Older Adults’ Demand for Integrated Care and Its Influencing Factors: A Scoping Review

作者：Zhenyu Wang, Zhihan Liu · 发表于：International Journal of Integrated Care · 年份：2021 · DOI：10.5334/ijic.5946 · 被引用次数：22 · 研究领域：Interprofessional Education and Collaboration、Chronic Disease Management Strategies、Intergenerational Family Dynamics and Caregiving

INTRODUCTION: Integration has become a major concern for governments, healthcare and aged care systems in many countries. However, the research on and implementation of integrated care in China started relatively late, and there is no review on the needs of older adults with regard to integrated care and the influencing factors. Therefore, this paper aims to provide a scoping review by searching, evaluating, and summarizing the Chinese and international literature on the need for and the factors influencing integrated care for older people. In addition, this review highlights evidence of the gap between China and the world in integrated care. METHODS: Using a framework proposed by Arksey and O'Malley, a systematic search of 12 domestic and international databases was conducted. Of the 890 original studies retrieved, those that met the established inclusion criteria were screened and scored using the Ekman quality assessment tool. The qualitative description method was used to summarize the demand for integrated care for older adults and the influencing factors. RESULTS: A total of 49 papers were included. These studies were from eleven countries on five continents (most commonly China and the US) and were mostly cross-sectional quantitative studies that surveyed the integrated care needs of older people living in homes/communities or long-term care facilities. The analysis shows that existing research on the integrated care needs of older people in China adopts a single persp...