| Objective: Based on the theory of planned behavior,this study builds a model of the elder's willingness to provide for the aged in the "medical-nursing combination" institutions,explores and analyses the willingness to provide for the aged in the "medical-nursing combination" institutions and its influencing factors,on the basis of understanding the current situation of the elderly in the main urban areas of Chongqing,the demand for the old-age services and the willingness of the "medical-nursing combination" institutions,to provide the basis for perfecting the old-age pension model of "medical-nursing combination".Methods: This study is a cross-sectional survey.The sampling method is multistage stratified sampling.From September to October 2018,the elderly in Shapingba District and Yuzhong District of Chongqing City wereselected as the subjects for the questionnaire survey.The questionnaire is designed on the basis of the theory of planned behavior,including social demographic data(age,gender,education level,etc.)and the dimensions of the theory of planned behavior(behavioral attitude,subjective norm,subjective control,behavioral intention).Descriptive analysis and reliability and validity test were carried out with SPSS23.0 software.Rank sum test was used for single factor analysis.AMOS 24.0 software was used to validate the structural equation model and analyze the influencing factors of elderly people's choice of "medical-nursing combination" institutions for the aged.Results:(1)The Cronbach's alpha coefficients of all dimensions of the questionnaire were greater than 0.8,and the Cronbach's alpha coefficients of the overall questionnaire were 0.844,KMO=0.844>0.7,p<0.001.The total explanatory ability of the measurement items in this study reached63.334%,higher than 60%.(2)Among the 498 elderly people surveyed,95% of the elderly are still dependent on family pensions,21.9% of the elderly are dissatisfied with the current pension mode,and 49.4% of them are not satisfied with the current pension mode.At present,the most needed service is medical care.(3)The willingness rate of the elderly to provide for the aged in the "medical-nursing combination" institutions was 25.1%.(4)There are significant differences in life satisfaction of the elderly in the "medical-nursing combination" institutions(p<0.05);(5)Based on the theory of planned behavior,the path coefficients of behavioral attitude,subjective norm and subjective control are 0.267 and 0.126 respectively,which have significant significance(p < 0.05).The p value of subjective sense of control on behavioral intention path is 0.292,which is greater than0.05.Further analysis of the effect of each factor shows that behavioral attitude has significant influence on behavioral intention path.The direct effects of behavioral attitude,subjective norm and subjective control on behavioral effects were 0.267,0.126 and 0.052,respectively;the r value between behavioral attitudes and subjective norms was 0.285(p < 0.01),the r value between behavioral attitudes and subjective control was 0.166(p < 0.01),and the r value between subjective norms and subjective control was 0.398(p < 0.01).Conclusion:(1)The willingness of the elderly to provide for the aged is generally low in the "medical-nursing combination" institutions.The government should increase propaganda to promote the elderly and their relatives to have a positive understanding of the "medical-nursing combination" institutions for the aged;(2)Family pension is still the main mode of old-age care for the elderly,and the most needed pension service is medical care.It should be demand-oriented,enrich the service content of the "medical-nursing combination" institutions,and improve their servicequality;(3)Life satisfaction are the influencing factors of the elder's willingness to provide for the aged in the "medical-nursing combination" institutions;(4)The model of the elder's willingness to provide for the aged in the "medical-nursing combination" institution constructed in this study validates the applicability of the theory of planned behavior in the field of the elder's willingness to support the aged in the "medical-nursing combination" institution,and provides an important theoretical basis for promoting the "medical-nursing combination" pension model in China and achieving healthy aging;(5)Encourage universities or institutions to cultivate high-quality nursing staff and establish a standard salary management mechanism for nursing staff. |
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