[1]张玉颜 胡琳琳.居家失能老年人照护需要满足状况及影响因素分析[J].中国卫生质量管理,2024,31(08):017-22.[doi:10.13912/j.cnki.chqm.2024.31.8.04]
　ZHANG Yuyan,HU Linlin.Analysis of the Meeting Status and Influencing Factors of Care Needs for Community-Dwelling Disabled Elderly[J].Chinese Health Quality Management,2024,31(08):017-22.[doi:10.13912/j.cnki.chqm.2024.31.8.04]
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居家失能老年人照护需要满足状况及影响因素分析()
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第31卷
期数:
2024年08期
页码:
017-22
栏目:
特别关注
出版日期:
2024-08-15

文章信息/Info

Title:
Analysis of the Meeting Status and Influencing Factors of Care Needs for Community-Dwelling Disabled Elderly
作者:
张玉颜 胡琳琳
中国医学科学院 北京协和医学院卫生健康管理政策学院
Author(s):
ZHANG Yuyan; HU Linlin
School of Health Policy and Management,Chinese Academy of Medical Sciences & Peking Union Medical College
关键词:
居家失能老年人; 照护需要; 安德森模型; 影响因素; 卫生服务利用
Keywords:
Community-Dwelling Disabled Elderly; Care Needs; Anderson Model; Influencing Factors; Utilization of Health Service
分类号:
R197.1
DOI:
10.13912/j.cnki.chqm.2024.31.8.04
文献标志码:
A
摘要:
目的了解我国居家失能老年人照护需要满足状况，分析影响因素，以期为建立和完善我国老年人照护服务和保障体系提供参考。方法采用中国健康与养老追踪调查（CHARLS）2020年数据，选取居家失能老年人样本，根据安德森模型设置自变量，描述性统计居家失能老年人照护需要满足状况，运用卡方检验和二元Logistic回归分析未满足照护需要的影响因素。 结果共纳入2 473名居家失能老年人，其中36.2%的老年人存在照护需要未满足情况，男性、失能程度低、经济状况差、无医疗保险、无配偶、与子女交往少、可选择其他照护资源不足的居家失能老年人更容易出现照护需要未满足的情况。结论建议引导家庭成员积极承担照护老年人的责任，探索以人为本的整合型照护服务，重视男性养老护理员培养，发展灵活多样的照护服务项目，建立完善的社会化照护服务体系，同时可通过发展养老储蓄账户、长期护理保险和商业照护保险等方式来缓解居家失能老年人照护经济压力。
Abstract:
ObjectiveTo investigate the meeting status and influencing factors of care needs for community-dwelling disabled elderly in China, in order to provide support for the establishment and improvement of our elderly care service and security system.MethodsData from China Health and Retirement Longitudinal Study(CHARLS) in 2020 were used to select a sample of community-dwelling disabled elderly. Independent variables were set according to Anderson model to make descriptive statistics on the status of community-dwelling disabled elderly in meeting their care needs. Chi-square test and binary logistic regression were used to analyze the influencing factors of unmet care needs.ResultsA total of 2 473 community-dwelling disabled elderly were included, of which 36.2% had unmet care needs. The community-dwelling disabled elderly were more likely to have unmet care needs if they were male, had low disability, poor economic status, no medical insurance, no spouse, few contacts with children, and insufficient other care resources to choose from.Conclusion It is recommended to guide family members to actively take on the responsibility of caring for the elderly, explore a person-oriented integrated care service,develop male caregivers and flexible and diverse care service projects, establish a complete social care service system, and alleviate the economic pressure brought by the need for care for community-dwelling disabled elderly through the development of pension savings accounts, long-term care insurance, and commercial care insurance.

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更新日期/Last Update: 2024-08-15