scholarly journals Analysis of the status quo of the Elderly’s demands of medical and elderly care combination in the underdeveloped regions of Western China and its influencing factors: a case study of Lanzhou

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jiancheng Wang ◽  
Yunhua Wang ◽  
Hui Cai ◽  
Juxia Zhang ◽  
Bei Pan ◽  
...  

Abstract Background This study aims to analyse the current demand by senior citizens in Lanzhou, China for a combination of medical and elderly care services and to identify the factors influencing their needs. Methods 7500 participants aged 60 or above living in Lanzhou, China, were recruited, a unified questionnaire concerning elderly people’s demand for a service combining medical and elderly care has been adopted to survey these subjects. The status quo of the demand of the service combining medical and elderly care and its influencing factors were analysed with the single-factor Chi-square test and multi-factor binomial logistic regression method. Results 3772 of 7320 older people have the demand for the service combining medical and elderly care, accounting for 53.15% of survey respondents. Many factors are in play, including gender, marital status, degree of education, occupation before retirement, number of children, monthly income, health self-assessment status, endowment insurance type, medical insurance type, current nursing arrangements, old-age demands, self-care ability and the knowledge of combining medical and elderly care and the willingness to pay for the combination of medical and elderly care have statistical significance (P < 0.05) with the elderly’s needs, different ages, living styles and the prevalence of chronic diseases, have no statistical significance (P > 0.05) with the elderly’s care needs in Lanzhou. The number of children, type of medical insurance and willingness to pay for the combination of medical treatment and nursing care are major influencing factors among the complex factors influencing the elderly’s demand for the proposed service. Conclusions The low knowledge rate and demand rate, the number of children, the type of medical insurance, and the willingness to pay for the medical-nursing combination service for the elderly in Lanzhou have a great impact on the elderly’s demand rate for combining medical and elderly care. Meanwhile, relevant government departments should focus more on the promotion of the endowment model of combining medical and elderly care and provide integrated medical care services by integrating multiple resources, and improving social security.

2020 ◽  
Author(s):  
Jiancheng Wang ◽  
Yunhua Wang ◽  
Hui Cai ◽  
Juxia Zhang ◽  
Bei Pan ◽  
...  

Abstract Background: This study aims to analyze the current demand of senior citizen in Lanzhou, China for the combination of medical and elderly care services and identify the factors influencing their needs. Methods: 7500 participants aged 60 or above living in Lanzhou, China were recruited, a unified questionnaire concerning the elderly's demand of the service combining medical and elderly care has been adopted to conduct a survey on these subjects. The status quo of the demand of the service combining medical and elderly care and its influencing factors were analyzed with the single-factor Chi-square test and multi-factor binomial logistic regression method. Results: 3,772 of 7,320 seniors have the demand of the service combining medical and elderly care, accounting for 53.15%. Different genders, marital status, degree of education, occupation before retirement, number of children, monthly income, health self-assessment status, endowment insurance type, medical insurance type, current way of elderly nursing, old-age demands, self-care ability, and the knowledge of combining medical and elderly care, the willingness to pay for the combination of medical and elderly care have statistical significance (P<0.05) with the elderly's needs of combination of medical and elderly care in Lanzhou, whereas different ages, living styles, and the prevalence rate of chronic diseases, have no statistical significance (P>0.05) with the elderly's needs of combination of medical and elderly care in Lanzhou. The number of children, types of medical insurance, and willingness to pay for the combination of medical treatment and nursing are major influencing factors among complex factors influencing the elderly's demand of the service combining medical and elderly care in Lanzhou.Conclusions: The low knowledge rate and demand rate, the number of children, the type of medical insurance, and the willingness to pay the medical-nursing combination service for the elderly in Lanzhou have a great impact on the elderly's demand rate of combining medical and elderly care. Meanwhile, relevant government departments should focus more on the promotion of the endowment model of combining medical and elderly care and provide integrated medical care services by integrating multiple resources, and improving social security.


2020 ◽  
Author(s):  
Jiancheng Wang ◽  
Yunhua Wang ◽  
Hui Cai ◽  
Juxia Zhang ◽  
Bei Pan ◽  
...  

Abstract Background: This study aims to analyse the current demand by senior citizens in Lanzhou, Chin for a combination of medical and elderly care services and to identify the factors influencing their needs.Methods: 7500 participants aged 60 or above living in Lanzhou, China, were recruited, a unified questionnaire concerning elderly people’s demand for a service combining medical and elderly care has been adopted to survey these subjects. The status quo of the demand of the service combining medical and elderly care and its influencing factors were analysed with the single-factor Chi-square test and multi-factor binomial logistic regression method.Results: 3,772 of 7,320 older people have the demand for the service combining medical and elderly care, accounting for 53.15% of survey respondents. Many factors are in play, including gender, marital status, degree of education, occupation before retirement, number of children, monthly income, health self-assessment status, endowment insurance type, medical insurance type, current nursing arrangements, old-age demands, self-care ability and the knowledge of combining medical and elderly care and the willingness to pay for the combination of medical and elderly care have statistical significance (P<0.05) with the elderly’s needs, different ages, living styles and the prevalence of chronic diseases, have no statistical significance (P>0.05) with the elderly’s care needs in Lanzhou. The number of children, type of medical insurance and willingness to pay for a combination of medical treatment and nursing care are major influencing factors among the complex factors influencing the elderly’s demand for the proposed service.Conclusions: The low knowledge rate and demand rate, the number of children, the type of medical insurance, and the willingness to pay for a medical-nursing combination service for the elderly in Lanzhou have a great impact on the elderly’s demand rate for combining medical and elderly care. Meanwhile, relevant government departments should focus more on the promotion of the endowment model of combining medical and elderly care and provide integrated medical care services by integrating multiple resources, and improving social security.


2019 ◽  
Author(s):  
Jiancheng Wang ◽  
Yunhua Wang ◽  
Hui Cai ◽  
Juxia Zhang ◽  
Bei Pan ◽  
...  

Abstract Background: This study aims to understand the current demand of senior citizens in Lanzhou, China for the combination of medical and elderly care services and discuss its influencing factors. Methods: 7500 participants aged 60 or above living in Lanzhou, China were recruited, A uniform and self-designed questionnaire survey was conducted on these subjects. Then, two methods, namely, single factor chi-square test and multi-factor binomial logistic regression were used to analyze. Results: Among 7,320 senior citizens, 3,772 have demand for the combination of medical and elderly care with a demand rate of 53.15%. The differences between genders, marital status, education background, occupation before retirement, number of children, monthly income, self-assessment of health, type of endowment insurance, type of medical insurance, current elderly care model, elderly care demand, self-care ability, awareness of the combination of medical and elderly care and willingness to pay for the combination of medical and elderly care and the demand of senior citizens in Lanzhou for the combination of medical and elderly care are all of statistical significance ( P <0.05), while the differences between age, mode of living and chronic diseases and the demand of senior citizens in Lanzhou for the combination of medical and elderly care are all of no statistical significance ( P >0.05). Conclusions: The factors that influence the demand for the combination of medical and elderly care by senior citizens in Lanzhou are complicated, among which, the number of children, type of medical insurance and willingness to pay for the combination of medical and elderly care are main factors that influence their demand. The awareness of and the demand for the combination of medical and elderly care among senior citizens in Lanzhou are at a low level, and the number of children, type of medical insurance and willingness to pay for the combination of medical and elderly care have great influence on the demand rate.


2020 ◽  
Vol 15 (3) ◽  
pp. 989-1022
Author(s):  
Matthew Kovach

Considerable evidence shows that people have optimistic beliefs about future outcomes. I present an axiomatic model of wishful thinking (WT), in which an endowed alternative, or status quo, influences the agent's beliefs over states and thus induces such optimism. I introduce a behavioral axiom formalizing WT and derive a representation in which the agent overweights states in which the endowment provides a higher payoff. WT is a novel channel through which an endowment may influence choice behavior and provides a coherent explanation for a variety of observed behavior, including choice reversals among nonstatus quo alternatives when the status quo changes. WT leads to inefficient risk sharing in an exchange economy and has unique implications for the gap between willingness to accept and willingness to pay for endowed goods.


2000 ◽  
Vol 14 (2) ◽  
pp. 85-98 ◽  
Author(s):  
Thomas R Saving

The Medicare system is facing a financial crisis brought on by the combination of rapidly rising consumption of health care services by beneficiaries and financing based on generation transfers. This paper simulates a transition to prepaid Medicare where each generation puts aside funds for the health care it will demand later in life. By prepaying Medicare we increase the nation's capital stock which in the long run will allow the nation to enjoy greater consumption for both working and retired generations and we achieve immunity from generation size shocks. By transferring the baby boomers and younger generations into a prepaid system we can complete the transition in less than fifty years and achieve an ultimate contribution rate of 1.26% of taxable payroll instead of the more than 12% of taxable payroll that will be required if we remain in the status quo.


2017 ◽  
Vol 49 (1) ◽  
pp. 1
Author(s):  
Jiamei LU ◽  
Wei LIU ◽  
Wen HE ◽  
Junshan WANG ◽  
Nianqu CHEN ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document