The The Urban Elderly Long-term Care Needs Assessment Study

Elderly long-term care is a generic term that refers to the elderly who cannot self care due to physical or psychological damage, thus need others'help during a relatively long period, even the whole life. Large pension needs especially elderly disability long-term care is companied by aging of population. Therefore, index system is urgent to assess long-term care needs under present conditions of limited care resources. It is significant not only to improve life quality of elderly disabilities but to promote China's long-term care systems.The purpose of the study is, firstly, long-term care time of elderly disabilities is used to assess care needs quality. The index, designed by combing experiences of developed countries and domestic situations, aims to know demand condition and care time for elderly disabilities, find suitable index system. Next it's used to assess demand condition and care time in a community in Beijing in order to offer targeted service.The research subjects are the152elderly disabilities living in AnHui Li community,and122of them give us the valid responses. Care time evaluations include daily care time, instrumental daily care time and health care time. Indicators for the care time prediction include physical function&daily action, life function, cognitive function, mental&behavioral disorders, social life adaptability these5indicators of group. We screened systems including daily needs, instrumental daily needs, health care needs by independence text. Then we assess care content and different levels'care time using frequency and percentage distribution.This study use care time to measure the needs,filter out the index system to predict time,and the significantly higher index was grouped into three categories:basic survival index for the medical care,daily living care and mental interaction indicator for the instrumental activities.These three types on the level of self-care ability of elderly disability requirements from low to high.The top needed daily activities is cooking; gender differences on left defecation, simple cooking; age differences on nagging, make decisions. Bathing is the top need among instrumental daily activities; gender differences on left&right leg paralysis, knee activity limitation. Age differences on right leg paralysis, knee activity limitation. For healthy care needs, gender differences on left leg paralysis, defecation; age differences on knee activity limitation, out frequency and so on.The population and percentage of long-term care needs for urban elderly declines accordingly from moderately dependent,mild dependence to severe dependence. The care time mainly focus on gapped help or2-4hours per day. The needs for care are proportional to the care time.