摘要
目的:调查徐州市区老年人对长期照护保险照护方式的选择意愿并分析影响因素,为完善老年人长期照护保险照护方式提供意见与建议。方法:采用分层整群随机抽样方法,对徐州市区60岁及以上老年人进行问卷调查,了解老年人一般情况及对照护方式的选择意愿,并分析老年人照护方式选择意愿的影响因素。结果:调查的1 623名老年人中,434人(26.7%)选择在协议照护服务机构接受照护,216人(13.3%)选择居家接受协议照护服务机构照护,973人(60.0%)选择居家接受非协议照护服务机构照护。多因素结果显示,模型1中60~69岁(OR=0.391)、不知道长期护理保险服务形式及内容(OR=0.222)的老年人更愿意选择在协议照护服务机构接受照护,非空巢(OR=2.869)的老年人更愿意选择居家接受协议照护服务机构照护;模型2中到最近照护机构10 min以内(OR=0.583)、到最近照护机构10~19 min(OR=0.590)的老年人更愿意选择在协议照护服务机构接受照护,不知道长期照护保险(OR=2.146)的老年人更愿意居家接受非协议照护服务机构照护。结论:徐州市区老年人健康状况一般,提示为老年人制定长期照护保险照护方式时应加大政策宣传力度,丰富照护服务内容,加强对非正式照护人员的护理知识培训,促进现有照护模式转型升级,以更好地满足老年人长期照护服务需求。
Objective:To investigate the elderly’s willingness to choose long-term care insurance care mode in Xuzhou city and analyze the influencing factors,so as to provide opinions and suggestions for improving long-term care insurance care mode for the elderly.Methods:Using stratified cluster random sampling method,the elderly aged 60 and above were selected to conduct a questionnaire survey in Xuzhou city,and to understand the general situation of the elderly and their willingness to choose care mode,and to analyze the influencing factors of their willingness to choose care mode.Results:Among the 1,623 elderly people surveyed,434(26.7%)chose to receive care in agreed care institutions,216(13.3%)chose to receive care in agreed care institutions at home,and 973(60.0%)chose to receive care in non-agreed care institutions at home.The multivariate results showed that in model 1,the elderly aged 60-69(OR=0.391)who did not know the form and content of long-term care insurance service(OR=0.222)were more willing to choose to receive care in agreement care service institutions;the elderly without empty nests(OR=2.869)were more willing to choose home care and accept the care of agreement care service institutions.In model 2,the elderly who arrive at the nearest care institution within 10 minutes(OR=0.583)and 10-19 minutes(OR=0.590)were more willing to choose to receive care in the agreement care service institution,and the elderly who do not know the long-term care insurance(OR=2.146)were more willing to receive care at home from the non agreement care service institution.Conclusions:The health status of the elderly in Xuzhou City was general.It was suggested that,when formulating long-term care insurance for the elderly,we should strengthen policy publicity,enrich the content of care services,strengthen the training of nursing knowledge for informal caregivers,promote the transformation and upgrading of existing care mode,in oeder to better meet the needs of long-term care services for the elderly.
作者
高泽方
卢硕
朱方鹏
卢亚娟
唐静
谷月
覃朝晖
GAO Zefang;LU Shuo;ZHU Fangpeng;LU Yajuan;TANG Jing;GU Yue;QIN Zhaohui(School of Management,Xuzhou Medical University,Jiangsu 221000 China)
出处
《护理研究》
北大核心
2022年第1期28-33,共6页
Chinese Nursing Research
基金
国家社科基金后期资助项目,编号:19FJYB014
江苏省教育厅项目,编号:2017SJB0982。
关键词
老年人
长期护理保险
老年护理
影响因素
居家养老
社区护理
the elderly
long-term care insurance
elderly care
influencing factors
home care
community care
