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政策知晓度与服务满意度对中国农村老年人参与农村医疗护理服务项目意愿的影响

Influence of Policy Awareness and Satisfaction With Service on the Willingness to Engage in Rural Elderly Medical and Nursing Care Service Programs in Rural China.

作者信息

Wenyi Lin, Zhiyun Rong, Qin Li

机构信息

School of Public Administration and Emergency Management, Common Prosperity and National Governance Institute, Jinan University, Guangzhou, Guangdong, China.

出版信息

Public Health Nurs. 2025 Mar-Apr;42(2):699-708. doi: 10.1111/phn.13507. Epub 2024 Dec 15.

Abstract

BACKGROUND

In rural China, the participation of residents in elderly medical and nursing care service programs is notably low. To understand the reasons behind this underutilization or reluctance to use such services, an empirical study is warranted.

DESIGN

This study adopts a cross-sectional research design, utilizing survey data collected between January and March 2023.

SAMPLE

Retired elderly individuals aged 50 and above who were permanent residents of LS Town.

MEASUREMENTS

The survey collects data concerning several key aspects of the older adult population, including their fundamental demographic information, awareness levels regarding integrated medical and nursing care services offered by local township health clinics, their current enrollment status in family doctor contract services, and their propensity to subscribe to such healthcare arrangements.

RESULTS

The findings indicate a significant positive relationship between awareness of the integrated medical and elderly care nursing model and the willingness of rural older adults to adopt these services. Furthermore, satisfaction with the services also directly influences the willingness to engage with these services.

CONCLUSION

This study contributes to the existing body of knowledge by highlighting the significance of policy dissemination and enhancing service quality as pivotal strategies for governments and health service organizations to foster increased uptake of these services among the rural elderly population.

摘要

背景

在中国农村地区,居民参与老年医疗护理服务项目的比例显著较低。为了解这种服务利用不足或不愿使用此类服务背后的原因,有必要进行实证研究。

设计

本研究采用横断面研究设计,利用2023年1月至3月收集的调查数据。

样本

LS镇的常住退休老年人,年龄在50岁及以上。

测量

该调查收集了有关老年人群体几个关键方面的数据,包括他们的基本人口统计信息、对当地乡镇卫生院提供的医养结合服务的知晓程度、他们目前参与家庭医生签约服务的情况以及他们订阅此类医疗保健安排的倾向。

结果

研究结果表明,对医养结合护理模式的知晓与农村老年人采用这些服务的意愿之间存在显著的正相关关系。此外,对服务的满意度也直接影响参与这些服务的意愿。

结论

本研究通过强调政策传播和提高服务质量的重要性,为现有知识体系做出了贡献,这是政府和卫生服务组织促进农村老年人口更多地使用这些服务的关键策略。

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