" approach. In the past, the supply of community spiritual culture services should be changed from a "top-down" and "service-centered" approach to a "bottom-up" and "demand-centered" approach, and attention should be paid to the urban-rural differences in supply.