Objective To analyze the utilization and demands of integrated medical and nursing services (IMNS) and their influencing factors among the elderly living in pension institutions in Qingdao city of Shandong province for providing evidences to the improvement of IMNS to elderly populations.
Methods The participants of the study were 2 040 elder people of 60 years and above recruited with stratified multistage random sampling at 43 pension institutions providing integrated medical and nursing services in 7 districts of Qingdao city. Information on utilization and demand of IMNS and their correlates were collected through focus interview and questionnaire survey among the participants from June 2017 to August 2018. General descriptive analyses were conducted.
Results The most highly required IMNS items listed by the participants were disease diagnosis and treatment (reported by 87.68% of the participants), life care (76.25%) and health management (73.83%), followed by sports and recreational activities (36.92%), elderly care hotline service (33.77%), and hospice care (11.69%). The results of multivariate analysis demonstrated that significant factors influencing the participants′ willingness to have institutional IMNS were age, social relation with the main caregiver, personal problem most concerned, and type of household registration (P < 0.01 for all).
Conclusion There are a huge demand for integrated medical and nursing services among institution-dwelling elderly and an undersupply of the services to the elderly in Qingdao city, suggesting that the system providing the services needs to be improved.
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