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已发表论文
理解中国残疾老年人家庭医疗护理利用与需求之间的不匹配情况
Authors Zheng J, Xing R, Wu W, Zeng Y
Received 14 July 2025
Accepted for publication 18 November 2025
Published 24 November 2025 Volume 2025:18 Pages 7679—7689
DOI https://doi.org/10.2147/JMDH.S553601
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr David C. Mohr
Jinxuan Zheng,1,2 Ruobing Xing,1 Weiqian Wu,1 Yanbing Zeng1,2
1School of Public Health, Capital Medical University, Beijing, People’s Republic of China; 2Beijing Key Laboratory of Environment and Aging, Beijing, People’s Republic of China
Correspondence: Yanbing Zeng, School of Public Health, Capital Medical University, Beijing, 100069, People’s Republic of China, Email ybingzeng@163.com
Purpose: Home medical care has emerged globally as an effective approach to addressing the medical and care needs of disabled older adults due to its comfort, convenience, and cost-effectiveness. Understanding the utilization and demand for home medical care services among this population is a key area. This study aims to analyze the utilization and demand for these services among disabled older adults in China.
Patients and Methods: The data for this study were drawn from national-level data from the 2018 China Longitudinal Healthy Longevity Survey (CLHLS) and a household survey conducted in Beijing, the capital of China, in 2024. Descriptive analyses were employed to examine the utilization and demand for home medical care services among disabled older adults, while chi-squared tests and logistic regression models were used to identify factors associated with these outcomes.
Results: Based on data from 3278 disabled older adults in the CLHLS dataset, which consists of a total of 15874 records, the utilization rate of home medical care services was highest in the Eastern region, while the demand rate exceeded 85% in each regions. Data from the household survey of 958 patients in Beijing indicated that the top three service categories with the largest gaps between utilization and demand were medication treatment, traditional Chinese medicine treatment, and rehabilitation nursing, which the mismatch gap reached 17.7%, 17.6%, and 15.5%, respectively. Region and residential area significantly influenced the utilization for these services, while residential area and age impacted demand.
Conclusion: Currently, home medical care services in China are characterized by a limited range of offerings and a mismatch between utilization and demand. It is recommended that the home medical care service system be further optimized to ensure a more balanced distribution of medical and healthcare resources.
Keywords: disabled older adults, home medical care, cross-sectional study
1School of Public Health, Capital Medical University, Beijing, People’s Republic of China; 2Beijing Key Laboratory of Environment and Aging, Beijing, People’s Republic of China
Correspondence: Yanbing Zeng, School of Public Health, Capital Medical University, Beijing, 100069, People’s Republic of China, Email ybingzeng@163.com
Purpose: Home medical care has emerged globally as an effective approach to addressing the medical and care needs of disabled older adults due to its comfort, convenience, and cost-effectiveness. Understanding the utilization and demand for home medical care services among this population is a key area. This study aims to analyze the utilization and demand for these services among disabled older adults in China.
Patients and Methods: The data for this study were drawn from national-level data from the 2018 China Longitudinal Healthy Longevity Survey (CLHLS) and a household survey conducted in Beijing, the capital of China, in 2024. Descriptive analyses were employed to examine the utilization and demand for home medical care services among disabled older adults, while chi-squared tests and logistic regression models were used to identify factors associated with these outcomes.
Results: Based on data from 3278 disabled older adults in the CLHLS dataset, which consists of a total of 15874 records, the utilization rate of home medical care services was highest in the Eastern region, while the demand rate exceeded 85% in each regions. Data from the household survey of 958 patients in Beijing indicated that the top three service categories with the largest gaps between utilization and demand were medication treatment, traditional Chinese medicine treatment, and rehabilitation nursing, which the mismatch gap reached 17.7%, 17.6%, and 15.5%, respectively. Region and residential area significantly influenced the utilization for these services, while residential area and age impacted demand.
Conclusion: Currently, home medical care services in China are characterized by a limited range of offerings and a mismatch between utilization and demand. It is recommended that the home medical care service system be further optimized to ensure a more balanced distribution of medical and healthcare resources.
Keywords: disabled older adults, home medical care, cross-sectional study