Research on the Demand and Countermeasure of Home-based Care for the Elderly in Rural Community

摘要

This study investigated the demand status and influencing factors of home-based care for the elderly in rural communities, and put forward corresponding countermeasures and suggestions to provide support for the home-based care service plan in rural communities. Multi-stage random sampling was employed to recruit 1100 rural elderly people which questionnaires were distributed. The descriptive statistical methods were used to analyze the demographic characteristics and the demand status of home-based care for the elderly;Chi-square test and Logistic regression analysis were used to analyze the influencing factors of the demand for the elderly. The study shows that 609 elderly people (59.24%) have the need of home-based pension in the community. The highest demand for the elderly is medical care, accounting for 40.58%, followed by daily care (20.56%), community activities (20.34%) and spiritual and cultural services (18.12%). Among the demands of medical and health care services, the demand for general practitioners is the greatest. Among the demand of daily care for the elderly, the elderly have a greater demand for laundry, cooking, cleaning and outgoing activities;Among the demands for community activities and spiritual and cultural services, 28.55% of the elderly have a demand for recreational activities. Multivariate analysis showed that living conditions, career type, income level and medical insurance were the main factors affecting the demand for home-based old-age care for the elderly in the community. We should make targeted improvements according to the needs of the elderly at home, provide multi-level and more appropriate services for the elderly at home.