Choice Preference of Middle-Aged and Elderly People on Integrated Medical Services and Elderly Care Model: A Cross-Sectional Study.

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...

Full description

Bibliographic Details
Published in:Inquiry (00469580) pp. 1 - 13
Main Authors: Qin, Shangren, Zhou, Mengqiu, Cheng, Yenuan, Zhao, Junjie, Ding, Ye
Format: research tables/charts Journal Article
Published: Sage Publications Inc. 1/28/2024
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175082054&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 175082054
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        00469580
        INQ
      jtl: Inquiry (00469580)
      issn: 00469580
      maglogo: Y
    pubinfo:
      dt: 1/28/2024
      pid: 344
      pub: Sage Publications Inc.
      place: Thousand Oaks, California
    artinfo:
      ui:
        175082054
        175082054
        175082054
        10.1177/00469580231224345
        175082054
      ppf: 1
      ppct: 12
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Choice Preference of Middle-Aged and Elderly People on Integrated Medical Services and Elderly Care Model: A Cross-Sectional Study.
      aug:
        au:
          Qin, Shangren
          Zhou, Mengqiu
          Cheng, Yenuan
          Zhao, Junjie
          Ding, Ye
        affil: School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, China
      sug:
        subj:
          Gerontologic Care
          Health Care Delivery, Integrated In Middle Age
          Patient Preference
          Health Care Delivery, Integrated In Old Age
          Policy Making
          Human
          Male
          Female
          Middle Age
          Aged
          Cross Sectional Studies
          Funding Source
          Questionnaires
          Multiple Logistic Regression
          Physicians, Family
          Rural Areas
          Odds Ratio
          Confidence Intervals
          Age Factors
          Self Report
          Health Status
          China
          Simple Random Sample
          Convenience Sample
          Snowball Sample
          Univariate Statistics
          Surveys
          Coefficient alpha
          Data Analysis Software
          Descriptive Statistics
          Chi Square Test
          P-Value
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N