徐州市区老年人家庭病床服务的需求意愿及影响因素分析

目的 了解徐州市区老年人对家庭病床服务的需求意愿，并研究其影响因素。 方法 采用分层整群抽样的方法，对徐州市区1713名60岁及以上的老年人进行问卷调查。运用卡方检验和logistic回归模型对老年人家庭病床服务需求意愿的影响因素进行分析。结果 徐州市区老年人对家庭病床服务的需求意愿率为66.4%。多因素分析显示，与一年前比健康状况差不多(OR=2.299,95%CI:1.686~3.135)、过去两周有就诊经历(OR=1.926,95%CI:1.460~2.541)、文化程度为初中(OR=1.575,95%CI:1.125~2.204)、家庭功能良好(OR=1.572,95%CI: 1.412~2.164)、对生活满意度为一般(OR=1.535,95%CI:1.135~2.074)、空巢(OR=1.438,95%CI: 1.114~1.856)、医疗费用负担有些困难(OR=1.419,95%CI:1.072~1.877)的老年人对家庭病床服务需求意愿更高。结论 老年人社会经济状况、健康状况、卫生服务利用情况等因素对其家庭病床服务的需求意愿有影响。应针对老年人的需求意愿，采取加大宣传、提高基层医疗卫生服务能力等综合性措施，推动我国家庭病床服务的发展。

The demand willingness and influencing factors of the family care bed service for the elderly,Xuzhou City

To understand the demand willingness of the elderly in Xuzhou City for family care bed service, and study the influencing factors. Methods Using the stratified cluster sampling method, a questionnaire survey was conducted among 1713 elderly people aged 60 and above in Xuzhou. The chi-square test and logistic regression model were used to analyze the influencing factors of the willingness of the elderly’s family care bed service. Results 66.4% of the elderly had a desire for family care bed service. Multivariate analysis showed that health status was similar to that of one year ago(OR=2.299,95%CI:1.686-3.135), had medical experience in the past two weeks(OR=1.926,95%CI:1.460-2.541), junior high school education (OR=1.575,95%CI:1.125-2.204), and good family function (OR=1.572,95%CI:1.412-2.164), the elderly who had a general satisfaction with life (OR =1.535,95%CI:1.135-2.074), empty nest (OR=1.438,95%CI:1.114-1.856), and a somewhat difficult medical cost burden (OR=1.419,95%CI:1.072-1.877) had a higher desire for family care bed service. Conclusion The elderly’s socioeconomic status, health status, health service utilization and other factors have an impact on their demand willingness for family care bed service. In response to the demand of the elderly, comprehensive measures such as increasing publicity and improving the capacity of primary medical and health services should be adopted to promote the development of family care bed service in China.