Table 1
The characteristics of observed residents (n = 12).
| CODE | SEX | AGE | MARITAL STATUS | EDUCATION | DIAGNOSIS | LENGTH OF STAY (MONTH) | JOB BEFORE RETIRED |
|---|---|---|---|---|---|---|---|
| G1 | Female | 83 | Widow | Undergraduate | Dementia | 2 | Teacher |
| G2 | Female | 92 | Widow | Junior high school | Dementia | 24 | Traditional Chinese Medicine Physician |
| G3 | Female | 81 | Married | Primary school | Dementia, Cerebral infarction, Epilepsy, Hypertension, Type 2 DM, L1 Cone compression fracture | 26 | Pharmaceutical factory workers |
| G4 | Female | 83 | Married | University | Dementia, Hypertension, CHD, DM | 8 | Coal mine technician |
| G5 | Male | 85 | Married | University | CHD, coronary stent implantation, Type 2 DM, Hypertension, Cerebral infarction, Chronic bronchitis, Left knee osteoarthritis, Right knee meniscus tear, Depression | 8 | Coal mine technician |
| G6 | Female | 87 | Married | University | Hypertension, Myocardial infarction, After cardiac stent implantation, After subtotal gastrectomy | 2 | Worker |
| G7 | Male | 86 | Married | University | Hypertension, CHD, Lower limb vein plaque, Prostate hyperplasia, Postoperative colon cancer, Sleep disorder | 2 | Worker |
| G8 | Female | 86 | Widow | Technical secondary school | Cerebral infarction, Hypertension, Type 2 DM, Sleep disorder, Knee joint degeneration | 24 | Accountant |
| G9 | Female | 77 | Married | Technical secondary school | Dementia, Hypertension, Type 2 DM, Sleep disorder, Multiple rib fractures, Pyramidal fractures | 60 | Judge |
| G10 | Female | 89 | Widow | High school | Dementia, CHD, Hypertension, Type 2 DM | 48 | Soldier (In art troupe) |
| G11 | Male | 86 | Widow | High school | Dementia | 27 | Carpenter |
| G12 | Female | 74 | Widow | Technical secondary school | DM, Arthritis | 24 | Nurse |
[i] Notes: Coronary heart disease, CHD; Diabetes mellitus, DM.
Table 2
The characteristics of observed and interviewed service providers (n = 16).
| CODE | SEX | AGE | EDUCATION | TITLE | POSITION | WORK EXPERIENCE (YEAR) | INTERVIEW TIME (MIN) |
|---|---|---|---|---|---|---|---|
| Y1 | Female | 55 | Undergraduate | Deputy chief physician | Doctor | 5 | 60 |
| Y2 | Female | 44 | Postgraduate | Chief physician | Dementia specialist | 15 | 60 |
| Y3 | Female | 40 | Postgraduate | Chief physician | Dementia specialist | 10 | 30 |
| N1 | Female | 36 | Undergraduate | Nurse-in-charge | Head nurse | 4 | 60 |
| N2 | Female | 35 | Undergraduate | Nurse-in-charge | Head nurse | 4 | 50 |
| N3 | Female | 33 | Junior college | Nurse-in-charge | Nurse | 2 | 20 |
| N4 | Female | 33 | Undergraduate | Nurse-in-charge | Head nurse | 4 | 90 |
| N5 | Female | 39 | Undergraduate | Nurse-in-charge | Head nurse | 2 | 80 |
| N6 | Female | 38 | Undergraduate | Nurse-in-charge | Nurse | 9 | 25 |
| N7 | Female | 34 | Undergraduate | Nurse-in-charge | Nurse | 2 | 30 |
| K1 | Female | 31 | Undergraduate | Primary level | Rehabilitation therapist | 8 | 15 |
| Z1 | Male | 25 | Undergraduate | NA | Head nursing aide | 3 | 15 |
| Z2 | Female | 55 | Junior school | NA | Head nursing aide | 4 | 15 |
| Z3 | Male | 50 | Junior school | NA | Head nursing aide | 4 | 20 |
| Z4 | Female | 44 | Junior college | NA | Nursing aide | 4 | 21 |
| Z5 | Male | 58 | Junior school | NA | Nursing aide | 4 | 15 |
[i] Notes: NA, Not available.
Figure 1
The relationships between these institutions among the integrated care services.
Notes: (1)* indicates the two main integrated care services. (2) Medical Consortia: It usually integrates medical resources within the same region, typically consisting of tertiary hospitals, secondary hospitals, community hospitals and village clinics. In this study, it referred to the formal relationships between Hospital X and tertiary hospitals. (3) Combination of Medical and Elderly Care: It is usually a medical institution or elderly care institution that possess both medical and health qualifications and elderly care service capabilities. In this study, the nursing home was a Combination of Medical and Elderly Care, providing daily life care, medical treatment, nursing, rehabilitation, hospice care, psychological and spiritual support, and other services according to residents’ needs. (4) Tertiary hospital: It is a regional or higher-level hospital that provides high-level specialized medical and health services and executes higher education and research tasks to several regions. (5) Secondary hospital: It is a regional hospital that provides comprehensive medical and health services to multiple communities and undertakes certain teaching and research tasks. (6)Elderly care institution: It provides centralized residential and daily life care services for residents.