Application of “TCM + Smart Elderly Care” in the Medical-Nursing Care Integration Service System

Wang, Xuanxuan; Shi, Huaiying; Lu, Guo; Huang, Zhiping; Zhang, Yichen; Lao, Yumei; Li, Guangjie; Gong, Xun; Wang, Ping; Wang, Xing; Zhang, Yidan

doi:10.1155/2022/5154528

Cited by 6 publications

(3 citation statements)

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“… 14 In addition, some scholars have explored how to implement “TCM plus Smart Elderly Care” in the IMSEC model in institutions. 15 3. A few studies explore middle-aged and elderly people’s understanding and willingness to accept the policy from the perspective of policy recipients.…”

Section: Introductionmentioning

confidence: 99%

Choice Preference of Middle-Aged and Elderly People on Integrated Medical Services and Elderly Care Model: A Cross-Sectional Study

Qin,

Zhou,

Cheng

et al. 2024

INQUIRY

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Facing the increasingly severe aging situation, China has started to implement the “integrated medical services and elderly care (IMSEC)” policy, which covers a variety of IMSEC models. However, there is currently little research on middle-aged and elderly people’s choice preference for these IMSEC models and their associated factors. Through the face-to-face questionnaire method, the choice preference of middle-aged and elderly people aged 45 years and over in Zhejiang Province, China, to the IMSEC model is explored. Through the multinomial logistic regression model, the influencing factors of choice preference are analyzed. A total of 1034 people are included in 2022. Their choice preference for the 4 major types of IMSEC models are Home IMSEC model (48.07%), Community IMSEC model (23.79%), Institutional IMSEC model (21.76%), and Internet Plus IMSEC model (6.38%). “C1. Home elderly care and contracted with a family doctor” is the most chosen subtype, accounting for 34.53%. The rural elderly are more likely to choose “Home IMSEC model” (OR(95%CI) = 2.977(1.343-6.601)). Elderly people with relatively large life care needs are more likely to choose “Institutional IMSEC model” (OR(95%CI) = 1.114(1.042-1.190)). Moreover, age, education, and self-reported health status are also influencing factors of choice preference. The government should focus on promoting the development of the “Home IMSEC model” and increase the promotion of “Internet Plus IMSEC model.” In addition, the life care service capacity and spiritual comfort capacity of IMSEC institutions, as well as the medical service capacity of the community, need to be enhanced.

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Section: Introductionmentioning

confidence: 99%

Choice Preference of Middle-Aged and Elderly People on Integrated Medical Services and Elderly Care Model: A Cross-Sectional Study

Qin,

Zhou,

Cheng

et al. 2024

INQUIRY

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“…In China, individuals aged 65 and above constitute approximately 13.50% of the total population, with over 40 million disabled elderly individuals, accounting for around 21.05% of the elderly population [ 2 ]. With the improvement of medical technology, the average life expectancy is increasing year by year, and the number of older people with care requirements is increasing, which greatly impacts the national elderly care system and health system [ 3 – 4 ]. In order to cope with the demand for elderly care services brought by the aging population, the Chinese government attaches great importance to the development of the elderly care service industry, actively promotes the medical-elderly care integrated service model, optimizes the elderly care structural system, and continuously creates high-quality elderly care service products [ 5 – 6 ].…”

Section: Introductionmentioning

confidence: 99%

Middle-aged and older people’s preference for medical-elderly care integrated institutions in China: a discrete choice experiment study

Jiang,

Xiao,

Zhang

et al. 2024

BMC Nurs

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Background With the continuing impact of the aging population, medical-elderly care integrated institutions, as a way to bear the pressure of medical and elderly care, effectively ensure the quality of life of the elderly in their later years. Objectives To explore the preferences of medical-elderly care integrated institutions among Chinese middle-aged and older people and to provide a reference for establishing elderly-oriented development of medical-elderly care integrated institutions. Methods In this study, a discrete choice experiment (DCE) was used to investigate the preferences of people aged 45 years and older in medical-elderly care integrated institutions in China from October 20, 2022, to November 10, 2022. A mixed logit regression model was used to analyze the DCE data. Participants’ willingness to pay for each attribute was also calculated. Results Data from 420 participants who provided valid responses were included in the analysis. In terms of the choice preference, moderate service quality (vs. poor service quality: β = 1.707, p < 0.001, 95% CI 1.343 ~ 2.071) and high medical technology level (vs. low medical technology level: β = 1.535, p < 0.001, 95% CI 1.240 ~ 1.830) were the most important attributes to middle-aged and older people, followed by monthly cost, environmental facilities, the convenience of transportation, and entertainment activities. Regarding the willingness to pay, participants were more willing to pay for service quality and medical technology level than for other attributes. They were willing to pay $3156 and $2838 more for “poor service quality” and “low medical technology level,” respectively, to receive “moderate service quality " (p = 0.007, 95% CI 963 ~ 5349) and “high medical technology level” (p = 0.005, 95% CI 852 ~ 4824). Conclusions The state should attach great importance to the development of medical-elderly care integrated services industry, actively optimize the model of the medical-elderly care integrated service, improve the facilities, and create a healthy environment. At the same time, give full play to the role of medical insurance, long-term care insurance, and commercial insurance, so as to improve the comprehensive quality of life of the elderly. Public contribution The design of the experimental selection was guided by 10 experts in the field, 5 Chinese government officials, and interviews and focus group discussions, without whose participation this study would not have been possible.

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“…In the research field of smart health care for the elderly, the existing research mainly focuses on industrial development and platform construction. The former involves the current situation of the development of the smart health care industry [3], the smart health care models for the elderly [4], the integration of the smart health and elderly care industry chains [5], and the development path of the regional elderly smart health and elderly care industries [6]. The latter includes the construction path of smart health care [7], the systemic system of Internet Plus health care for the elderly [8], the parts of the smart health care platform for the elderly [9], the database and supporting system of smart health care platform for the elderly [10], and the service innovation about smart health care platform for the elderly [11].…”

Section: Introductionmentioning

confidence: 99%

Construction Path of Smart Health Care Platform for the Elderly in China

Hou¹,

Wang²,

Wang³

et al. 2022

Chinese Journal of Engineering Science

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China has a large elderly population, and its aging speed is accelerating, which poses a significant challenge for the country in coping with problems induced by population ageing. To address this, it is necessary to establish a smart health care platform for the elderly in China using modern technologies. In this study, we analyze the construction background, concept, and development status of smart health care platforms for the elderly in China. Using the smart health care platform established in Xihu District of Hangzhou city as a case, we analyze the construction model and challenges of the platform and summarize the common features of the platforms in China. Moreover, we propose an implementation path for platform development in China. The platform should be built to contribute to the establishment of a Healthy China using scientific and technological means and be based on the interconnection of national health care information and data; service resources need to be mobilized to provide a community-based comprehensive service; remote health data monitoring and health management are required to strengthen information support, and geographical advantages need to be maximized to promote local elderly health care industries. Furthermore, we suggest that China should accelerate the construction of its health care industry as well as the transformation of scientific and technological achievements, improve the health assessment system for guaranteeing the physical and mental health of the elderly, accelerate the construction of the relevant standards system, and coordinate urban-rural development in this industry.

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Application of “TCM + Smart Elderly Care” in the Medical-Nursing Care Integration Service System

Cited by 6 publications

References 0 publications

Choice Preference of Middle-Aged and Elderly People on Integrated Medical Services and Elderly Care Model: A Cross-Sectional Study

Choice Preference of Middle-Aged and Elderly People on Integrated Medical Services and Elderly Care Model: A Cross-Sectional Study

Middle-aged and older people’s preference for medical-elderly care integrated institutions in China: a discrete choice experiment study

Construction Path of Smart Health Care Platform for the Elderly in China

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