ArticleBMC geriatrics2021
A qualitative study of home health care experiences among Chinese homebound adults.
Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Homebound older adults in self-care using a mobile health-assisted, person-centred care approach: study protocol for a hybrid effectiveness-implementation design.BMC primary care · 2026Article
- Transforming long-term post-acute care for the aging population through home infusion therapy in China: an assessment of need and demand (Part 1).Frontiers in public health · 2026Review
- Impact of policy reforms on hospital-at-home services: an interrupted time series analysis of Shanghai.BMC health services research · 2024Observational
- Home-Based Medical Care Service Motivation Among Medical Staff in Beijing, China: The Role of Institutional Support [Letter].Journal of multidisciplinary healthcare · 2024Article
- Association Between Online Health Information-Seeking Behaviors by Caregivers and Delays in Pediatric Cancer: Mixed Methods Study in China.Journal of medical Internet research · 2023Article
- Barriers to providing internet-based home care services for urban older adults in China: a qualitative study of the service providers.BMC geriatrics · 2023Article
- Article
- Analyzing Patient-Provided Responses to Improve Collection of Health Equity Data Elements.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Article
- Value-Based Health Care: Long-Term Care Insurance for Out-of-Pocket Medical Expenses and Self-Rated Health.International journal of environmental research and public health · 2022Article
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Authors and funding
4 authors.
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Abstract
backgroundHome health care services (HHC) are emerging in China to meet increased healthcare needs among the homebound population, but there is a lack of research examining the efficiency and effectiveness of this new care model. This study aimed to investigate care recipients' experiences with HHC and areas for improvement in China.
methodsThis research was a qualitative study based on semi-structured interviews. Qualitative data were collected from homebound adults living in Jinan, Zhangqiu, and Shanghai, China. A sample of 17 homebound participants aged 45 or older (mean age = 76) who have received home-based health care were recruited. Conceptual content analysis and Colaizzi's method was used to generate qualitative codes and identify themes.
resultsThe evaluations of participants' experiences with HHC yielded both positive and negative aspects. Positive experiences included: 1) the healthcare delivery method was convenient for homebound older adults; 2) health problems could be detected in a timely manner because clinicians visited regularly; 3) home care providers had better bedside manners and technical skills than did hospital-based providers; 4) medical insurance typically covered the cost of home care services. Areas that could potentially be improved included: 1) the scope of HHC services was too limited to meet all the needs of homebound older adults; 2) the visit time was too short; 3) healthcare providers' technical skills varied greatly.
conclusionsFindings from this study suggested that the HHC model benefited Chinese older adults-primarily homebound adults-in terms of convenience and affordability. There are opportunities to expand the scope of home health care services and improve the quality of care. Policymakers should consider providing more resources and incentives to enhance HHC in China. Educational programs may be created to train more HHC providers and improve their technical skills.
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