Affiliation:
1. School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, China
2. School of Public Health,Hangzhou Medical College, Hangzhou, Zhejiang, China
Abstract
Facing the increasingly severe aging situation, China has started to implement the “integrated medical services and elderly care (IMSEC)” policy, which covers a variety of IMSEC models. However, there is currently little research on middle-aged and elderly people’s choice preference for these IMSEC models and their associated factors. Through the face-to-face questionnaire method, the choice preference of middle-aged and elderly people aged 45 years and over in Zhejiang Province, China, to the IMSEC model is explored. Through the multinomial logistic regression model, the influencing factors of choice preference are analyzed. A total of 1034 people are included in 2022. Their choice preference for the 4 major types of IMSEC models are Home IMSEC model (48.07%), Community IMSEC model (23.79%), Institutional IMSEC model (21.76%), and Internet Plus IMSEC model (6.38%). “C1. Home elderly care and contracted with a family doctor” is the most chosen subtype, accounting for 34.53%. The rural elderly are more likely to choose “Home IMSEC model” (OR(95%CI) = 2.977(1.343-6.601)). Elderly people with relatively large life care needs are more likely to choose “Institutional IMSEC model” (OR(95%CI) = 1.114(1.042-1.190)). Moreover, age, education, and self-reported health status are also influencing factors of choice preference. The government should focus on promoting the development of the “Home IMSEC model” and increase the promotion of “Internet Plus IMSEC model.” In addition, the life care service capacity and spiritual comfort capacity of IMSEC institutions, as well as the medical service capacity of the community, need to be enhanced.
Funder
Hangzhou High Level Talent Special Support Project
Medical and Health Technology Plan Project of Zhejiang Province
General Project of the Department of Education of Zhejiang Province
Basic Scientific Research Funds of Department of Education of Zhejiang Province
Soft Science Research Program of Zhejiang Province
Reference42 articles.
1. Chinese National Bureau of Statistics. Report of the seventh population census data in China. 2021. Accessed February 20, 2023. http://www.stats.gov.cn/tjsj/zxfb/202105/t20210510_1817176.html
2. Chinese National Health Commission. The 14th Five-Year Plan for Healthy Aging. 2022. Accessed February 20, 2023. http://www.gov.cn/zhengce/zhengceku/2022-03/01/content_5676342.htm
3. China State Council. Opinions to Accelerate the Development of Aged Care Industry. 2013. Accessed February 20, 2023. http://www.gov.cn/zwgk/2013-09/13/content_2487704.htm.
4. Medical and Old-Age Care Integration Model and Implementation of the Integrated Care of Older People (ICOPE) in China: Opportunities and Challenges