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  1. Article ; Online: Utilisation of community care services and self-rated health among elderly population in China

    Liu Yang / Lijian Wang / Xiaodong Di / Xiuliang Dai

    BMC Public Health, Vol 21, Iss 1, Pp 1-

    a survey-based analysis with propensity score matching method

    2021  Volume 11

    Abstract: Abstract Background Elderly care and elderly health are the enormous challenges in such an aging society as China. Community care services have been developing rapidly in recent years in China as an increasingly mainstream care resource to promote ... ...

    Abstract Abstract Background Elderly care and elderly health are the enormous challenges in such an aging society as China. Community care services have been developing rapidly in recent years in China as an increasingly mainstream care resource to promote elderly health. The purpose of this study is to examine the association between using community care services and self-rated health among Chinese elderly. Methods A cross-sectional survey was conducted in 2019 and 612 elderly people from China’s Shaanxi province were enrolled. The binary logistic regression was first employed to explore the association between community care services utilisation and elderly health. Given the potential selection bias issue, the propensity score matching method was hired to generate comparable samples between participants who used these services and participants who didn’t, and further examine the health benefits of using four types of services. Results The results of the binary logistic regression showed that the use of community care services predicted a better health status of elderly individuals. Overall, the results of the propensity score matching method showed the similar results. Specifically, with the nearest neighbors matching algorithm, using daily care services was significantly associated with a 0.246 increase in the self-rated health of the elderly (T = 1.83). For medical care services, the mean of self-rated health of elderly individuals who used these services was 3.542, significantly higher than those who didn’t (T = 2.15). For spiritual comfort services, elderly individuals using these services showed a significant increase by 0.280 in the self-rated health (T = 1.82). For social and recreational services, the result of the nearest neighbor matching method was not statistically significant, while the results of kernel matching method and the mahalanobis matching method showed a significant increase in the self-rated health among elderly individuals using these services (T = 2.03, T = 2.03, respectively). All the ...
    Keywords Community care services utilisation ; Elderly health ; Propensity score matching ; China ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2021-10-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Impact of Economic Accessibility on Realized Utilization of Home-Based Healthcare Services for the Older Adults in China

    Xiaodong Di / Lijian Wang / Liu Yang / Xiuliang Dai

    Healthcare, Vol 9, Iss 2, p

    2021  Volume 218

    Abstract: Home-based healthcare service has gradually become the most important model to cope with aging in China. However, the contradiction between oversupply and insufficient demand of healthcare services is becoming increasingly serious. How to effectively ... ...

    Abstract Home-based healthcare service has gradually become the most important model to cope with aging in China. However, the contradiction between oversupply and insufficient demand of healthcare services is becoming increasingly serious. How to effectively improve the realized utilization of healthcare resources has become a key issue in the development of healthcare services. Based on the social background of “getting old before getting rich”, this article explores the relationship between economic accessibility and realized utilization, and finds that the impact of economic accessibility on realized utilization is inverted U-shaped, not a linear positive effect. In addition, considering the moderating role of family support, it is found that family support can strengthen the inverted U-shaped effect of economic accessibility on realized utilization. Therefore, exerting the role of family and improving economic accessibility can effectively solve the dilemma of low utilization of healthcare services.
    Keywords economic accessibility ; realized utilization ; family support ; inverted U-shaped effect ; Medicine ; R
    Subject code 360
    Language English
    Publishing date 2021-02-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Family Support, Multidimensional Health, and Living Satisfaction among the Elderly

    Lijian Wang / Liu Yang / Xiaodong Di / Xiuliang Dai

    International Journal of Environmental Research and Public Health, Vol 17, Iss 8434, p

    A Case from Shaanxi Province, China

    2020  Volume 8434

    Abstract: The current study investigated the association between three types of family support and living satisfaction of elderly individuals in China, and paid particular attention to the possible mediating role of the elderly population’s multidimensional health. ...

    Abstract The current study investigated the association between three types of family support and living satisfaction of elderly individuals in China, and paid particular attention to the possible mediating role of the elderly population’s multidimensional health. A cross-sectional survey was conducted in 2019, and 938 elderly people from seven counties (districts) of China’s Shaanxi province were enrolled. Multivariable linear regression and mediation effect analysis were employed to examine the integrated relationships among these variables. The results showed that emotional support and decisional support from families were positively related to the living satisfaction of elderly individuals (β = 0.101, p = 0.000; β = 0.263, p = 0.000), while the relationship between daily living support and living satisfaction was not significant (β = 0.017, p > 0.05). The mediation examination further demonstrated that both mental state and social integration mediated the association between emotional support and living satisfaction, as well as the association between decisional support and living satisfaction, but a mediating effect of physical health was not observed. These results indicate the pathways in the relationships of different types of family support to living satisfaction via mental state and social integration, having significant implications for enhancing the living satisfaction the elderly.
    Keywords elderly individuals ; family support ; multidimensional health ; living satisfaction ; China ; Medicine ; R
    Language English
    Publishing date 2020-11-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Assessing the Accessibility of Home-Based Healthcare Services for the Elderly

    Xiaodong Di / Lijian Wang / Xiuliang Dai / Liu Yang

    International Journal of Environmental Research and Public Health, Vol 17, Iss 7168, p

    A Case from Shaanxi Province, China

    2020  Volume 7168

    Abstract: With the rapid increase of the elderly population in China, healthcare services for the elderly have gradually become an important welfare resource. However, the healthcare service for the elderly still has problems such as mismatched supply and demand ... ...

    Abstract With the rapid increase of the elderly population in China, healthcare services for the elderly have gradually become an important welfare resource. However, the healthcare service for the elderly still has problems such as mismatched supply and demand and unbalanced resources. In order to effectively eliminate the path barriers to match supply and demand, and improve the accessibility of healthcare services, this paper introduces the sustainability of the healthcare service based on the accessibility theory, and constructs an index system from the three dimensions of potential accessibility, realized accessibility, and sustainable accessibility of healthcare services for the elderly. Then, the paper makes a practice application of the index system based on survey data of healthcare services from Shaanxi province, China. Finally, the paper finds that the total accessibility and sustainable accessibility of healthcare services for the elderly in Shaanxi Province are at an average level. The score of potential accessibility is high, indicating that elderly people have greater opportunities to use healthcare services. The realized accessibility score is low, which indicates that the actual use of healthcare services for the elderly presents low satisfaction.
    Keywords healthcare service for the elderly ; accessibility ; index system ; principal component analysis ; Medicine ; R
    Subject code 360
    Language English
    Publishing date 2020-09-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Differences in the Potential Accessibility of Home-Based Healthcare Services among Different Groups of Older Adults

    Lijian Wang / Xiaodong Di / Liu Yang / Xiuliang Dai

    Healthcare, Vol 8, Iss 452, p

    A Case from Shaanxi Province, China

    2020  Volume 452

    Abstract: With the increase of the aging population and the lack of family care, home-based healthcare services have gradually become the main model to cope with aging, so local governments have invested heavily in the construction of home-based healthcare ... ...

    Abstract With the increase of the aging population and the lack of family care, home-based healthcare services have gradually become the main model to cope with aging, so local governments have invested heavily in the construction of home-based healthcare services. However, healthcare services still have problems such as low resource utilization and imbalanced development. The reason is that the supply and demand of healthcare services are not matched and the potential accessibility is low. Therefore, based on the supply and demand of healthcare services, this article pulls out the spatial and social factors that affect the potential accessibility, and tests the influence of individual factors on the potential accessibility among different groups of older adults. It is found that the perceived vulnerability of the older adults will reduce the potential accessibility of healthcare services. The psychosocial status, income and education level with the willingness to use healthcare services of the older adults are directly proportional, while residence has a negative impact on the potential accessibility. Finally, based on this finding, this article puts forward feasible suggestions from the perspective of policy content, publicity, and implementation.
    Keywords potential accessibility ; healthcare service ; perceived vulnerability ; difference analysis ; Medicine ; R
    Subject code 360
    Language English
    Publishing date 2020-11-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Will the Policy Instruments Mix Promote the Facility Input of Care Institutions for Older People in China?

    Fen Zhang / Xiaodong Di / Xiao Yang / Xiaotian Yang / Quanbao Jiang / Changhong Yuan

    Frontiers in Public Health, Vol

    2022  Volume 10

    Abstract: Promoting the facility input of care institutions for older people is the key to the development of the care for older people. With a steady increase in the proportion of older people in China, institutional care services are considered as an important ... ...

    Abstract Promoting the facility input of care institutions for older people is the key to the development of the care for older people. With a steady increase in the proportion of older people in China, institutional care services are considered as an important tool for older people. Policies such as government bed subsidies and tax incentives are accelerating the development of institutional care services. However, when the care for older people related policy instrument mixes lacks overall comprehensiveness, consistency and balance, the policy instrument mixes may become a “policy mess”, in turn, affecting the development of care institutions for older people. Studies focusing on the combined effects of different characteristics of a policy instrument mix are scarce. To understand how to better use the policy mix to facilitate the care for older people, it is necessary to analyze the characteristics of care policies for older people and its role in the construction of care institutions for older people. Therefore, this study analyzes the impacts of comprehensiveness, consistency, and balance of policy instruments on the facility input of care institutions for older people. An empirical analysis of related policies from 2011 to 2019 in China shows that a synergetic effect exists between the policy instrument mix and the facility input of care institutions for older people. This study points that the comprehensiveness and consistency of the policy instrument mix positively affect the facility input of care institutions for older people, while the impact of balance is not significant. It not only provides feasible policy suggestions for China's policy-making departments to optimize the care for older people related policies, but also helps care institutions for older people further understand the characteristics of policy portfolios and realize sustainable development.
    Keywords care institutions for older people ; facility input ; policy support ; policy instrument mix ; comprehensiveness ; consistency ; Public aspects of medicine ; RA1-1270
    Subject code 336
    Language English
    Publishing date 2022-06-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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