School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, 210023, People's Republic of China.
School of Pharmacy, Nanjing Medical University, Nanjing, 211166, People's Republic of China.
BMC Health Serv Res. 2019 Jun 24;19(1):410. doi: 10.1186/s12913-019-4259-y.
Due to rapidly growing number of old adults and diminishing supportive functions of family in China, the issue of willingness to use institutional care is of high priority, especially for disabled seniors. The objective of this study is to compare the willingness of institutional care and its determinants between disabled and non-disabled seniors in China.
2493 seniors (60+) were randomly selected from a cross-sectional study conducted in three urban districts and three rural counties in Jiangsu Province. Binary logistic regression model was employed to examine differences towards the preference for institutional care between two subgroups, and to identify factors associated with willingness of institutional care between disabled and non-disabled seniors.
Of 2493 respondents, 402 (16.1%) were disabled seniors. Overall, 14.2% of the participants had willingness for institutional care in Jiangsu, China. The willingness for institutional care among non-disabled seniors (OR = 0.513; 95%CI 0.387-9.680) was significantly lower than that among disabled ones. The preference for institutional care of both disabled and non-disabled seniors was associated with household income. The willingness of institutional care was also related to age, education and living arrangement among disabled seniors. Meanwhile, non-disabled seniors who had non-communicable diseases were found to be more likely to choose elder care in institution.
Our findings indicated that the willingness for institutional care among disabled seniors was significantly higher than that among non-disabled ones. Household income was determinant of utilization willingness for institutionalization both in disabled and non-disable seniors. Different policies should be made or modified for disabled and non-disabled seniors separately.
由于中国老年人口数量的快速增长和家庭支持功能的减弱，尤其是对于残疾老年人而言，使用机构护理的意愿问题成为当务之急。本研究旨在比较中国残疾和非残疾老年人对机构护理的意愿及其决定因素。
从江苏省三个城区和三个农村县进行的横断面研究中随机抽取 2493 名（60 岁以上）老年人。采用二元逻辑回归模型比较两个亚组对机构护理偏好的差异，并确定残疾和非残疾老年人对机构护理意愿相关的因素。
在 2493 名受访者中，有 402 名（16.1%）是残疾老年人。总的来说，中国江苏省有 14.2%的参与者有意愿接受机构护理。非残疾老年人（OR=0.513；95%CI 0.387-9.680）选择机构护理的意愿明显低于残疾老年人。残疾和非残疾老年人对机构护理的偏好均与家庭收入有关。残疾老年人的机构护理意愿还与年龄、教育和生活安排有关。同时，患有非传染性疾病的非残疾老年人更有可能选择在机构中接受老年护理。
我们的研究结果表明，残疾老年人对机构护理的意愿明显高于非残疾老年人。家庭收入是残疾和非残疾老年人对机构护理意愿的决定因素。应该为残疾和非残疾老年人分别制定或修改不同的政策。
