School of Public Administration, Hunan University, Changsha 410082, China.
School of Public Administration and Policy, Renmin University of China, Beijing 100872, China.
Int J Environ Res Public Health. 2022 Sep 5;19(17):11112. doi: 10.3390/ijerph191711112.
Caregiving services are currently the weakest part of China's social security system for the elderly. It is well needed to investigate the fac-tors affecting the unmet care needs of the elderly with disabilities. Based on the Behavioral Model of Health Services Use (BMHSU), this paper explores the needs and influencing factors of care services for the disabled elderly in urban and rural areas using data from the 2018 Project of Social Policy Support System for Disadvantaged Families in China. The demand for care services of the disabled elderly in central and western areas is significantly higher than that in eastern, along with that in rural areas significantly higher than that in urban areas. The demands for care services of the disabled elderly in urban and rural areas are significantly affected by tendency factors, resource factors, and need factors. Urban and rural attributes, worried pension and LCI are the common influencing factors for the care service demand of the disabled elderly from economically disadvantaged families and ordinary families. The demands for care services of the disabled elderly were associated with tendencies, resources, and needs, increased chronic disease prevention and mental health services benefit caregivers.
养老服务是当前中国老年社会保障体系最薄弱的环节,有必要对影响失能老年人未满足的护理需求的因素进行调查。本研究基于健康服务利用行为模型(BMHSU),利用中国 2018 年贫困家庭社会政策支持项目的数据,探讨了城乡失能老年人的护理服务需求及影响因素。中西部地区失能老年人对护理服务的需求明显高于东部地区,农村地区明显高于城市地区。城乡属性、养老担忧和生活照料指数显著影响城乡失能老年人的护理服务需求。经济困难家庭和普通家庭失能老年人的护理服务需求受到城乡属性、养老担忧和 LCI 的共同影响。失能老年人的护理服务需求与倾向因素、资源因素和需求因素有关,增加慢性病预防和心理健康服务有益于护理人员。