Zhongguo quanke yixue (Apr 2022)
Chinese Elderly Residents' Willingness to Use Integrated Medical and Nursing Care：a Meta-analysis
Abstract
BackgroundWith aging deepening, there is an increasing demand for medical and elderly care services in Chinese older residents. However, current medical and pension services are still in a state of disconnection. In this regard, integrated medical and nursing care could continuously satisfy their multi-level healthcare needs via orderly combining medical and nursing care resources.ObjectiveTo comprehensively analyze the willingness of Chinese elderly residents to use integrated medical and nursing care.MethodsThe literature on the willingness of Chinese elderly residents to use integrated medical and nursing care was searched in databases including CNKI, WanFang Data, CQVIP, PubMed and Web of Science from inception to December, 2020. Data of studies satisfying the inclusion criteria were extracted and meta-analyzed. The literature quality was evaluated by using the current situation survey bias risk assessment criteria (JBI) .ResultsA total of 20 articles were included. The effective sample size of the study was 14 089 cases, and 4 268 residents were willing to participate. The JBI scores of the literature included in the study were 14-18 points, which were greater than 70% of the total score. The quality of the literature included in the study was high. The overall rate of Chinese elderly residents' willingness to use integrated medical and nursing care was 40.5%〔95%CI (33.3%, 47.7%) 〕. Results of subgroup analysis demonstrated that educational background〔OR (95%CI) =0.71 (0.59, 0.85) , P<0.01〕, number of children〔OR (95%CI) =1.72 (1.40, 2.11) , P<0.01〕, marital status〔OR (95%CI) =0.71 (0.57, 0.88) , P=0.02〕, whether living alone〔OR (95%CI) =1.30 (1.14, 1.49) , P<0.01〕, disease prevalence〔OR (95%CI) =1.34 (1.09, 1.64) , P<0.01〕 and awareness of integrated medical and nursing care〔OR (95%CI) =1.91 (1.61, 2.26) , P<0.01〕 were associated with these residents' willingness to use integrated medical and nursing care.ConclusionThe rate of Chinese elderly residents' willingness to use integrated medical and nursing care was relatively low. High school education or above, number of children≤1, unmarried, living alone, having an illness, and knowing integrated medical and nursing care were associated with stronger willingness to use integrated medical and nursing care. To improve the level of willingness, it is of great necessity to strengthen the publicity of integrated medical and nursing care, establish diversified medical and nursing care homes, and continuously enrich integrated medical and nursing care services.
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