Situation and Countermeasures of the Management Team of the Elderly Care Institutions from the Perspective of the Combination of Medical and Health Care: A Cross-Sectional Study

Abstract

Objective. In order to provide evidence for improving the quality of managers in elderly care institutions, this paper explored the situation of managers of elderly care institutions in a city in Central China under the national guidelines for the combination of medical and elderly health care. Design. A cross-sectional study carried out in a city in Central China was designed. Setting. The online questionnaire was distributed to the managers of six elderly care institutions in a city in Central China. Participants. The questionnaire was sent to 61 recipients; from this, 60 responses were obtained. Results. There was a 98% response rate. The study found that most managers in elderly care institutions were middle-aged, with low education level and years of management. The job mobility was high, and 27% of the managers had no relevant certificates. Management years had a significant influence on the rate of certificate holding (P<0.05). Some managers were less than 30 years old and had college degree or above, which indicated that people with young and high levels of education were more likely to become managers. However, there was no significant difference in educational level among managers of different ages (P>0.05). 56.6% of the managers have received provincial or municipal training, and few managers have received the national level training. The education level is positively related to the access to training opportunities. More than half of the managers earn less than ¥3000 a month. The study showed that the education level was positively related to the career growth space (P<0.05). Conclusions. Specialized training and high salary should be provided for managers to improve their elderly care skills and hence the quality of elderly care service. In addition, in order to improve the education level of managers, a long-term continuing education system should be established gradually. Through expanding the enrollment scale of the nursing school, carrying out training about elderly care skills, and issuing vocational skills certificates to those who pass the examination, the number of local nurses for the elderly will be increasing, and the quality of the elderly care service will be improving.

Leadership and decision making challenges among elderly care centre operators: case of multi-ethnic Malaysia

“…The majority of the participants revealed less procedural knowledge, poor teamwork and time management, less support from staff, communication gap, staff conflicts and absence of structure, less trained staff, immature and emotional staff, less passionate team (refer to Table 4). The findings are in tandem with past researches as they revealed various obstacles faced by managers/operators (de Carvalho et al, 2017;Eklund and Wilhelmson, 2009;Gillin and Hazelton, 2020;Ireland et al, 2006;Jonasson et al, 2019;Josefsson and Hansson, 2011;Low et al, 2011;Shepherd et al, 2010;Yang et al, 2020) in the health industry. The elderly care managers and operators have 24 h of responsibility for taking care of patients.…”

Factors Associated with Willingness to Choose the Way for Old-Age Care: A Population-Based Cross-sectional Study in Chongqing, China

“…Besides, raising the salary of nurses will attract more professional nurses to engage in geriatric care. 38 , 40 In this survey, more than half of the respondents chose to go to hospital for health care, indicating the widespread acceptance of hospital among older people. In addition, 28.4% of respondents thought the community health center as a suitable choose since it offers a range of acute, primary, and specialized health care services.…”

“…At present, number of medical and health care workers is inadequate, which fail to meet the growing needs of medical and health care. A previous study reported a need for 10 million nursing staffs in elderly institutions in China, but there are only 3000 qualified persons with national professional certificates, 39 while most care works are poorly paid 40 and deficiently trained. 41 Therefore, in terms of the extreme lack of nursing staffs with qualifications for the older people, the government should encourage the general practitioners and professional nursing staffs to work in the institutions to provide integrated medical and social services and support the development of the non-traditional medical institution, such as Dingxiang Clinic.…”

Clinical Study of Influence of Continuous Nursing Intervention Combined with Comfort Nursing Intervention under Medical-Nursing Combination on Self-Care Ability and Satisfaction of Elderly Patients with Chronic Diseases

“…e venous blood was drawn in the morning on an empty stomach (fasting for 12 h and no drinking for 8 h), and the triglycerides, total cholesterol, lipoprotein, lowdensity lipoprotein, and high-density lipoprotein were detected by the automatic biochemical analyzer [15][16][17].…”