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基于社区的老年护理供需满意度与老年人心理认知的研究

A Study on Supply-Demand Satisfaction of Community-Based Senior Care Combined with the Psychological Perception of the Elderly.

作者信息

Shi Jiangang, Hua Wenwen, Tang Daizhong, Xu Ke, Xu Quanwei

机构信息

School of Economics and Management, Tongji University, Shanghai 200092, China.

出版信息

Healthcare (Basel). 2021 May 29;9(6):643. doi: 10.3390/healthcare9060643.

Abstract

Based on Maslow's hierarchy of needs theory and customer satisfaction theory, we constructed a satisfaction model for supply-demand satisfaction for community-based senior care (SSCSC) combined with the psychological perspective of the elderly, and four dimensions of basic living needs (BLNs), living environment (LE), personal traits (PTs), and livability for the aged (LA) were selected to construct the model. The data were obtained from 296 questionnaires from seniors over 50 years old (or completed by relatives on their behalf, according to their actual situation). Twenty-two observed variables were selected for the five latent variables, and their interactions were explored using structural equation modeling. The results showed that LA was the most significant factor influencing SSCSC, and it was followed by BLNs and LE. PTs did not show a direct effect on LA, but they could have an indirect effect on SSCSC through influencing BLNs and LE. Based on the current state of community aging satisfaction, we propose to establish a community elderly care service system based on the basic needs of the elderly population, providing differentiated and refined elderly care services and improving the level of aging-friendly communities. This study provides references for the government to formulate relevant policies and other supply entities to make strategic decisions and has important implications for further enhancing community elderly services to become an important part of the social security system for the elderly.

摘要

基于马斯洛需求层次理论和顾客满意度理论,结合老年人的心理视角,构建了社区居家养老供需满意度模型(SSCSC),并选取基本生活需求(BLNs)、生活环境(LE)、个人特质(PTs)和老年宜居性(LA)四个维度来构建该模型。数据来自296份50岁及以上老年人的问卷(或由亲属根据实际情况代填)。为五个潜在变量选取了22个观测变量,并使用结构方程模型探索它们之间的相互作用。结果表明,LA是影响SSCSC的最显著因素,其次是BLNs和LE。PTs对LA没有直接影响,但它们可以通过影响BLNs和LE对SSCSC产生间接影响。基于社区养老满意度的现状,我们建议基于老年人口的基本需求建立社区养老服务体系,提供差异化、精细化的养老服务,提高老年友好型社区水平。本研究为政府制定相关政策以及其他供给主体进行战略决策提供参考,对进一步加强社区老年服务成为老年社会保障体系的重要组成部分具有重要意义。

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