Current state of care for the elderly in China in the context of an aging population

Bao, Jiangbo; Zhang, Lin; Liu, Guanghui; Tanida, Jun; Liu, Xiang; Cheng, Cheng; Jin, Yiming; Bai, Jiaojiao

doi:10.5582/bst.2022.01068

Cited by 78 publications

(48 citation statements)

References 23 publications

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“…With the acceleration of population aging and the changing in disease spectrum, the long-term medication demand of patients with chronic diseases is increasing ( 23 ). More practical research is required to evaluate the implementation effect of technology/tool-based mode and ensure they meet their potential and value in improving chronic disease management and rational medication use for patients ( 24 ).…”

Section: Discussionmentioning

confidence: 99%

Rational medication management mode and its implementation effect for the elderly with multimorbidity: A prospective cohort study in China

Tang

Wan

et al. 2022

Front. Public Health

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BackgroundAs one of the countries with the most serious degree of aging, the incidence of potentially inappropriate drug use among the elderly is as high as 30. 4% in Chinese communities, and the lack of effective medication management and poor medication compliance at home are the main factors. Given these situations, we constructed a Rational Medication Management Mode based on family physician service, carried out an empirical research and evaluated the implementation effect.MethodsA prospective cohort study was conducted from September to December 2021 to analyze the implementation effect of the Rational Medication Management Mode by comparing the outcome indicators between the intervention group and control group. The primary outcome of this study was medication number and polypharmacy (taking 5 or more medications) at 90 days. The secondary outcomes included the situation for behavioral self-management and knowledge-belief-behavior of rational medication use.ResultsA total of 618 elderly patients (309 in the intervention group and 309 in the control group) with multimorbidity were included in this study, those were all available at follow-up at 90 days. At 90 days, the number of medications was achieved by 3.88 (1.48), and patients with polypharmacy were reduced by 59.55% in the intervention group, having a significant difference compared with the control group (P < 0.001). Patients with medication reminders, intermittent medication and adverse drug reactions were achieved in 294 (95.15%), 47 (15.21%), and 51 (16.51%) respectively in the intervention group (P < 0.001). The knowledge, belief, behavior security and behavior compliance of rational medication use of elderly patients were all greatly improved in the intervention group at 90 days (P < 0.0001).ConclusionThe Rational Medication Management Mode based family physician service, which provides the support of manuals and pillboxes, can decrease the elderly patients' number of drugs with multimorbidity, reduce the incidence of polypharmacy, enhance behavioral self-management, increase the knowledge and belief of rational medication use, and improve the security and compliance of medication usage behavior. In order to provide a practical basis for rational medication management of elderly patients with multimorbidity under the background of long-term prescriptions in China.

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Section: Discussionmentioning

confidence: 99%

Rational medication management mode and its implementation effect for the elderly with multimorbidity: A prospective cohort study in China

Tang

Wan

et al. 2022

Front. Public Health

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“…Care is one of the core needs of people in their later years [ 28 ]. Obtaining appropriate care services is the key to maintaining the health status of the elderly and improving their QOL [ 29 , 30 ]. Comparing the elderly with relatively healthy and stable physical functions, the disabled elderly affected by congenital or acquired factors have obviously stronger need for care services, and higher requirements for the content and quality of care services [ 31 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

Health Status and Individual Care Needs of Disabled Elderly at Home in Different Types of Care

Tang

Yuan

et al. 2022

IJERPH

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For the disabled, paying attention to their health status is the starting point to discovering their survival problems, while meeting their care needs is the end point to solving their survival problems. As the country with the largest number of disabled elderly in the world, how to ensure this group could obtain appropriate home care is a major public health issue facing China. Thus, we conducted a cross-sectional study from October to December 2020 to explore the basic characteristics and health status of disabled elderly in different types of care who are living at home in 37 streets in Shanghai, as well as the individual care needs and its relevance. We observed the significant differences in the number of diagnoses (p = 0.03), smoking (p = 0.009), drinking (p = 0.016), exercise (p = 0.001), activity of daily living (p < 0.0001), and the quality of life (p < 0.0001) across care types. The care needs of the disabled elderly are diversified, of which a vast majority of them have not been fully guaranteed. The urgent need for improving the identification accuracy of care needs of disabled elderly, as well as the development of elaborate and personalized care programs for them, is needed.

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“…The world’s population is aging, which is a pressing concern. China, which has the world’s largest old population, is on the verge of becoming an aging society, with 13.5 percent of the population over 65 by 2020 [ 1 ]. Furthermore, due to uncontrollable factors such as declining perceptual and cognitive abilities over time, older people have lower usage rates of smart devices such as mobile phones compared to younger people, as smart devices continue to be upgraded and face-to-face communication between people becomes less frequent [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Interface Design Element Features on Task Performance in Older Adults: Evidence from Eye-Tracking and EEG Signals

Zhou

Yuan

Huang

et al. 2022

IJERPH

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It is crucial that the interface design of mobile apps be age-appropriate at this stage of global aging, as the new epidemic has resulted in a higher sense of isolation among older persons. In this study, four typical senior social service mobile applications were chosen to give older persons the ability to complete user login duties. The participants were 16 older adults (7 men and 9 women) aged 55 to 76. Both objective and subjective data, including task completion time, gaze length, pupil diameter changes, EEG wave amplitude changes, and subjective sensations of older persons, were gathered using a combination of eye-movement and EEG signal approaches. The program was created to investigate the effects of interface design aspects on older people’s task performance, including interface layout, interface color, information density, icon size and position, etc. The study’s findings revealed that when the user task completion time and average fixation duration were shorter, the line of sight was more equally distributed, the visual focus was closer to the login button, and the average EEG amplitude of the user changed more, the older adults performed better. The palace layout had a more positive effect on job completion among older individuals when it came to interface layout. In terms of interface color, colored (contrasting) colors should serve to highlight the interface’s essential information points while they can be removed. In terms of interface information density, a low-density level interface design can simplify and lower the cognitive load of task execution for older people. The first level of icons in the interface and their position in the visual center of the interface is the best interface design for older persons in terms of icon size and position. The results of this study have theoretical ramifications for a thorough understanding of the factors influencing older people’s task performance, practical ramifications for the design of older people-centered interfaces, and they contribute to our understanding of the characteristics of older people’s interface interaction behavior.

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Current state of care for the elderly in China in the context of an aging population

Cited by 78 publications

References 23 publications

Rational medication management mode and its implementation effect for the elderly with multimorbidity: A prospective cohort study in China

Rational medication management mode and its implementation effect for the elderly with multimorbidity: A prospective cohort study in China

Health Status and Individual Care Needs of Disabled Elderly at Home in Different Types of Care

The Impact of Interface Design Element Features on Task Performance in Older Adults: Evidence from Eye-Tracking and EEG Signals

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