ArticleBMC health services research2023
Long-term care status for the elderly with different levels of physical ability: a cross-sectional survey in first-tier cities of China.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 11 citations in OpenAlex.
- Family risk factors, dyadic coping, and family resilience in young stroke dyads: an actor-partner interdependence mediation model.Frontiers in psychiatry · 2026Article
- Determining optimal Barthel Index cutoff scores for predicting Longshi Scale grades across age groups in stroke patients.Frontiers in aging · 2026Article
- Functional Stratification and Long-Term Care Service Patterns among Discharged Patients with Cancer: A Retrospective Study from Taiwan.Journal of Cancer · 2026Article
- Assessing Functional Independence and Associated Factors in Older Populations of Kazakhstan: Implications for Long-Term Care.Healthcare (Basel, Switzerland) · 2025Article
- Advancements and Innovation Trends of Information Technology Empowering Elderly Care Community Services Based on CiteSpace and VOSViewer.Healthcare (Basel, Switzerland) · 2025Article
- Depressive symptoms as a mediator between sedentary behavior and social frailty among Chinese older adults in nursing home.Scientific reports · 2025Article
- Association between bed-rest time, food intake, and constipation in older nursing home residents.Geriatrics & gerontology international · 2025Article
- Association between frailty and meaning in life of older adults in nursing home: the mediating effect of psychological resilience.Frontiers in psychology · 2024Article
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Authors and funding
12 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLong term care (LTC) services for functionally impaired senior citizens are crucial for addressing the challenges of aging. However, research on eligibility criteria and coverage of LTC in China is lacking. Our objective is to assess the current status of LTC and explore eligibility criteria and coverage for the elderly.
methodsThis is a cross-sectional study conducted in two first-tier cities in China. Residents aged 65 or over were recruited from a nursing home and four primary hospitals. Participants were divided into three groups (bedridden, domestic, and community), then six grades (grade one to six) according to the Longshi Scale, and their functional ability was assessed using the Modified Barthel Index. Information such as diseases, complications, and daily care needs were collected. Nursing staff were invited to indicate patients' needs for care. A one-way ANOVA test, Kruskal Wallis H test and Mann-Whitney U test were used to explore the differences of variables in three Longshi groups or Longshi grades.
resultsAmong all 1157 participants, with an average age of 80.54, 69.3% were in the bedridden group. The most common diagnosis was stroke (71.4%), with the most prevalent complication being pulmonary infection (25.2%). In the nursing assessment, basic health care, disease care, activity care, complication prevention care and psychosocial care were summarized as the five main aspects of LTC for the elderly. Feeding, bathing, drinking, bowel management and bladder management were identified as the basic care which fulfills participants' basic physical needs in each Longshi group. Mouth care, artificial airway management, and body reposition, which can prevent immobility complications, were highly demanded by bedridden elderly.
conclusionsThe elderly in grade one to three are the ones in need of LTC most. The content of LTC for elderly should include basic care which fulfills their basic physical needs and complication care which can prevent immobility complications. The evidence of this research may contribute to the design of LTC in China.
trial registrationThe study design was registered in the Chinese Clinical Trial Registry (ChiCTR-2000034067, Registered 22 Jun 2020, http://www.chictr.org.cn/showproj.aspx?proj=54770 ).
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