Achievements and challenges in health management for aged individuals in primary health care sectors: a survey in Southwest China

作者：Li Li, Rui Zhang, Yong Chen, Haoyue Deng, Shili Liu, Geng Wang, Mei Wang, Shengxiang Liang, Wei Xing, Hai Lin, Ying Li · 发表于：BMC Public Health · 年份：2020 · DOI：10.1186/s12889-020-8210-2 · 被引用次数：26 · 研究领域：Healthcare Systems and Reforms、Intergenerational Family Dynamics and Caregiving、Primary Care and Health Outcomes

BACKGROUND: China has rapidly transformed into an ageing nation and will be one of the countries with the highest percentage of aged people in 2050. Healthcare management for the aged (HMA) in basic public health service (BPHS), which is delivered by lay healthcare workers (LHWs) in primary health care (PHC) sectors, is an important strategy to address the healthcare challenges that have resulted from ageing in China since 2009. This survey aimed to understand the achievements made and challenges faced by HMA in Southwest China. METHODS: A multilevel stratified random and consecutive sampling method was used to select study places and participants respectively, and mixed research methods were used to collect data from the aged individuals, LHWs and leaders in PHC sectors. SPSS 21.0 was used for data analysis. RESULTS: Seven hundred seventy-two surveys with aged people (over 60 years old), 16 focus group discussions (FGDs) with 96 aged people, and 32 in-depth interviews with 16 LHWs and 16 leaders were completed in PHC sectors. More than 85% of aged individuals had knowledge and utilization of HMA, and over 94% of these respondents were satisfied with HMA. Meanwhile, challenges in HMA delivery included weakness (unmet items and lack of appropriate assessment indicators) in HMA design, low capacity of PHC sectors and competency of LHWs to deliver HMA, poor health literacy of aged individuals, insufficient funds and a lack of multi-sector cooperation. CONCLUSIONS: Though signifi...