To examine the needs and utilization of home health care services among key elderly populations in China and identify factors influencing service needs, providing evidence for service improvement.
A purposive sampling survey was conducted in Beijing. Data on older adults’ needs and utilization of home health care services were collected. Descriptive analysis, univariate analysis, and multivariate logistic regression were performed using SPSS 26.0.
The need rate for home health care services was 64.1%, and the utilization rate among those with needs was 54.6%. The average need-satisfaction rate across 26 service items was 37.4%. Age, education, monthly income, caregiver type, functional ability, self-rated health, and hospitalization in the past year were significant influencing factors(P<0.05).
Although demand is high, a structural mismatch exists between service provision and needs, particularly for more specialized services. Efforts should focus on improving accessibility, expanding supply, and prioritizing high-need populations.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |