Preferences of Integrated Care and the Influencing Factors Among Chinese Community-Dwelling Older Adults.

IF 2 3区医学 Q2 MEDICINE, GENERAL & INTERNAL

Patient preference and adherence Pub Date : 2025-01-14 eCollection Date: 2025-01-01 DOI:10.2147/PPA.S495034

Siqi Liu, Jun Zhao, Nan Liu, Tingting Qin, Fang Wang

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引用次数: 0

Abstract

Objective: Population aging and epidemiological transition have prompted requests for integrating health and social care. The goal of meeting complex care needs necessitates the understanding of preferred patterns among older adults. The study aimed to elicit the preferred care patterns and the influencing factors of integrated health and social care among community-dwelling older adults in multiple regions of China.

Methods: From a national survey, 1184 community-dwelling older adults in three cities across China were included in the study. Individual characteristics and preferred care patterns were measured. Five preferred care patterns were classified, including Home-based health and social care, Community-based health and social care, Home-based health care but community-based social care, Community-based health care but home-based social care, and Institution-based health and social care. Multivariate logistic regression and random forest model were applied to obtain reliable results.

Results: Overall, approximately half of the participants (47.7%) in the survey preferred Home-based health and social care and more than a quarter of participants (25.6%) preferred Community-based health and social care, followed by Institution-based health and social care (14.4%). A relatively small fraction of participants reported preferences for Home-based health care but community-based social care (8.0%) and Community-based health care but home-based social care (4.2%). Gender, age, education, living arrangement, resident city, income per month, access to medication, and self-care capability were significantly associated with older adults' preferences (p<0.05 each). Education, living arrangement, age, resident city, and income per month were the most relevant predictors, followed by gender, number of chronic diseases, self-care capability, and access to medication.

Conclusion: To effectively meet care needs, efforts should focus on home- and community-based care. Since the preferred care patterns were characterized by obvious variability, policymakers and service providers should carefully consider the differences in making tailored strategies.

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中国社区老年人综合护理偏好及其影响因素

目的：人口老龄化和流行病学转变提出了卫生与社会保健一体化的要求。满足复杂护理需求的目标需要了解老年人的首选模式。本研究旨在了解中国不同地区社区居住老年人对健康与社会综合护理的偏好模式及其影响因素。方法：对全国3个城市的1184名居住在社区的老年人进行调查。测量个体特征和首选护理模式。五种首选的护理模式，包括以家庭为基础的保健和社会护理、以社区为基础的保健和社会护理、以家庭为基础的保健但以社区为基础的社会护理、以社区为基础的保健但以家庭为基础的社会护理和以机构为基础的保健和社会护理。采用多元逻辑回归和随机森林模型得到可靠的结果。结果：总体而言，调查中大约一半的参与者（47.7%）更喜欢以家庭为基础的保健和社会护理，超过四分之一的参与者（25.6%）更喜欢以社区为基础的保健和社会护理，其次是以机构为基础的保健和社会护理（14.4%）。相对较小比例的参与者报告偏好以家庭为基础的医疗保健但以社区为基础的社会护理（8.0%）和以社区为基础的医疗保健但以家庭为基础的社会护理（4.2%）。性别、年龄、受教育程度、居住安排、居住城市、月收入、药物可及性和自我护理能力与老年人的护理偏好显著相关(p结论：为有效满足老年人的护理需求，应重点关注家庭和社区护理。由于首选护理模式具有明显的可变性，政策制定者和服务提供者在制定有针对性的策略时应仔细考虑这些差异。

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来源期刊

Patient preference and adherence MEDICINE, GENERAL & INTERNAL-

CiteScore

3.60

自引率

4.50%

发文量

354

审稿时长

6-12 weeks

期刊介绍： Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal. As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.