Research On Rural Residents’ Demand For Village Doctors’ Participation In Home Medical Care Combined With Elderly Care Service In Ethnic Areas

Objective:To explore the needs and influencing factors of village doctors’ participation in home care services in minority rural areas.According to the demand for pension services,the content and priority supply order of pension services are clarified;In view of its influencing factors,countermeasures and suggestions are put forward to provide theoretical reference for the development of rural home care service with combination of medical care and nursing.Methods:This thesis adopts a cross-sectional study design.The convenience sampling method was used to conduct face-to-face questionnaire survey among 590 middle-aged and elderly people aged 45 and above in rural areas of Lichuan city from October 2020 to August 2021.The questionnaire consisted of four parts: general information questionnaire,family function assessment scale,Self-care ability Assessment Scale(ADL),and self-compiled demand questionnaire for village doctors’ participation in home care services.SPSS23.0statistical software was used for data analysis.Descriptive statistics,rank sum test,multiple linear regression and other methods were used for data statistical analysis.P <0.05 was considered as statistically significant.Results:1.Among the 590 respondents in ethnic minority rural areas,1.2% of middle-aged and elderly people were very aware of village doctors’ participation in home care services,41.5% were partially aware of them,and 57.3% were not aware of them;54.7% of the elderly did not know the contract service of village doctors,and 35.9% had signed the contract service;54.1% of the elderly said they needed village doctors to participate in home care services.2.590 middle-aged and elderly people in ethnic rural areas mainly learned about village doctors’ participation in home care services through publicity channels of village committees,accounting for 55.9% of the total respondents.3.The 590 middle-aged and elderly people in ethnic rural areas have great demands for 24 home-based care services provided by village doctors.The first three with the strongest demand intensity are appointment(88.28%),two-way referral(88.24%)and diagnosis and treatment services(87.68%).In the demand score,the demand score of basic medical services(4.34 ± 0.65)is the highest,followed by health education services(4.07 ±0.64)and health management services(3.74 ± 0.70),followed by basic life support services(3.49 ± 0.85),psychosocial support services(3.48 ± 0.85)and spiritual comfort services(3.46 ± 1.14).4.Age(B = 1.997,P < 0.05),ethnicity(B = 3.720,P < 0.05),number of drugs(B =1.266,P < 0.05),frequency of community activities(B = 2.730,P < 0.05),self-care ability(B = 3.078,P < 0.05)and family function(B = 1.407,P < 0.05)were the influencing factors for village doctors’ participation in home care services.Conclusion:1.The middle-aged and elderly in ethnic areas rural have low awareness of village doctors’ participation in home care services.2.Middle-aged and elderly people in ethnic areas rural have a higher overall demand for village doctors’ participation in home care services,and there are differences in specific service demands for home care services,with the most significant demand for basic medical services.3.The demand of middle-aged and elderly people in ethnic areas rural for village doctors to participate in home care services is affected by a variety of factors.Thereinto,ethnic factors have the greatest influence on the demand for village doctors to participate in home care services,followed by the number of medications,frequency of community activities,age,self-care ability and family function had relatively little influence on the demand for village doctors to participate in home care services.