基于Andersen行为模型的机构内老年人医养结合模式选择及其影响因素研究

目的 了解老年人对医养结合机构服务模式选择意愿及其影响因素,为构建全方位、多层级、不同类型"医养结合"机构服务体系提供科学参考.方法 基于Andersen行为模型,通过焦点访谈和问卷调查,采用多阶段分层抽样方法于2017年6月-2018年8月对青岛市7个区43家医养结合机构2040位入住老年人进行问卷调查,构建多分类l...

Combination of Medical and Nursing Care Mode of the Elderly in Institutions and its Influencing Factors based on Anderson Behavior Model

Objective To explore the elderly′s willingness to choose the service mode of medical and nursing care combination institutions and its influencing factors,so as to provide a scientific reference for building a comprehensive,multi-level and different types of“integrated medical and nursing care”institutional service system.Methods Based on the Andersen behavior model,through focus interview and questionnaire survey,a questionnaire survey was conducted among 2040 elderly people in 43 medical and nursing institutions in 7 districts of Qingdao from June 2017 to August 2018 by using multi-stage stratified sampling method,and a multi classification logistic regression model was constructed to analyze the choice and its influencing factors of the mode of integrated medical and nursing care of the elderly.Results Among the elderly in institutions,42.32%of them choose the medical institution within the pension institution model,37.55%of them pay attention to medical pension institution,and 20.14%of them choose the pension institution within the medical institution model.Compared with the medical pension institution,the elderly with middle and low education level,good health,half self-care,no disease and short sleep time were more willing to choose the mode of the medical institution within the pension institution model(P<0.05);the elderly with low education,living in the same city with their children,no disease and short sleep time were more willing to choose the mode of the pension institution within the medical institution(P<0.05).From the perspective of Andersen model,the most influential factors on the choice of medical and nursing institutions are the promotion factors,followed by the demand factors,propensity factors and health behavior factors.Conclusion The mode of the medical institution within the pension institutionis the most common one oftheselections of integrated medical and nursing care for the elderly in institutions in Qingdao.The selection of the mode of integrated medical and nursing care for the elderly in institutions is influenced by social demographic characteristics,living arrangements,health conditions and daily life conditions,among which the promotion factors are the most influential.