Current Status of Nursing Home Distribution in China: A National Cross‐Sectional Study

作者：Meng‐Wei Ge, Peng Liu, Haiyan Shi, Xiaomin Li, Fei‐Hong Hu, Yi‐Jie Jia, Lu‐Ting Shen, Xiaopeng Xia, Hong‐Lin Chen · 发表于：Journal of Advanced Nursing · 年份：2024 · DOI：10.1111/jan.16505 · 被引用次数：6 · 研究领域：Intergenerational Family Dynamics and Caregiving、Geriatric Care and Nursing Homes、Healthcare Systems and Reforms

AIMS: Population aging is a challenge that the whole world is facing, especially in China. This study aims to investigate the current distribution status of nursing homes in China using spatial epidemiology methods. DESIGN: Cross-sectional study in China. METHODS: The data were obtained from the Integrated Civil Affairs Government Service Platform 'China County Statistical Yearbook' for 2020 and the 'China City Statistical Yearbook' for 2020. Using global Moran's index to test the clustering of nursing homes, inter-group and intra-group Theil index was utilised to differentiate the sources of differences. The coupling coordination analysis was conducted to explore the coordination. Geographically weighted regression was utilised to investigate the impact of economic development and aging on nursing home resources. All analyses were conducted by Arcgis 10.8 and R Studio 4.3.2. RESULTS: Global Moran's index indicated that the distribution of nursing homes in China exhibited clustering. The Theil index values for institutions and beds at the national county were 0.32450 and 0.30675. However, upon comparing provinces and regions, it was found that the differences across the country mainly stem from within provinces (contribution rate: institutions 65.0%; beds 73.0%) and within regions (contribution rate: institutions 99.0%; beds 91.0%). The majority of districts and counties had a coupling coordination index of institutions and bed numbers, both of which were < 0.5. CONCLUSION: T...