Bao J, Wang X-J, Yang Y, Dong R-Q, Mao Z-F
Global Health Institute, Wuhan University, 115 Donghu Road, Wuchang District, Wuhan 430073, China. E-mail:
Global Health Institute, Wuhan University, 115 Donghu Road, Wuchang District, Wuhan 430073, China.
West Indian Med J. 2015 Dec;64(5):514-520. doi: 10.7727/wimj.2016.056. Epub 2016 Apr 29.
Currently, segmentation of healthcare and daily care for the elderly living in nursing homes usually results in the elderly not getting medical treatment timely and effectively. The medical-nursing combined care, which has been put into practice in several areas in China, is developed to enhance the accessibility of healthcare for the elderly. The aim of the study is to explore the effectiveness of the new care service, based on Andersen model, regarding health service utilization, health status and service satisfaction.
The effectiveness of medical-nursing combined care will be measured in a cross-sectional study in nine nursing homes in Jianghan District, Wuhan, China, with 1067 old residents expected to participate. The questionnaire containing items of demographics, health service use, service satisfaction and instrument of SF-36 V2 is developed based on the conceptual framework of Andersen behaviour model of health service utilization. Descriptive analysis, variance analysis, multiple factors analysis, and correlation analysis will be performed to compare the sociological characteristics, health service use, health status and service satisfaction of the elderly living in different modes of nursing homes, to explore the influence factors of care effectiveness, as well as to study the relationship between health behaviour and health outcomes.
The study design of analysing the effects of medical-nursing combined care and performing the horizontal comparison among the nursing homes under the framework of Andersen model is blazing new trails. Recruitment and design of questionnaire are important issues. Successful data collection and quality control are also necessary. Taking these into account, this study is estimated to provide evidence for the effectiveness of medical-nursing combined care service in China.
目前，养老院中老年人的医疗保健和日常护理通常相互分割，这往往导致老年人无法及时、有效地获得医疗服务。中国部分地区已推行医养结合护理，旨在提高老年人获得医疗保健服务的可及性。本研究旨在基于安德森模型，探讨这种新型护理服务在卫生服务利用、健康状况和服务满意度方面的效果。
在中国武汉江汉区的九家养老院开展一项横断面研究，以评估医养结合护理的效果，预计1067名老年居民参与。基于安德森卫生服务利用行为模型的概念框架，编制包含人口统计学、卫生服务使用、服务满意度以及SF-36 V2量表项目的问卷。将进行描述性分析、方差分析、多因素分析和相关性分析，以比较不同护理模式下老年人的社会学特征、卫生服务使用、健康状况和服务满意度，探讨护理效果的影响因素，以及研究健康行为与健康结果之间的关系。
在安德森模型框架下分析医养结合护理效果并在养老院之间进行横向比较的研究设计具有创新性。招募和问卷设计是重要问题。成功的数据收集和质量控制也很有必要。考虑到这些因素，本研究预计将为中国医养结合护理服务的有效性提供证据。
