重庆市主城区老年人医养结合需求情况及影响因素研究  

Demand for Medical- nursing Combined Service Among Elders in the Main Urban Areas of Chongqing and the Influencing Factors

作　　者：李秀明[1] 冯泽永[1] 成秋娴 王霞[1] 冯丹[1] 

机构地区：[1]重庆医科大学公共卫生与管理学院医学与社会研究发展中心健康领域社会风险预测治理协同创新中心,重庆市400016

出　　处：《中国全科医学》2016年第10期1199-1203,共5页Chinese General Practice

基　　金：教育部人文社会科学研究一般项目(08JA630097)

摘　　要：目的了解重庆市主城区老年人医养结合需求情况,探讨其影响因素,为因地制宜地发展医养结合提供依据,最终提高老年人的生命质量。方法在重庆市选取渝中区、九龙坡区、江北区、巴南区4个主城区;按照地理位置在各区分层随机抽样,共抽取5个街道、3个乡镇;在各街道/乡镇中随机选取2个居民区;在每个居民区中随机选取老年人20~30例,共420例老年人为调查对象。于2015年7—8月,采用调查问卷进行调查。问卷主要内容包括老年人的一般情况、医养结合需求情况。共发放问卷420份,回收有效问卷400份,问卷的有效回收率为95.2%。结果 400例老年人中,有212例有医养结合需求,医养结合需求率为53.0%。不同子女数、退休前职业、养老保险类型、医疗保险类型、自评健康状况、慢性病患病情况、疾病负担情况、医养结合子女支持度、医养结合支付意愿的老年人,医养结合需求率间差异均有统计学意义（P〈0.05）;不同性别、年龄、婚姻状况、文化程度、个人月收入、健康状况关心情况、当前养老满意度的老年人,医养结合需求率间差异均无统计学意义（P〉0.05）。子女数、自评健康状况、医养结合子女支持度及医养结合支付意愿是老年人医养结合需求的影响因素（P〈0.05）。结论重庆市主城区老年人医养结合需求率较低,医养结合支付意愿水平较低,子女数、自评健康状况、医养结合子女支持度及医养结合支付意愿是医养结合需求的影响因素。应加强医养结合宣传教育工作,转变传统养老理念,提高老年人的购买力,并逐步试点推广。Objective To investigate the demand for medical-nursing combined service among elders in the main urban areas of Chongqing and its influencing factors,in order to provide references for the development of medical-nursing combined service adapted to local conditions and improve the quality of life of the elderly. Methods We selected four main urban areas of Chongqing,namely Yuzhong District,Jiulongpo District, Jiangbei District and Ba＇ nan District. By stratified random sampling,we selected 5 streets and 3 villages or towns,and randomly selected 2 residential areas from each street / village /town. From each residential area,20 to 30 elders were randomly selected,and a total of 420 elders were enrolled. From July to August in 2015, questionnaire survey was conducted on these subjects. The content of the questionnaire included general information and demand for medical-nursing combined service. A total of 420 questionnaires were distributed,and 400 effective questionnaires were recovered with an effective recovery rate of 95. 2%. Results Among 400 elders,212 had demand for medical-nursing combined service with a demand rate of 53. 0%. Significant differences existed in the demand rate for medical-nursing combined service among elders with different numbers of children, occupations before retirement, types of pension insurance,types of medical insurance,self-rated health status,status of chronic diseases,disease burden,children＇s support for medical-nursing combined service and the willingness to pay for medical-nursing combined service（ P 〈0. 05）. No significant differences existed in the demand rate for medical-nursing combined service among elders with different genders,age,marital status,education background,monthly income,care for health status,and the current satisfaction with nursing（ P 〈0. 05）. The number of children,self-rated health status,children＇s support for medical-nursing combined service and the willingness to pay for medical-nursing combined service were influencing factors for me

关 键 词：医养结合 老年人 需求 影响因素分析 重庆 

分 类 号：R197[医药卫生—卫生事业管理]