Research on the Utilization and Satisfaction Status of Integrated Medical and Elderly Care Services in Home and Community
Objective To understand the utilization and satisfaction status of integrated medical and elderly care services in home and community,and propose measures and suggestions to promote the development of integrated medical and elderly care.Methods A purposive sampling method was adopted from May to July 2023.A total of 2 125 older adults aged 60 and above,receiving or having received services from Wuxi city of Jiangsu province,Changsha city of Hunan province.and Chengdu city of Sichuan province,were surveyed using a question-naire.Descriptive analysis,chi-square test,One-way ANOVA analysis,and multivariable linear regression were used to analyze the questionnaire data.Results There were statistically significant differences in general medical habits,service mode,and access to commonly used drugs across different regions(P＜0.05).The average overall satisfaction score of the service was(4.32±0.625),which was between"satisfied"and"very satisfied".According to the results of linear regression analysis,disability level,chronic disease status,regional difference,preference of receiving medical treatment,service mode,access to commonly used drugs,and geographical distance were the influencing factors of satisfaction with integrated medical and elderly care services in home and community(P＜0.05).Conclusion The in-tegrated of medical and elderly care services received by the older adults are well utilized by primary medical and health institutions,and the overall satisfaction with the services is high,but there is a problem of unbalanced develop-ment between regions.It is necessary to further improve the capacity of primary care services,and adjust the payment methods of medical insurance,accelerate the establishment and improvement of long-term care insurance system,so as to continuously improve the satisfaction of the community-dwelling elderly and the quality of integrated medical and elderly care services in home and community.
Integration of medical and elderly careHome and communityThe elderlyService utilizationService satisfaction
万方数据
维普
