Exploring the association between community health follow-up management and quality of life among disabled residents,based on long-term care insurance
10.3969/j.issn.1672-8467.2024.03.008
- VernacularTitle:基于长期护理保险探讨社区健康随访管理与失能居民生活质量的关联性
- Author:
Hui LI
1
;
Li-Juan WANG
;
Liang JIN
;
Jun-Ling GAO
;
Ya-Ping ZHANG
Author Information
1. 上海市闵行区梅陇社区卫生服务中心 上海 201100
- Keywords:
long-term care insurance;
quality of life;
community;
health follow-up
- From:
Fudan University Journal of Medical Sciences
2024;51(3):344-351
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the relationship between community health follow-up management and the quality of life of residents receiving home care from long-term care insurance(LTCI),and provide a basis for the construction of an integrated community home care service model centered on disabled residents.Methods According to the inclusion and exclusion criteria,and the principle of convenience,a sample was selected consisting of residents who participated in LTCI home care from Jan 1 to Dec 31,2021,in Meilong Community of Minhang District,Shanghai.After a year of participation,the subjects'quality of life was assessed face-to-face by trained community doctors using the 36-item short form health survey(SF-36).Based on the electronic health records of residents,the community chronic disease management system,the LTCI management system,and combined with on-site questionnaire survey,community doctors collected the demographic information,lifestyle,types of diseases,chronic disease comorbidity status,and health follow-up management provided by primary medical and health institutions.To assess the association between community health follow-up management and residents'quality of life with home care insurance for elderly care through cross-sectional analysis.Results The survey revealed that 230(57.64%)individuals had indeed received health follow-up management provided by the community health service center.The scores of the general health,physiological function,physical pain,mental health,vitality,and emotional function dimensions on the SF-36 scale were found to be higher compared to those of no follow-up population.The difference between the two groups exhibited statistical significance(all P＜0.05).Furthermore,individuals who actively engaged in the health follow-up management provided by community health service centers exhibited significantly higher scores in terms of health change(P=0.003),indicating a relatively favorable overall health status.After adjusting for demographic and confounding variables,further analysis revealed a significant positive association between health follow-up management provided by community health service centers and the overall health,physiological function,physical pain,mental health,and vitality dimensions of the SF-36 scale among LTCI beneficiaries(all P＜0.05).Conclusion The provision of health follow-up management by community health service centers exerts a significant positive impact on the quality of life among disabled residents covered by LTCI.It is an effective way to improve the quality of LTCI home care services.
