Analysis of the Status Quo of the Elderly's Demands of medical and elderly care Combination in the Underdeveloped Regions of Western China and Its Influencing Factors: A Case Study of Lanzhou
Background: This study aims to analyze the current demand of senior citizen in Lanzhou, China for the combination of medical and elderly care services and identify the factors influencing their needs. Methods: 7500 participants aged 60 or above living in Lanzhou, China were recruited, a unified questionnaire concerning the elderly's demand of the service combining medical and elderly care has been adopted to conduct a survey on these subjects. The status quo of the demand of the service
... g medical and elderly care and its influencing factors were analyzed with the single-factor Chi-square test and multi-factor binomial logistic regression method. Results: 3,772 of 7,320 seniors have the demand of the service combining medical and elderly care, accounting for 53.15%. Different genders, marital status, degree of education, occupation before retirement, number of children, monthly income, health self-assessment status, endowment insurance type, medical insurance type, current way of elderly nursing, old-age demands, self-care ability, and the knowledge of combining medical and elderly care, the willingness to pay for the combination of medical and elderly care have statistical significance (P<0.05) with the elderly's needs of combination of medical and elderly care in Lanzhou, whereas different ages, living styles, and the prevalence rate of chronic diseases, have no statistical significance (P>0.05) with the elderly's needs of combination of medical and elderly care in Lanzhou. The number of children, types of medical insurance, and willingness to pay for the combination of medical treatment and nursing are major influencing factors among complex factors influencing the elderly's demand of the service combining medical and elderly care in Lanzhou.Conclusions: The low knowledge rate and demand rate, the number of children, the type of medical insurance, and the willingness to pay the medical-nursing combination service for the elderly in Lanzhou have a great impact on the elderly's demand rate of combining medical and elderly care. Meanwhile, relevant government departments should focus more on the promotion of the endowment model of combining medical and elderly care and provide integrated medical care services by integrating multiple resources, and improving social security.