监测家庭和社区服务的利用模式,以促进健康老龄化:一项跨部门研究
Wusi Zhou1,2, Xiangjing Zhang3, Xiaoyang Lyu1
1School of Public Administration, Hangzhou Normal University, Hangzhou, China.
BMC geriatrics
|April 28, 2025
概括
家庭和社区服务 (HCBS) 在老年人中使用率较低,受人口结构和支持系统的影响. 需要有针对性的政策来改善获得和解决健康老龄化的多样化护理需求.
科学领域:
- 老年学与公共卫生
- 医疗保健服务研究 医疗保健服务研究
- 社会政策与老龄化问题
背景情况:
- 家庭和社区护理 (HCBC) 模式旨在支持老年人的健康老龄化.
- 独立生活的老年人获得医疗保健的不平等需要对HCBC服务范围进行调查.
- 了解HCBC利用对于开发有效的老龄化人口综合护理系统至关重要.
研究的目的:
- 检查老年人对家庭和社区服务 (HCBS) 的整体使用情况.
- 分析生命护理服务 (LCS),医疗健康服务 (MHS) 和精神安慰服务 (SCS) 的利用模式.
- 确定影响HCBS普及的预测因素,并为基于社区的综合护理制定政策.
主要方法:
- 具有比较分析的横截面研究设计.
- 在江省对1246名老年人进行了问卷调查,有1171个有效答案 (93.98%的答案率).
- 描述性统计和二元物流回归分析用于识别利用差异和决定因素.
主要成果:
- 总体而言,HCBS的利用率被发现相对较低.
- 影响利用的关键决定因素包括年龄,家庭支持,经济地位,社区类型,社会保障福利,HCBS意识,自我护理能力和自我评估的健康.
- 在LCS,MHS和SCS中观察到利用率的显著差异,年轻的老年人使用LCS和MHS的可能性较低,而那些家庭支持和慢性疾病的人更倾向于使用MHS和SCS.
结论:
- HCBS的利用率不足,利用率受到一系列社会人口统计学和健康相关因素的影响.
- 解决不同收入群体的需求,特别是农村的老年人,提高慢性疾病和有限家庭支持的人的可访问性至关重要.
- 当地政府和家庭之间的伙伴关系对于开发高质量的综合护理服务至关重要,以满足老龄化人口不断变化的需求.
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