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|本期目录/Table of Contents|

社区养老服务供需差异对老年人生活质量的影响(PDF)

《现代预防医学》[ISSN:1003-8507/CN:51-1365/R]

期数:
2022年14期
页码:
2585-2590
栏目:
基层卫生服务
出版日期:
2022-07-30

文章信息/Info

Title:
Effects of differences in supply and demand of community elderly services on the quality of life of the elderly
作者:
周乾宇1张彦茹2贾善群1刘慧敏1刘丹丹1张蔷3秦颖3孙长青13
1.郑州大学公共卫生学院社会医学与卫生事业管理教研室,河南 郑州 450001;
2.郑州大学第二附属医院高层次人才办公室;
3.郑州大学护理与健康学院社区护理教研室,河南 郑州 450001
Author(s):
ZHOU Qian-yu* ZHANG Yan-ru JIA Shan-qun LIU Hui-min LIU Dan-dan ZHANG Qiang QIN Ying SUN Chang-qing
*Department of Social Medicine and Health Business Management, School of Public Health, Zhengzhou University, Zhengzhou, Henan, 450001, China
关键词:
社区养老供需关系老年人生活质量
Keywords:
Community-based elderly care Supply and demand Elderly Quality of life
分类号:
R197
DOI:
10.20043/j.cnki.MPM.202112299
文献标识码:
A
摘要:
目的 了解中国社区养老服务供需现况,分析养老服务供需差异对老年人生活质量的影响,为实现供需匹配和高质高效的居家社区养老服务提供政策依据。方法 采用χ2检验描述我国社区养老服务的供需分布状况,二元logistic回归模型探索不同社区养老服务对老年人的生活质量的影响,并采用Hosmer and Lemeshow检验诊断模型性能。结果 我国社区养老服务供需关系差异明显,经济水平富有(OR = 11.024,P<0.001)、年龄的增长(OR = 0.568,P<0.001)、医保类型为城镇居民(OR = 1.216,P<0.05)、自评健康非常好(OR = 20.455,P<0.001)、无抑郁症状(OR = 2.124,P<0.001)、个人护理服务(OR = 1.169,P<0.05)以及医疗保健教育服务(OR = 1.237,P<0.05)是影响老年人生活质量的正向促进因素。结论 社区养老服务的建设需各部门与社区协调同步,加强社区个人护理服务水平,同时增加保健教育的财政投入,加大医疗保健教育服务力度。
Abstract:
Objective To understand the current situation of supply and demand of community elderly services in China, to analyze the impact of the difference between supply and demand of elderly services on the quality of life of the elderly, and to provide policy basis for realizing supply and demand matching and high-quality and efficient home-based community elderly care service. Methods A chi-square test was used to describe the distribution of supply and demand of community elderly services in China, and a binary logistic regression model was used to explore the effects of different community elderly services on the quality of life of the elderly. Results The supply and demand of community elderly services in China differed significantly. Being wealthy (OR=11.024, P<0.001), age advancement (OR=0.568, P<0.001), urban residents health insurance (OR=1.216, P<0.05), very good self-rated health (OR=20.455, P<0.001), no depressive symptoms (OR=2.124, P<0.001), personal care services (OR=1.169, P<0.05), and health care education services (OR=1.237, P<0.05) were positive contributors to the quality of life of older adults. Conclusion The construction of community elderly care services needs to be coordinated and synchronized between various departments and the community to strengthen the level of personal care services in the community. Meanwhile, financial investment in health care education should be increased, and health care education services strengthened.

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备注/Memo

备注/Memo:
基金项目:国家社会科学基金一般项目(20BRK041)
作者简介:周乾宇(1995—),男,硕士,研究方向:社会医学与卫生事业管理,老年人健康
通信作者:孙长青,E-mail:suncq@zzu.edu.cn
更新日期/Last Update: 2022-07-28