Signing contracts for family doctors, functional limitations and home care willingness among older adults: a cross-sectional study
Abstract Background Traditional Chinese culture advocates home care be provided by family members. Home care can improve mental health and enjoy a familiar environment for older people. This study aimed to investigate the relationship between signing contracts for family doctors and home care willin...
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BMC
2024-12-01
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| Series: | BMC Primary Care |
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| Online Access: | https://doi.org/10.1186/s12875-024-02661-5 |
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| author | Shujun Chai Dan Zhao Tingting Gao Jingjie Sun Peilong Li Xueqing Wang Xuehong Wang Jingjing Luo Jiayan Li Chengchao Zhou |
| author_facet | Shujun Chai Dan Zhao Tingting Gao Jingjie Sun Peilong Li Xueqing Wang Xuehong Wang Jingjing Luo Jiayan Li Chengchao Zhou |
| author_sort | Shujun Chai |
| collection | DOAJ |
| description | Abstract Background Traditional Chinese culture advocates home care be provided by family members. Home care can improve mental health and enjoy a familiar environment for older people. This study aimed to investigate the relationship between signing contracts for family doctors and home care willingness, as well as the interaction effect of functional limitations in this relationship. Methods This study was based on the sixth National Health Service Survey of Shandong province, China in 2018. A total of 8,055 older adults aged ≥ 60 years were included in the study. The logistic regression models were employed to examine the role of functional limitations in the relationship between signing contracts for family doctors and home care willingness. Results There were 6,891 (85.55%) participants had home care willingness in Shandong province, China. Compared to respondents who did not have family doctors, older adults with family doctors were more likely to report higher levels of home care willingness after adjusted for covariates (OR = 1.45, 95% CI: 1.27, 1.66). The interaction effect between signing contracts for family doctors and functional limitation on choosing home care for older adults was statistically significant (OR = 0.68, 95% CI: 0.47, 0.97). Conclusions The association between signing contracts for family doctors and home care willingness varies by functional limitations. Therefore, there is a need to improve social security system and family doctor service policy to suit the care needs of older people, especially those without functional limitations. Social care institutions should also provide comfortable care to disabled older adults as an effective complement. |
| format | Article |
| id | doaj-art-f41048b9c29343a08b27bce5e716f75d |
| institution | Kabale University |
| issn | 2731-4553 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Primary Care |
| spelling | doaj-art-f41048b9c29343a08b27bce5e716f75d2024-12-22T12:38:55ZengBMCBMC Primary Care2731-45532024-12-0125111010.1186/s12875-024-02661-5Signing contracts for family doctors, functional limitations and home care willingness among older adults: a cross-sectional studyShujun Chai0Dan Zhao1Tingting Gao2Jingjie Sun3Peilong Li4Xueqing Wang5Xuehong Wang6Jingjing Luo7Jiayan Li8Chengchao Zhou9Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong UniversityCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong UniversityCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong UniversityShandong Health Commission Medical Management Service CenterShandong Health Commission Medical Management Service CenterCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong UniversityCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong UniversityCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong UniversityCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong UniversityCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong UniversityAbstract Background Traditional Chinese culture advocates home care be provided by family members. Home care can improve mental health and enjoy a familiar environment for older people. This study aimed to investigate the relationship between signing contracts for family doctors and home care willingness, as well as the interaction effect of functional limitations in this relationship. Methods This study was based on the sixth National Health Service Survey of Shandong province, China in 2018. A total of 8,055 older adults aged ≥ 60 years were included in the study. The logistic regression models were employed to examine the role of functional limitations in the relationship between signing contracts for family doctors and home care willingness. Results There were 6,891 (85.55%) participants had home care willingness in Shandong province, China. Compared to respondents who did not have family doctors, older adults with family doctors were more likely to report higher levels of home care willingness after adjusted for covariates (OR = 1.45, 95% CI: 1.27, 1.66). The interaction effect between signing contracts for family doctors and functional limitation on choosing home care for older adults was statistically significant (OR = 0.68, 95% CI: 0.47, 0.97). Conclusions The association between signing contracts for family doctors and home care willingness varies by functional limitations. Therefore, there is a need to improve social security system and family doctor service policy to suit the care needs of older people, especially those without functional limitations. Social care institutions should also provide comfortable care to disabled older adults as an effective complement.https://doi.org/10.1186/s12875-024-02661-5Family doctorHome care willingnessFunctional limitation |
| spellingShingle | Shujun Chai Dan Zhao Tingting Gao Jingjie Sun Peilong Li Xueqing Wang Xuehong Wang Jingjing Luo Jiayan Li Chengchao Zhou Signing contracts for family doctors, functional limitations and home care willingness among older adults: a cross-sectional study BMC Primary Care Family doctor Home care willingness Functional limitation |
| title | Signing contracts for family doctors, functional limitations and home care willingness among older adults: a cross-sectional study |
| title_full | Signing contracts for family doctors, functional limitations and home care willingness among older adults: a cross-sectional study |
| title_fullStr | Signing contracts for family doctors, functional limitations and home care willingness among older adults: a cross-sectional study |
| title_full_unstemmed | Signing contracts for family doctors, functional limitations and home care willingness among older adults: a cross-sectional study |
| title_short | Signing contracts for family doctors, functional limitations and home care willingness among older adults: a cross-sectional study |
| title_sort | signing contracts for family doctors functional limitations and home care willingness among older adults a cross sectional study |
| topic | Family doctor Home care willingness Functional limitation |
| url | https://doi.org/10.1186/s12875-024-02661-5 |
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