Observational studyBMC geriatrics2022
The unmet needs of older adults living in nursing homes in Mainland China: a nation-wide observational study.
Observational study in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 23 citations in OpenAlex.
- Unmet care needs among older people in residential care: a scoping review.BMC geriatrics · 2026Article
- A qualitative study exploring growth needs on Maslow's hierarchy of older adults at nursing homes.BMC geriatrics · 2026Article
- Prevalence, influencing factors, and preprandial blood pressure management target for postprandial hypotension in older adults with hypertension in long-term care facilities.Hypertension research : official journal of the Japanese Society of Hypertension · 2026Article
- A dynamic approach to unmet needs in long-term care for older people across Europe.Innovation in aging · 2026Article
- Unmet needs for proactive health services among older adults with functional impairment in Chinese long-term care facilities (LTCFs): a qualitative study.Frontiers in public health · 2026Article
- Supply-demand structural analysis of sports services in Chinese residential care facilities: a cross-sectional study in Zhengzhou.Frontiers in public health · 2026Article
- Research on the requirement characteristics and differentiated service design of home-based elderly care service in China using the candy model.Scientific reports · 2025Article
- Comprehensive Geriatric Assessment: Addressing Unmet Healthcare Needs in Older Adults.Healthcare (Basel, Switzerland) · 2025Review
- Factors associated with unmet medical needs among middle-aged and older adults in China during COVID-19 pandemic.BMC public health · 2025Article
- Assessing the Needs of Elderly People in a Home Environment: Perspectives from Patients, Caregivers, and a Family Nurse.Healthcare (Basel, Switzerland) · 2025Article
- The impact of information technology applications on the quality of life of disabled older adults in nursing homes in China: a qualitative study.Frontiers in public health · 2025Article
- Enhancing older care services: a comprehensive internet + community home indicator system.BMC public health · 2024Article
- Mediation role of anxiety on social support and depression among diabetic patients in elderly caring social organizations in China during COVID-19 pandemic: a cross-sectional study.BMC geriatrics · 2023Article
- Is algorithm-based pain management for people with dementia in nursing homes possible? A Cochrane Review summary with commentary.Turkish journal of physical medicine and rehabilitation · 2023Article
- Status and influencing factors of elder neglect by geriatric nursing assistants in Chinese nursing homes: a cross-sectional survey.Frontiers in medicine · 2023Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe unmet needs of older adults in nursing homes could result in their poor health status physically and psychologically. The aim of this study was to understand the characteristics of unmet needs of older adults residing in nursing homes in China, and to probe into the contributing factors.
methodsIn this cross-sectional design, the demographic and health status questionnaire, Modified Barthel Index, the Numerical Rating Scale for pain assessment, Geriatric Depression Scale, Camberwell Assessment of Need for the elderly were employed to survey older adults living in 38 nursing homes in 13 cities in China from July 2017 to June 2018 through a multi-stage, stratified sampling scheme. The Short Portable Mental Status Questionnaire was adopted to exclude participants with severe cognitive impairment. Aside from descriptive analysis, a raft of hierarchical logistic regression models were run by sequentially controlling for the independent variables at 5 levels (demographic characteristics, health status, pain, ADL, and depression), aiming to identify the influencing factors of the unmet needs of the residents.
resultsThe effective sample size involved 2063 older adults (63.4% female versus 36.6% male), with a response rate of 98.5%. The median and inter-quartile range of the total needs and unmet needs of the sample was 3(1, 4) and 0(0, 1) respectively, with 122 older participants having more than 3 unmet needs (high unmet need category) versus 1922 older ones having ≤ 3 unmet needs (low unmet need category). The unmet needs of older adults in nursing homes mainly fell into social domains. Gender, religion, educational background, marital status, living condition before admission, room type, incomes, staffing, number of diseases, pain, Barthel Index, and depression were contributive to unmet needs of older adults in long-term care facilities in the final model that was adjusted for all levels of variables (all p < 0.05).
conclusionUnderstanding the influencing factors of the unmet needs of older adults in long term care provides clues for healthcare professionals to offer better care for this population. System-level support to nursing homes and training of staff are highlighted. Plus, taking measures to beef up social connections for the older adults to meet their social needs was suggested.
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