Affiliation:
1. Center for Social Security Studies, Wuhan University, Wuhan 430072, China
2. School of Public Administration, Central South University, Changsha 410075, China
Abstract
Background: An emerging service delivery model of integrating health and social care for older people has been actively promoted by the Chinese government since 2016, but the client experience and influencing mechanism still remain unclear. Methods: this study adopts a qualitative methodology to delve deeper into the factors and mechanism shaping the client experience of residential integrated health and social care for older people in the Chinese context, so as to understand the experiences of older residents during the whole process of receiving integrated care services, and on this basis, put forward suggestions for the improvement of a high-quality aged care service system. We coded and analyzed the in-depth interview data of twenty older adults and six staff members from June 2019 to February 2020, recruited from six institutions in Changsha, one of the ninety pilot cities for integrated health and social care in China. Results: the findings showed that the client experience of older adults is mainly affected by factors in three dimensions (scene construction, individual minds, and interaction and communication), which are comprised of six sub-categories (social foundation, institutional functions, perception and emotion, cognition and understanding, intimacy and trust, and participation). Based on the factors and mechanism (consisting of six influencing paths), we constructed a model of the client experience of integrated health and social care for older people in the Chinese population. Conclusions: the factors and mechanism influencing the client experience of integrated health and social care for older people are complex and multifaceted. Attention should be paid to the direct effects of perception and emotion, institutional functions, intimacy and trust in the client experience, and the indirect effects of social foundation and participation on the client experience.
Funder
Natural Science Foundation of Hunan Province
Social Science Achievements Review Committee of Hunan Province
Hunan Provincial Innovation Foundation for Postgraduate
Subject
Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health
Reference61 articles.
1. National Bureau of Statistics of China (2022, October 17). The 20th of Series Reports on the Economic and Social Development on the 70th Anni-versary of the Founding of new China, Available online: http://www.stats.gov.cn/tjsj/zxfb/201908/t20190822_1692898.html.
2. National Bureau of Statistics of China (2022, October 17). Statistical Bulletin on National Economic and Social Development of the People’s Republic of China in 2021, Available online: http://www.stats.gov.cn/tjsj/zxfb/202202/t20220227_1827960.html.
3. The definition, current situation and development trend of aging health industry in the new era;Wang;Adm. Reform,2022
4. A Focus on the Program of All-Inclusive Care for the Elderly (PACE);Gonzalez;J. Aging Soc. Policy,2017
5. Community-Based Supports and Services for Older Adults: A Primer for Clinicians;Siegler;J. Geriatr.,2015