| Abstrakt: |
Objective To understand the utilization situation and influencing factors of community home medical care combined service, so as to provide scientific basis for achieving accurate service and improving the quality of medical care combined service. Methods From September to November 2021, stratified cluster random sampling method was adopted to conduct a questionnaire survey among the elderly in 8 community home care institutions in Suzhou, Guangzhou and Qingdao. Chi-square test was used for single factor analysis, and Chi-squared automatic interaction detector (CHAID) model was used to analyze the influencing factors of service utilization. Results A total of 1 310 valid questionnaires were collected, including 218 in Guangzhou, 334 in Suzhou and 758 in Qingdao. The prediction accuracy of medical service, health management service and life care service were 82.4%, 81.0% and 81.7%, respectively. CHAID model analysis showed that indoor voluntary participation, region, main economic source and number of children were influencing factors of medical service utilization (P < 0. 05). The region, social autonomous participation, main economic source and number of chronic diseases were the factors affecting the utilization of health management services (P < 0. 01). Social autonomous participation and age were the factors influencing the utilization of life care services (P <0. 001). Conclusion The utilization of medical services, health management services and life care services still need to be improved, differentiated services should be provided for the elderly with different characteristics, and the quality of combined medical and nursing services should be effectively improved to meet the needs of the elderly. [ABSTRACT FROM AUTHOR] |
