关键词: 长期护理；服务需求；长期护理保险；失能老年人

Abstract: Objective: To investigate the current status of long-term care services for elderly population at institutional and home-based service. Methods: A cross-sectional study method was performed to observe and record all the elderly beneficiaries of Long-Term Care insurance who accepted institutional and home care services from 1 June 2023 for 1 month in Qingdao. Descriptive statistics method were applied to analyze Barthel Index, care issues and care services. Correlation analyse was conducted between the care workload and Barthel Index. Results: A total of 635 cases of disabled elderly were included, including 436 cases of institutional care and 199 cases of home care. There were 218 (34.3%) males and 417 (65.7%) females. Institutional care services covered medical care, daily living care, functional maintenance, assistive services and health education. The nursing workload was negatively correlated with Barthel Index (r=-0.782, P<0.001). Home care focused on simple and easy-to-use medical care measures and health education services. The workload was not correlated with Barthel Index (r=0.113, P=0.702). Conclusion: There are differences in the care service content and care workload provided to the disabled elderly between institutional care and home care. The psychological care services are insufficient, especially in the case of home care. Institutional and home care should provide high-quality medical and daily living care, pay attention to the psychological condition of the elderly, and accurately match the diversified health care needs of the elderly in order to enhance the quality and level of long-term care services.

Key words: long-term care; demand for service; long-term care insurance; disabled elderly