Choice Preference of Middle-Aged and Elderly People on Integrated Medical Services and Elderly Care Model

A Cross-Sectional Study

Bibliographic Data

ID13776161
AuthorsShangren Qin (0000-0001-9416-6359, Hangzhou Normal University), Mengqiu Zhou (Hangzhou Normal University), Yenuan Cheng (Hangzhou Normal University), Junjie Zhao (0000-0001-8741-6479, Hangzhou Normal University), Ye Ding (0000-0002-8999-4624, Hangzhou Medical College, corresponding author)
Year2024
Volume61
Pages469580231224345-469580231224345
Publication date2024-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueINQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL)
Journal identifiersISSN: 0046-9580 • E-ISSN: 1945-7243
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/00469580231224345
PMID38281995
OpenAlexW4391325249
LanguageEN
Citations received3
References cited26

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

Business · Government (linguistics · Multinomial logistic regression · Political science · Politics · Preference · Promotion (chess · Service (business · Computer Science · Healthcare Systems and Reforms · Intergenerational Family Dynamics and Caregiving · Marketing · Medicine · Patient Satisfaction in Healthcare · Gerontology

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