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Utilization and performance of long-term care system for older people with disabilities and dementia in Zhejiang Province, China
Sun Tongda, Liu Xiuli, Jiang Wenyin, Dong Xiaoxin, Jiang Minmin, Li Lu. Frontiers in psychiatry, 2023-04-11
Topic: Risk, prevention and care in population studies
To explore changes in performance, weaknesses, and utilization of the long-term care (LTC) system for older people with disabilities and dementia (OPWDD) in Zhejiang Province, China, thereby providing a reference for decision-making amid a progressively aging population. A performance evaluation model of the LTC system for OPWDD was constructed using three dimensions: input, process, and outcome. Performance indicators and trends were calculated based on data collected from statistical yearbooks, documents, and work reports of the Bureau of Statistics and other government departments in Zhejiang Province, China, published in 2015-2021. Significant improvements were observed in most LTC performance indicators for OPWDD, such as input, process, and outcome, with notable enhancements in fairness, accessibility, and affordability of LTC services. By 2021, there were 6.20 nursing and rehabilitation beds in medical institutions and 3.77 general practitioners per 1,000 people aged 65 and above, up 144.14% and 13.73%, respectively, from 2015. The rate of health management for older people was 70.91%, representing a 10.33% increase from 2015. The actual reimbursement ratio of hospitalization expenses covered by basic medical insurance for older people rose 7.05%, from 72.76% in 2015 to 77.89% in 2021. Social security satisfaction rose 12.4%, from 71.3% in 2015 to 83.7% in 2021. Certain indicators, however, showed no significant improvement and tended to decline, such as the number of beds at older care institutions and caregivers per 1,000 people aged 65 and over. It is imperative to further balance the allocation of care resources, using a people-centered and integrated LTC system. The proportion of rehabilitation and nursing beds for older people should be consistently increased to effectively alleviate the shortage of care beds. Furthermore, a talent incentive policy should be improved to train caregivers and provide whole-person and whole-life course care based on OPWDD needs.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Tongda, S., Xiuli, L., Wenyin, J., Xiaoxin, D., Minmin, J., & Lu, L. (2023). Utilization and performance of long-term care system for older people with disabilities and dementia in Zhejiang Province, China. Frontiers in psychiatry. https://doi.org/10.3389/fpsyt.2023.1148682
Vancouver
Tongda S, Xiuli L, Wenyin J, Xiaoxin D, Minmin J, Lu L. Utilization and performance of long-term care system for older people with disabilities and dementia in Zhejiang Province, China. Frontiers in psychiatry. 2023. doi:10.3389/fpsyt.2023.1148682. PMID: 37032916.
BibTeX
@article{tongda2023-37032916,
author = {Tongda, Sun and Xiuli, Liu and Wenyin, Jiang and Xiaoxin, Dong and Minmin, Jiang and Lu, Li},
title = {{Utilization and performance of long-term care system for older people with disabilities and dementia in Zhejiang Province, China}},
journal = {Frontiers in psychiatry},
year = {2023},
doi = {10.3389/fpsyt.2023.1148682},
pmid = {37032916},
url = {https://doi.org/10.3389/fpsyt.2023.1148682}
}
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Key findings
- Significant improvements were observed in most LTC performance indicators for OPWDD, such as input, process, and outcome, with notable enhancements in fairness, accessibility, and affordability of LTC services.
- Certain indicators, however, showed no significant improvement and tended to decline, such as the number of beds at older care institutions and caregivers per 1,000 people aged 65 and over.
Why it matters
This study evaluated the long-term care system for older people with disabilities and dementia in one Chinese province and found improvements in most performance indicators, though some declined. It is about care system performance, not about treating, curing, or preventing Alzheimer's disease.
Study details
- Participants1,000
- Effect size144.14%; 13.73%; 70.91%
- Evidence strengthLow
How this study scored 39/100
Published in a peer-reviewed journal. Scored zero for study design and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Frontiers in psychiatry) |
| Journal's citation record | 2 / 4 | Frontiers in Psychiatry: journal h-index 194 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 3 / 5 | 2023 — within 6 year(s) of the newest study here |
| Sample size | 3 / 4 | 1,000 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 2 times (OpenAlex, 2026-10-17) |
| Citations per year | 0 / 5 | 0.4 citations a year over 5 year(s) since 2023 |
| Impact for its field and year | 1 / 6 | Cited 0.7× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 2 / 6 | Cited by 4 other studies in this library |
| Still being cited | 0 / 4 | Cited 2 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Lu Li: h-index 14 (OpenAlex, whole career) |
| Institution's track record | 0 / 3 | Zhejiang Shuren University: institution h-index 116 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 37032916) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 39 / 100 | — |
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