Wang, Zheng
Situation of integrated eldercare services with medical care in China - Vol.83(1), Jan-Feb - Mumbai Indian Journal of Pharmaceutical Science 2021 - 140-152p.
There are clinics around nursing homes in foreign countries or family doctors for every elderly. When a
disease occurs, doctors can provide door to door service to help patients. Since the epidemic of coronavirus
disease 2019, the elderly have been a high risk group of people infected with coronavirus disease 2019.
In both the United States and Canada, the first recorded coronavirus disease 2019 deaths and outbreaks
occurred in nursing homes with case fatality rates in these settings reported to be as high as 33.7 %. Due
to the lack of adequate medical facilities and adequate medical staff to provide services, the elderly are
more likely to be infected with the virus as a result of social interaction. All these show that foreign models
can no longer meet the medical needs of the elderly. Therefore, we should take a different perspective and
combine pension services with medical care. At present, China is exploring the mode of combination of
medical and nursing services. In this study, we investigated the current situation of integrated medical
and nursing services in China, exploring the transformation of primary medical institutions into medical
and nursing service providers. The integrated eldercare services with medical care is that we make use of
the existing medical resources to provide care services, which can meet the health needs of the elderly and
reduce the infection rate of the elderly. Using a self-administered or interview questionnaire survey, we
conducted t-test and one-way analysis of variance. It was found that the elderly are most satisfied with the
geographical location (90.84 %) and medical services (90.82 %), and the most dissatisfied with consultation
(87.66 %) and institutional fees (87.23 %). The elderly with the older age, the higher the monthly income
of more than 3000 yuan, marriage and chronic diseases, are highly satisfied with their community health
service institutions (p<0.05). Through one-way analysis of variance, there were significant differences in
medical and health service demand among the groups with different monthly income (f=5.289 and 5.312,
p<0.05), different occupation (f=5.574 and 2.325, p<0.05), and different ideal mode of providing for the aged
(f=5.237, p=0.002<0.05). By independent sample t test, it was found that there were significant differences
in basic medical service demand and health guidance service demand between people with chronic diseases
and those without chronic diseases (p<0.05), and those who were willing and unwilling to use information
technology for disease management (p<0.05). Through regression analysis, we can see that age (t=4.411,
p<0.05) and income (t=2.061, p<0.05) have significant influence on basic medical service among the three
variables of age, education and monthly income, and the coefficient is positive. Age (t=2.508, p<0.05) and
income (t=3.143, p<0.05) had significant influence on rehabilitation guidance service, and the coefficient
was positive. In summary, age, income, occupation, whether suffering from chronic diseases, whether they
are willing to use information technology to detect and manage diseases and other factors, all affect the
demand of the elderly for basic medical services and rehabilitation guidance services in medical service
institutions. Through the research on the current situation of the integrated medical and nursing services
in China, this study enriches the relevant evidence of the integrated medical and nursing services, and has
a certain reference value for the relevant management departments to formulate policiesis.
PHARMACEUTICS
Situation of integrated eldercare services with medical care in China - Vol.83(1), Jan-Feb - Mumbai Indian Journal of Pharmaceutical Science 2021 - 140-152p.
There are clinics around nursing homes in foreign countries or family doctors for every elderly. When a
disease occurs, doctors can provide door to door service to help patients. Since the epidemic of coronavirus
disease 2019, the elderly have been a high risk group of people infected with coronavirus disease 2019.
In both the United States and Canada, the first recorded coronavirus disease 2019 deaths and outbreaks
occurred in nursing homes with case fatality rates in these settings reported to be as high as 33.7 %. Due
to the lack of adequate medical facilities and adequate medical staff to provide services, the elderly are
more likely to be infected with the virus as a result of social interaction. All these show that foreign models
can no longer meet the medical needs of the elderly. Therefore, we should take a different perspective and
combine pension services with medical care. At present, China is exploring the mode of combination of
medical and nursing services. In this study, we investigated the current situation of integrated medical
and nursing services in China, exploring the transformation of primary medical institutions into medical
and nursing service providers. The integrated eldercare services with medical care is that we make use of
the existing medical resources to provide care services, which can meet the health needs of the elderly and
reduce the infection rate of the elderly. Using a self-administered or interview questionnaire survey, we
conducted t-test and one-way analysis of variance. It was found that the elderly are most satisfied with the
geographical location (90.84 %) and medical services (90.82 %), and the most dissatisfied with consultation
(87.66 %) and institutional fees (87.23 %). The elderly with the older age, the higher the monthly income
of more than 3000 yuan, marriage and chronic diseases, are highly satisfied with their community health
service institutions (p<0.05). Through one-way analysis of variance, there were significant differences in
medical and health service demand among the groups with different monthly income (f=5.289 and 5.312,
p<0.05), different occupation (f=5.574 and 2.325, p<0.05), and different ideal mode of providing for the aged
(f=5.237, p=0.002<0.05). By independent sample t test, it was found that there were significant differences
in basic medical service demand and health guidance service demand between people with chronic diseases
and those without chronic diseases (p<0.05), and those who were willing and unwilling to use information
technology for disease management (p<0.05). Through regression analysis, we can see that age (t=4.411,
p<0.05) and income (t=2.061, p<0.05) have significant influence on basic medical service among the three
variables of age, education and monthly income, and the coefficient is positive. Age (t=2.508, p<0.05) and
income (t=3.143, p<0.05) had significant influence on rehabilitation guidance service, and the coefficient
was positive. In summary, age, income, occupation, whether suffering from chronic diseases, whether they
are willing to use information technology to detect and manage diseases and other factors, all affect the
demand of the elderly for basic medical services and rehabilitation guidance services in medical service
institutions. Through the research on the current situation of the integrated medical and nursing services
in China, this study enriches the relevant evidence of the integrated medical and nursing services, and has
a certain reference value for the relevant management departments to formulate policiesis.
PHARMACEUTICS