Current status on the ability of the elderly in rural China: implications for future nursing and policy

Jiang, Hua; Liu, Lanfang; Liu, Tao; Zhu, Shuihua; Hou, Lili

doi:10.21037/cdt-20-555

Cited by 7 publications

(8 citation statements)

References 40 publications

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“…Age, educational level, monthly income, economic source, time spent disabled, living with children, and participation in medical insurance are all influencing factors on disabled elderly’s demand for medical-nursing-pension. The elderly with advanced age, low educational level, low monthly income, economic source of pension from own, long period of disabled living, no children, and nonparticipation in medical insurance should be provided with additional medical assistants and health education by community nurses, the community medical doctors and nurses could provide more personalized home visit services in medical-nursing-pension for disabled elderly, including health education on oxygen inhalation, wound dressing, dietary, living, the prevention of disease, and health consultation, while the relevant departments should improve relevant policy [ 21 , 22 ] to adapt to the demand for medical-nursing-pension for disabled elderly in the community.…”

Section: Discussionmentioning

confidence: 99%

Needs and influence factors of medical-nursing-pension of disabled elderly

Qin,

Yao,

et al. 2023

Medicine

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As the population ages, the incidence of disabled elderly persons increases, and the need for medical-nursing-pension services among disabled senior persons increases. The purpose of this study is to determine the needs and affecting factors of disabled elderly living in community homes in Nanning, Guangxi, China. The study utilized the descriptive comparative cross-sectional study. Stratified random sampling was utilized, based on inclusion and exclusion criteria, a total of 168 disabled elderly were randomly selected and investigated using a self-designed questionnaire which included basic nursing services domain, professional nursing services domain, rehabilitative nursing services domain, living nursing services domain, and spiritual nursing services domain. The t test, one-way ANOVA, and multivariate logistic regression were used to determine the influencing factors of medical-nursing-pension demands for community-dwelling disabled elderly. Majority of impaired seniors have a moderate to high-level of demand for medical-nursing-pension services. Age (t = 2.369, 95% confidence interval [CI]: 0.673–7.414), educational level (t = −16.946, 95% CI: −31.247 to −24.726), monthly income (t = −16.273, 95% CI: −22.104 to −17.320), economic source (t = 8.891, 95% CI: 16.850–26.470), time spent disabled (t = −11.151, 95% CI: −31.845 to −22.264), living with children (t = 10.852, 95% CI: 24.491–35.521), and medical insurance participation (t = 4.556, 95% CI: 9.032–22.848) all influence the demand for medical-nursing-pension services for disabled seniors in the community (P = .05). Majority of community-dwelling impaired seniors have a moderate to high demand for medical-nursing-pension services. Relevant departments and community nurses should pay increased attention to the elderly who are older, have a low educational level, a low monthly income, have an economic source of pension from their own, have been disabled for long period of time, are single, and do not have children, to improve the health care system for disabled elderly by implementing more personalized home visits in medical-nursing-pension on health education about oxygen inhalation and wound dressing.

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Section: Discussionmentioning

confidence: 99%

Needs and influence factors of medical-nursing-pension of disabled elderly

Qin,

Yao,

et al. 2023

Medicine

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“…At present, a global agreement is within reach that population aging has been a tough sell exerting a profound influence on the sound development. China is no exception [ 11 ]. Moreover, China’s aging population is characterized by aging, empty nesting, high disability rate and incidence of chronic diseases.…”

Section: Discussionmentioning

confidence: 99%

The multi-subject cooperation mechanism of home care for the disabled elderly in Beijing: a qualitative research

Zhang

Peng

et al. 2022

BMC Prim. Care

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Background Currently, population aging has been an obstacle and the spotlight for all countries. Compared with developed countries, problems caused by China’s aging population are more prominent. Beijing, as a typical example, is characterized by advanced age and high disability rate, making this capital city scramble to take control of this severe problem. The main types of care for the disabled elderly are classified as home care, institutional care, and community care. With the obvious shortage of senior care institutions, most disabled elderly people are prone to choose home care. This kind of elderly care model is in line with the traditional Chinese concept and it can save the social cost of the disabled elderly to the greatest extent. However, home care for the disabled elderly is facing bumps from the whole society, such as lack of professional medical care, social support and humanistic care, and the care resources provided by a single subject cannot meet the needs of the disabled elderly. Objective Based on the demands of the disabled elderly and their families, this study aims to explore the current status of home care service, look for what kind of care is more suitable for the disabled elderly, and try to find an appropriate elderly care mechanism which could meet the diverse needs of the disabled elderly. Methods A total of 118 disabled elderly people and their primary caregivers were selected from four districts of Beijing by using multi-stage stratified proportional sampling method. A one-to-one and semi-structured in-depth qualitative interview were conducted in the study to find out the health status of the disabled elderly, the relationship between the disabled elderly and their primary caregivers, and utilization of elderly care resources, etc. The views of the interviewees were analyzed through the thematic framework method. All the methods were carried out in accordance with relevant guidelines and regulations. Results The results showed that the average age of 118 disabled elderly is 81.38 ± 9.82 years; 86 (72.9%) are severe disability; 105 (89.0%)are plagued by chronic diseases; the average duration of disability is 5.63 ± 5.25 years; most of disabled elderly have 2 children, but the primary caregiver are their own partner (42, 35.6%), and there is an uneven sharing of responsibilities among the disabled elderly's offspring in the process of home care. The disabled elderly enjoy medical care services, rehabilitation training, daily health care, psychological and other demands. However, the disabled elderly and their families in Beijing face a significant financial burden, as well as physical and psychological issues. The care services provided by the government, family doctors, family members and social organizations fall far short of satisfying the diverse care needs of the disabled elderly. Conclusions In order to effectively provide home care services for the disabled elderly, it is therefore necessary to establish a coordination mechanism of multiple subjects and give full play to the responsibilities of each subject. This study proposes a strengthening path for the common cooperation of multiple subjects, which taking specific responsibilities and participating in the home care for the disabled elderly: (1) The government should give full play to the top-level leading responsibilities and effectively implement people-oriented measures to the disabled elderly. (2) Family doctors strengthen their responsibilities as health gatekeepers and promote continuous health management of the disabled elderly. (3) Family members assume the main responsibility and provide a full range of basic care services. (4) Social forces promote supplementary responsibilities of public welfare and expand the connotation of personalized care services. (5) The disabled elderly should shoulder appropriate personal responsibility and actively cooperate with other subjects.

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“…As we noted in the introduction, nearly 90% of disabled elderly people have care needs that are basically met by informal care services provided by family members. Therefore, it is necessary to establish a long-term nursing care system and other aging policies to meet the needs of the rural elderly with regard to those potential influencing factors [ 31 ]. Many other countries are also facing these obstacles, such as India, Lebanon, etc., but their specific manifestations may be slightly different [ 32 , 33 ].…”

Section: Discussionmentioning

confidence: 99%

Multi-Dimensional Accessibility Barriers in Care Services for the Rural Elderly with Disabilities: A Qualitative Study in China

Wang

2021

IJERPH

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This research covers a multi-dimensional investigation into accessibility barriers in care services for older people with disabilities in rural China. In-depth interviews with 13 rural disabled older people in China were conducted using qualitative methods. Based on a welfare pluralism approach, the results showed that in comparison with urban areas, care services for disabled older populations in rural areas are more subject to social barriers. This can be seen in the limited state (lack of resources, rigorous eligibility qualifications, uneven distribution, and irregular implementation); the absent market (low levels of consumption, high cost pressures, self-exclusion, and traditional cultural constraints); absent NGOs and volunteers (difficulties in access for NGOs and volunteers outside the area and formation difficulties of local NGOs and volunteers); as well as low-quality care in households and communities (unprofessional care from the spouse, unsustainable care from children, and unavailable community-based care). A multi-subject support network should be established to remove accessibility barriers to care services for older people with disabilities in rural areas through active intervention and interaction. The results of the research provide insights that will aid in the formulation of future social care service plans and health policies for rural older people with disabilities.

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Current status on the ability of the elderly in rural China: implications for future nursing and policy

Cited by 7 publications

References 40 publications

Needs and influence factors of medical-nursing-pension of disabled elderly

Needs and influence factors of medical-nursing-pension of disabled elderly

The multi-subject cooperation mechanism of home care for the disabled elderly in Beijing: a qualitative research

Multi-Dimensional Accessibility Barriers in Care Services for the Rural Elderly with Disabilities: A Qualitative Study in China

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