老年人医养结合机构选择意愿及影响因素的Meta分析  

The willingness and influencing factors of elderly people in China to choose integrated medical and elderly care institutions:A Meta-analysis

作　　者：朱迎 李芹 闫文静 韩静 石红丽 ZHU Ying;LI Qin;YAN Wenjing;HAN Jing;SHI Hongli(School of Nursing,Xuzhou Medical University,Xuzhou 221000,China)

机构地区：[1]徐州医科大学护理学院,221000

出　　处：《中国老年保健医学》2025年第1期38-44,共7页Chinese Journal of Geriatric Care

基　　金：江苏高校哲学社会科学研究项目(编号:2020SJA1060)。

摘　　要：目的系统分析老年人医养结合机构的选择意愿及影响因素,为相关政策制定与服务优化提供参考。方法本研究检索了PubMed、Web of Science、Embase、Scopus、中国知网、维普数据库及万方数据库等权威数据库,检索时限为2015年至2024年5月27日,获取关于老年人医养结合机构选择意愿的文献。采用美国卫生保健质量和研究机构(AHRQ)制定的质量评价标准,对纳入文献进行质量评估。结果最终纳入分析的文献共计23篇,涉及有效样本量19883例,其中明确表示有意愿选择医养结合机构的老年人为4123例。纳入文献的整体质量中等,评分范围在4~9分。Meta分析结果显示,老年人医养结合机构选择意愿率为28.4%,其95%置信区间为23.1%~33.7%。亚组分析揭示,性别、文化程度、子女数量、婚姻状态、是否独居、个人月收入、慢性病情况、自理能力、自评健康状况及对医养结合模式的知晓度均为影响老年人选择意愿的因素。结论男性、高中及以上文化程度、子女数量较少、无配偶、独居、患慢性病、自评健康状况差、自理能力低和知晓率高的老年人更愿意选择医养结合机构养老。应加强医养结合机构的宣传工作,建立覆盖城乡的医养结合服务网络,提高公众对医养结合服务的认知度和接受度,促进医养结合模式的可持续发展。Objective To systematically analyze the willingness and influencing factors of Chinese elderly people to participate in integrated medical and nursing care institutions,and provide theoretical support for relevant policy formulation and service optimization.Methods This study comprehensively searched authoritative databases such as PubMed,Web of Science,Embase,Scopus,China National Knowledge Infrastructure(CNKI),VIP Database(VIP),and Wanfang Data in May 2024,with the period from 2015 to May 27,2024.To obtain literature on the willingness to choose integrated medical and nursing care institutions for the elderly in China.A strict quality assessment of the included literature was conducted using the quality evaluation standards developed by the American Agency for Healthcare Quality and Research(AHRQ).Results A total of 23 articles were finally included in the analysis,involving an effective sample size of 19883 people,of which 4123 were elderly people who clearly expressed their willingness to live in an integrated medical and nursing care institution.The overall quality of the included literature is moderate,with scores ranging from 4 to 9 points.Meta-analysis results show that the willingness rate of Chinese elderly people to participate in integrated medical and nursing care institutions is 28.4%(95%CI 23.1%~33.7%).Further subgroup analysis revealed that educational background,number of children,marital status,whether they live alone,chronic disease prevalence,and awareness of the integrated medical and nursing care model are all factors that influence the elderly's choice willingness.Conclusion Male,those with high school education or above,low number of children,no spouse,living alone,suffering from chronic diseases,poor self-rated health status,low self-care ability,and high awareness rate are more willing to choose medical and elderly care institutions for retirement.We should strengthen the publicity work of medical and elderly care institutions,establish a medical and elderly care service network covering

关 键 词：医养结合 意愿 老年人 机构 

分 类 号：R197.1[医药卫生—卫生事业管理] D669.6[医药卫生—公共卫生与预防医学]