Department of general surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China.
Department of rehabilitation, The Seventh Affiliated Hospital, Southern Medical University, Foshan, China.
BMC Health Serv Res. 2022 Apr 29;22(1):575. doi: 10.1186/s12913-022-08004-3.
In China, the majority of community care for older people is planned and offered in a few large cities. The provision of community care to the rural population is a new concept. This study aimed to assess the prevalence of willingness to receive a novel community care service that incorporates community rehabilitation among older people, and identify the possible factors influencing utilization willingness in Foshan, China.
A cross-sectional study was conducted involving 413 older people in Lishui county, China from January to March 2021. Trained staff interviewed older people using structured questionnaires. Multivariate logistic regression analysis was used to determine factors that were significantly associated with the willingness to receive this novel community care.
The prevalence of willingness to receive community care for older people was 61.9% (n = 245) in Foshan, China. Older people who were living alone or living with spouses were about two times significantly more likely to receive community care compared to those living with children/others (OR = 2.19, 95%CI:2.44 ~ 3.19, OR = 2.015, 95%CI: 1.39 ~ 2.23, respectively). Older people who lived closer to the community care center were about two times significantly more likely to receive community care compared to those who lived far away (OR = 2.10, 95%CI: 1.61 ~ 2.41). Older people with activity of daily living disability were about three times significantly more likely to receive community care compared to those without a disability (OR = 3.13, 95%CI: 2.38 ~ 3.29).
A majority of rural older people were willing to receive this novel community care service that includes community rehabilitation. The findings suggest the need for policies and programs to not only improve the provision of this novel community care service but also promote its uptake among older people in the study setting.
在中国，大多数针对老年人的社区护理都是在少数大城市规划和提供的。为农村人口提供社区护理是一个新概念。本研究旨在评估老年人对新型社区康复护理服务的接受意愿的流行程度，并确定中国佛山可能影响利用意愿的因素。
2021 年 1 月至 3 月，在中国丽水县进行了一项横断面研究，共纳入 413 名老年人。经过培训的工作人员使用结构化问卷对老年人进行访谈。多变量逻辑回归分析用于确定与接受这种新型社区护理意愿显著相关的因素。
中国佛山有 61.9%（n=245）的老年人愿意接受社区护理。与与子女/他人同住的老年人相比，独居或与配偶同住的老年人接受社区护理的可能性高约两倍（OR=2.19，95%CI：2.443.19，OR=2.015，95%CI：1.392.23）。与居住在社区护理中心较远的老年人相比，居住在社区护理中心较近的老年人接受社区护理的可能性高约两倍（OR=2.10，95%CI：1.612.41）。与没有日常生活活动障碍的老年人相比，有日常生活活动障碍的老年人接受社区护理的可能性高约三倍（OR=3.13，95%CI：2.383.29）。
大多数农村老年人愿意接受这种新型社区护理服务，包括社区康复。研究结果表明，需要制定政策和方案，不仅要改善这种新型社区护理服务的提供，还要促进研究环境中老年人对该服务的接受。
