Volume 21 Issue 7
Jul.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(7): 1179-1183
TAN Mei, ZHANG Yuting, ZHANG Yan, BAI Simin, ZHANG Min, CHEN Yu. Analysis of the demand and influencing factors of community home combined medical and health care services in the elderly based on the Anderson model[J]. Chinese Journal of General Practice, 2023, 21(7): 1179-1183. doi: 10.16766/j.cnki.issn.1674-4152.003079
Citation: TAN Mei, ZHANG Yuting, ZHANG Yan, BAI Simin, ZHANG Min, CHEN Yu. Analysis of the demand and influencing factors of community home combined medical and health care services in the elderly based on the Anderson model[J]. Chinese Journal of General Practice, 2023, 21(7): 1179-1183. doi: 10.16766/j.cnki.issn.1674-4152.003079
shu

Analysis of the demand and influencing factors of community home combined medical and health care services in the elderly based on the Anderson model

doi: 10.16766/j.cnki.issn.1674-4152.003079
  • 1.

    College of Public Health, Chengdu Medical College, Chengdu, Sichuan 610500, China

Funds:

 17BGL189

 YLKYYB2202

  • Received Date: 2022-12-13
    Available Online: 2023-08-28
    Abstract
  •   Objective  To understand the current situation of the demand for community home combined medical and health care services for the elderly in Shaanxi Province and analyze its influencing factors, in order to provide a theoretical basis for the construction of a multi-level combined medical and health care service system for the elderly at home.  Methods  A total of 1 531 elderly people were surveyed by stratified random sampling in 36 counties (districts) of Shaanxi Province. Based on the Anderson model, Chi-square test was used to analyze the differences among propensity factors, enabling factors and demand factors in the demand for community home combined medical and health care for the elderly. The factors influencing of their demand was studied using binary logistic regression.  Results  The results of the analysis of influencing factors showed that among the propensity factors, the type of residence (OR=1.328, 95% CI: 1.059 to 1.667) and the presence of hobbies (OR=1.360, 95% CI: 1.083 to 1.708); among the enabling factors, the presence of health insurance (OR=1.436, 95% CI: 1.014 to 2.034), the presence of having pension insurance (OR=1.442, 95% CI: 1.012 to 2.055) and type of social support (general support OR=1.320, 95% CI: 1.036 to 1.681); high social support OR=2.086, 95% CI: 1.406 to 3.096); among the need factors, the perception of health care integration (OR=1.485, 95% CI: 1.093 to 2.018) and the number of chronic diseases (2 chronic diseases OR=1.398, 95% CI: 1.021 to 1.914; 4 or more chronic diseases OR=4.173, 95% CI: 1.526 to 11.415) influenced the demand for community home combined medical and health care for the elderly.  Conclusion  The elderly in rural areas, those who have social security and high social support, suffer from multiple chronic diseases and have high awareness of the combination of medical care and care have high demand for community home combined medical care and health services. Community home medical care and health services should meet the principle of providing appropriate service place, content and form, and on this basis, establish a diversified and sustainable multi-level health and elderly care service system.

     

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