成都市老年人社区居家医养结合服务需求及影响因素分析

Analysis on the Demand and Influencing Factors of Home Medical Care Service for the Elderly in Chengdu

目的调查成都市老年人社区居家医养结合服务需求现况,探讨其影响因素,为更好地提供社区居家医养结合服务以及提高老年人生活质量提供参考依据。方法在成都市内4个社区卫生服务中心服务辖区内选取852名60岁及以上老年人作为研究对象进行问卷调查。对老年人社区居家医养结合服务需求进行描述性分析,采用多重线性回归分析医养结合服务影响因素。结果老年人对社区居家医养结合服务需求依次为健康管理类得分(3.29±1.27)、智慧化养老类得分(3.17±1.33)、医疗就诊类得分(3.15±1.31)、心理关怀类得分(2.99±1.25)、康复护理类得分(2.69±1.29)。不同维度需求差异有统计学意义(P<0.001);年龄、文化程度、子女数量、身体健康状况等是老年人需求的主要影响因素。结论老年人对健康管理类、智慧化养老类医养结合服务市场需求度高,年龄、文化程度、子女数量等因素导致不同维度医养结合服务需求差异化,应进一步细分服务市场以满足老年人社区医养结合服务需求,逐步实现老年人社区居家医养结合服务的分层分类精准服务。

Objective The current situation of the demand for integrated home medical and nursing care services in the elderly in Chengdu was investigated,and its influencing factors were discussed,so as to provide a reference for better providing community integrated home medical and nursing care services and improving the quality of life of the elderly.Methods A total of 852 elderly people aged 60 and above were selected in four community health service centers in Chengdu as the study subjects.The demand for integrated home medical and nursing care services in the elderly community was descriptively analyzed,and multiple linear regression was used to analyze the influencing factors of integrated medical and nursing care services.Results The scores of the elderly for community home-based medical and nursing care services were health management(3.29±1.27),intelligent elderly care(3.17±1.33),medical visits(3.15±1.31),psychological care(2.99±1.25),and rehabilitation nursing(2.69±1.29).The difference in demand between different dimensions was statistically significant(P<0.001).Age,education level,number of children,and physical health were the main influencing factors of the needs of the elderly.Conclusion The market demand for health management and intelligent elderly care services is high,and the age,education level,number of children and other factors lead to the differentiation of the demand for medical and nursing care services in different dimensions.The service market should be further subdivided to meet the needs of community medical and nursing care services for the elderly,and gradually realize the hierarchical classification and accurate services of community home medical and nursing care services for the elderly.