An analysis of factors influencing the demand for community-based integrated health and social care in Southwestern China

Bibliographic Data

ID22069488
AuthorsHanzhi Zheng (0000-0001-9254-5013, Sichuan University), Min Yang (0000-0001-9017-5960, Sichuan University), Qin Zeng (0000-0002-5993-628X, Sichuan University), Shujuan Liao (0000-0001-5409-2893, Sichuan University), Li Ping (0000-0002-0297-543X, Chengdu University, corresponding author), Ping Li (0000-0002-0813-0980)
Year2025
Volume13
Pages1684187-1684187
Publication date2025-11-28
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1684187
PMID41393024
OpenAlexW4416773902
LanguageEN
Citations received1
References cited25

Objective: This cross-sectional study investigates the demand for CB-IHSC among older adults in Chengdu and identifies the factors influencing this demand, thereby providing a reference for developing and optimizing such services. Methods: From August to December 2023, 511 eligible older adults residing in the central districts of Chengdu were selected through convenience sampling. Guided by the Andersen Health Service Utilization Behavior Model, the study categorized influencing factors into three dimensions: predisposing factors, enabling factors and need factors. Chi-square tests were first used to identify statistically significant variables within each dimension. These variables were then included in a binary logistic regression model to assess their association with service demand. Model calibration was assessed using the Hosmer-Lemeshow test. Results: Demand for CB-IHSC was high (87.08%). Independent predictors included number of children (OR = 2.12), living with spouse (vs alone, Ref; OR = 0.48), lower income (OR = 0.40), convenient community medical access (OR = 1.75), children's support (OR = 3.71), lower self-care ability (OR = 0.18), poorer self-rated health, and higher awareness. Policies should improve accessibility, financing, and public awareness to increase uptake. Conclusion: To support the sustainable development of CB-IHSC, Chengdu should continue strengthening capacity building in this sector. Efforts should be directed toward establishing diversified financing and support mechanisms, improving the accessibility and convenience of service delivery, and enhancing public awareness and education regarding CB-IHSC

Capacity building · China · Health care · Health services · Public health · Social care · Sustainable development · Healthcare innovation and challenges · Healthcare Systems and Reforms · Interprofessional Education and Collaboration

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