Healthcare needs and satisfaction rates of elderly people residing at home_
| Aspects and variables | Demand, N | Demand rate (%) | Demand rank | Satisfied, N | Satisfied rate, N | Satisfied rank |
|---|---|---|---|---|---|---|
| Physiological and psychological health needs | ||||||
| A1. Creating health record | 333 | 90.98 | 3 | 246 | 73.87 | 2 |
| A2. Regular medical examination | 352 | 96.17 | 1 | 258 | 73.3 | 3 |
| A3. Health condition monitoring | 346 | 94.54 | 2 | 270 | 78.03 | 1 |
| A4. Psychological care | 246 | 67.21 | 5 | 153 | 62.2 | 5 |
| A5. Family support | 263 | 71.86 | 4 | 192 | 73 | 4 |
| A6. Indwelling catheter care | 47 | 12.84 | 9 | 26 | 55.32 | 9 |
| A7. Wound care | 46 | 12.57 | 10 | 28 | 60.87 | 6 |
| A8. Excretion nursing | 54 | 14.75 | 8 | 32 | 59.26 | 7 |
| A9. Auxiliary phlegm expulsion | 66 | 18.03 | 7 | 39 | 59.09 | 8 |
| A10. Hospice and palliative care | 74 | 20.22 | 6 | a | a | A |
| Daily life care | ||||||
| B1. Medical companionship service | 202 | 55.19 | 1 | 108 | 53.47 | 2 |
| B2. Day/Night home nursing | 125 | 34.15 | 2 | 50 | 40 | 3 |
| B3. Daily care | 91 | 24.86 | 3 | 57 | 62.64 | 1 |
| Safety needs | ||||||
| C1. Improving living environment | 301 | 82.24 | 1 | 172 | 57.14 | 1 |
| C2. Establishing an emergency call system | 287 | 78.42 | 2 | 0 | 0 | 7 |
| C3. Community emergency rescue | 281 | 76.78 | 4 | 82 | 29.18 | 6 |
| C4. Establishing a green emergency channel | 284 | 77.6 | 3 | 97 | 34.15 | 5 |
| C5. Two-way referral service | 266 | 72.68 | 5 | 115 | 43.23 | 3 |
| C6. Guidance on preventing accidental injury | 246 | 67.21 | 7 | 123 | 50 | 2 |
| C7. First aid and skills guidance | 249 | 68.03 | 6 | 87 | 34.94 | 4 |
| Health education | ||||||
| D1. Guidance on disease monitoring skills | 332 | 90.71 | 1 | 221 | 66.57 | 1 |
| D2. Guidance on psychological well-being monitoring | 254 | 69.4 | 5 | 151 | 59.45 | 3 |
| D3. Caregiver education | 249 | 68.03 | 6 | 138 | 55.42 | 5 |
| D4. Chronic disease prevention and control | 282 | 77.05 | 3 | 130 | 46.1 | 6 |
| D5. Medication guidance | 254 | 69.4 | 5 | 117 | 46.06 | 7 |
| D6. Exercise guidance | 260 | 71.04 | 4 | 149 | 57.31 | 4 |
| D7. Diet and nutrition counseling | 287 | 78.42 | 2 | 174 | 60.63 | 2 |
| Rehabilitation training and guidance needs | ||||||
| E1. Delay degeneration training in cognitive function, memory function, and learning ability | 156 | 42.62 | 1 | 53 | 33.97 | 5 |
| E2. Rehabilitation exercise for daily life function | 82 | 22.4 | 3 | 45 | 54.88 | 1 |
| E3. Guidance on proper use and maintenance of medical auxiliary devices | 83 | 22.68 | 2 | 44 | 53.01 | 2 |
| E4. Rehabilitation training of motor function | 73 | 19.95 | 4 | 35 | 47.95 | 4 |
| E5. Rehabilitation training of language function | 49 | 13.39 | 5 | 25 | 51.02 | 3 |
| Respect and self-development | ||||||
| F1. Respect | 320 | 87.43 | 1 | 266 | 83.13 | 1 |
| F2. Organize supportive teams for elderly with the same disease | 173 | 47.27 | 4 | 45 | 26.01 | 4 |
| F3. Information about participating in social activities | 184 | 50.27 | 3 | 74 | 40.22 | 2 |
| F4. Guidance of choosing the suitable activities | 214 | 58.47 | 2 | 85 | 39.72 | 3 |
| F5. Introduction to re-employment for the elderly | 78 | 21.31 | 5 | 18 | 23.08 | 5 |
Multivariate logistic regression analysis assignment table
| Independent variable | Assignment |
|---|---|
| Gender (X1) | “Male” = 1, “Female” = 2 |
| Monthly income (X2) | “<1000 CNY” = 1, “>1000–2000 CNY” = 2, “>2000–3000 CNY” = 3, “>3000 CNY” = 4 |
| Methods of medical payment (X3) | “Self-funded” = 1, “Urban worker basic medical insurance” = 2, “Urban resident basic medical insurance” = 3, “New rural cooperative medical insurance” = 4 |
| Lack of exercise (X4) | “Exercise” = 1, “Lack of exercise” = 2 |
| Re-hospitalization frequency (X5) | “0 time” = 1, “1–3 times” = 2, “≥4 times” = 3 |
| Re-hospitalization duration (X6) | “Never” = 1, “Less than 3 months” = 2, “3–6 months” = 3, “More than 6 months” = 4 |
| Caring intention (X7) | “Home-based” = 1, “Community-based” = 2, “Institution-based” = 3 |
| ADL score (X8) | “0–20” = 1, “21–40” = 2, “41–60” = 3, “61–99” = 4, “100” = 5 |
| Healthcare needs (Y) | “Low-demand group” = 1, “High-demand group” = 2 |
Comparison of demographic and socioeconomic characteristics between high- and low-demand groups (N = 366)
| Variables | Low-demand group | High-demand group | χ2 | P value |
|---|---|---|---|---|
| Age (years) | 0.005 | 0.997 | ||
| 60–69 | 101 | 112 | ||
| 70–79 | 49 | 55 | ||
| ≥80 | 23 | 26 | ||
| Gender | 6.44 | 0.011* | ||
| Male | 65 | 98 | ||
| Female | 108 | 95 | ||
| Nationality | 0.282 | 0.595 | ||
| Han Chinese | 153 | 174 | ||
| Other ethnic minorities | 20 | 19 | ||
| Degree of education | 1.851 | 0.604 | ||
| Illiteracy | 22 | 24 | ||
| Primary school | 55 | 57 | ||
| Junior high school | 53 | 52 | ||
| High school and above | 43 | 60 | ||
| Marital status | 0.662 | 0.416 | ||
| Married | 131 | 153 | ||
| Widowed or divorced | 42 | 40 | ||
| Living conditions | 1.199 | 0.753 | ||
| Living alone | 21 | 18 | ||
| Living only with spouse | 60 | 68 | ||
| Living with children | 85 | 96 | ||
| Others (live with grandchildren, etc.) | 7 | 11 | ||
| Monthly income (yuan) | 10.457 | 0.015* | ||
| <1000 | 28 | 37 | ||
| 1000–1999 | 45 | 72 | ||
| 2000–2999 | 71 | 50 | ||
| >3000 | 29 | 34 | ||
| Methods of medical payment | 10.331 | 0.016* | ||
| Urban worker basic medical insurance | 114 | 126 | ||
| Urban resident basic medical insurance | 16 | 37 | ||
| New rural cooperative medical insurance | 39 | 28 | ||
| Commercial medical insurance | 0 | 0 | ||
| Self-funded | 4 | 2 |
Multivariate logistic regression analysis of the influencing factors in high- and low-demand groups
| Independent variable | Regression coefficients (β) | Standard error | Wald value | P value | OR value | 95% CI of OR | |
|---|---|---|---|---|---|---|---|
| Lower bound | Upper bound | ||||||
| Gender | –0.576 | 0.234 | 6.048 | 0.014* | 0.562 | 0.355 | 0.89 |
| Monthly income | –0.373 | 0.146 | 6.541 | 0.011* | 0.689 | 0.518 | 0.917 |
| Method of medical payment (self-paying) (Reference) | 7.976 | 0.047* | |||||
| Method of medical payment (urban workers) | –0.365 | 0.97 | 0.142 | 0.707 | 0.694 | 0.104 | 4.646 |
| Method of medical payment (urban residents) | 0.82 | 0.362 | 5.116 | 0.024* | 2.27 | 1.116 | 4.62 |
| Method of medical payment (new rural cooperative) | 1.004 | 0.439 | 5.22 | 0.022* | 2.729 | 1.153 | 6.455 |
| Lack of exercise | 0.912 | 0.416 | 4.804 | 0.028* | 2.489 | 1.101 | 5.624 |
| Re-hospitalization frequency | 0.573 | 0.463 | 1.536 | 0.215 | 1.774 | 0.716 | 4.394 |
| Re-hospitalization duration | –0.07 | 0.454 | 0.024 | 0.877 | 0.932 | 0.383 | 2.269 |
| Caring intention (home-based) (Reference) | 8.779 | 0.012* | |||||
| Caring intention (community-based) | 0.646 | 0.293 | 4.862 | 0.027* | 1.908 | 1.074 | 3.388 |
| Caring intention (institution-based) | 1.203 | 0.43 | 7.828 | 0.005* | 3.33 | 1.434 | 7.733 |
| ADL score | –0.318 | 0.156 | 4.155 | 0.042* | 0.728 | 0.536 | 0.988 |
| Constant | 1.18 | 1.044 | 1.278 | 0.258 | 3.254 | ||
Comparison of risk factors in high- and low-demand groups (N = 366)
| Risk factors | Low-demand group | High-demand group | χ2 | P value |
|---|---|---|---|---|
| Smoking | 0.007 | 0.935 | ||
| No | 151 | 169 | ||
| Yes | 22 | 24 | ||
| Drinking alcohol | 0.952 | 0.329 | ||
| No | 157 | 169 | ||
| Yes | 16 | 24 | ||
| Lack of exercise | 8.191 | 0.004* | ||
| No | 163 | 164 | ||
| Yes | 10 | 29 | ||
| Poor medical practices | 0.522 | 0.47 | ||
| No | 144 | 155 | ||
| Yes | 29 | 38 |