| 聂杰,潘慧娴,荣英男,王怡宁,姜鸿.医养结合养老服务需求影响因素分析——基于安德森健康行为模型[J].中国临床保健杂志,2023,26(3):307-312. |
| 医养结合养老服务需求影响因素分析——基于安德森健康行为模型 |
| Analysis on the influencing factors of the demand for medical care and pension services:based on the Anderson health behavior model |
| 投稿时间：2023-03-17 |
| DOI：10.3969/J.issn.1672-6790.2023.03.005 |
| 中文关键词: 老年人保健服务 健康老龄化 影响因素分析 卫生服务需求 老年人 |
| 英文关键词: Health services for the aged Healthy aging Root cause analysis Health services needs and demand Aged 〖FL |
| 基金项目:中央保健科研课题(2020YB20) |
| 作者 | 单位 | E-mail | | 聂杰 | 中国医学科学院 北京协和医院, 保健医疗部,,北京 100730 | langmi0270@163.com | | 潘慧娴 | 中国医学科学院 北京协和医院, 保健医疗部,,北京 100730 | | | 荣英男 | 中国医学科学院 北京协和医院, 保健医疗部,,北京 100730 | | | 王怡宁 | 中国医学科学院 北京协和医院 放射科,北京 100730 | | | 姜鸿 | 中国医学科学院 北京协和医院, 保健医疗部,,北京 100730 | |
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| 中文摘要: |
| 目的 评估老年人医养结合养老服务需求的影响因素,为构建社会养老服务体系服务。方法 参考安德森健康行为模型,使用随机抽样法对300例60岁以上老人进行问卷调查,利用χ2检验来分析人群分布的差异,并进行二元logistic回归分析,从个人需求因素、促能因素与先决因素3个角度研究老年人对医养结合需求的影响因素。结果 就先决因素而言,拥有更高文化水平的老年人往往更加倾向于接受医养结合养老服务(P<0.05)；在促能因素方面,经济条件较好、拥有的子女数量相对较少的老年人更加倾向于接受医养结合养老服务(P<0.05)；在个人需求因素方面,自理能力较差、患有慢性疾病的老年人更加倾向于选择医养结合的养老服务(P<0.05)；从整体来看,促能因素对老年人偏好医养结合养老服务的影响最大,其次为个人需求因素(P<0.05)。结论 加强医养结合政策的宣传力度,积极培养专业人才,同时为养老事业提供更多的资金支持,对促进医养结合养老事业的发展具有积极作用。 |
| 英文摘要: |
| Objective To evaluate the factors influencing the elderly′s demand for medical care combined with old-age care service,and to provide service for the construction of the country′s social old-age service system.Methods Based on Anderson′s health behavior model,300 elderly people over 60 years old were surveyed by random sampling method.Chi-square test was used to analyze the differences in population distribution,and binary logistic regression analysis was carried out to study the influencing factors of elderly people′s demand for combination of medical care from the perspectives of individual demand factors,energy promoting factors and prerequisite factors.Results In terms of the prerequisite factors,the elderly with higher education level were more inclined to accept the combination of medical care and old-age care services (P<0.05).In terms of energy promoting factors,the elderly with better economic conditions and fewer children were more inclined to accept the combination of medical care and old-age care services (P<0.05).In terms of individual demand factors,the elderly with poor self-care ability and chronic diseases were more inclined to choose the combination of medical and nursing care services (P<0.05).On the whole,energy promoting factors had the greatest impact on the elderly′s preference for the combination of medical and nursing care services,followed by individual demand factors (P<0.05).Conclusions Strengthening the publicity of the policy of the combination of medical care and old-age care,actively cultivating professional talents,and providing more financial support for the cause of old-age care,have a positive effect on promoting the development of the combination of medical care and old-age care. |
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