ArticleJournal of nursing management2025
Specialized Home Care Needs and Models for Disabled Older Adults by Disability Level: A Cross-Sectional Study.
Article in Journal of nursing management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Prioritizing Long-Term Care Services for Disabled Older Adults: A Cross-Sectional Study Using the Kano Model and Entropy-Weighted TOPSIS.Journal of nursing management · 2026Article
- Specialized Home Care Needs and Models for Disabled Older Adults by Disability Level: A Cross-Sectional Study.Journal of nursing management · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Home care systems face critical challenges: severe staff shortages, ill-defined service content, and ineffective care needs communication, all contributing to suboptimal service delivery. Developing a severity-stratified priority model for functionally impaired older adults enables precise resource allocation, improving both care quality and quality of life in this high-risk population. Objective: To identify the specialized home care service needs of older adults with physical disabilities across varying disability levels and to propose strategies to optimize specialized home care services. Design: A cross-sectional study. Setting and Participants: From October 2023 to January 2024, 550 older adults with physical disabilities participated in a disability assessment in Shanghai, China. Methods: Using the Kano model as the analytical framework, item attributes were determined through the maximum-frequency method. Better-Worse analysis calculated the satisfaction and dissatisfaction indices for each service, and an importance matrix analysis was subsequently plotted to prioritize demand items. Results: A total of 534 complete datasets were obtained, with disability levels distributed as follows: complete self-care (318 cases, 59.6%), mild disability (68, 12.7%), moderate disability (45, 8.4%), and severe disability (103, 19.3%). Better-Worse matrix analysis revealed distinct demand item distributions across disability levels. Overall, 3 items fell into the critical improvement zone, 2 in the advantage zone, and 12 in the maintenance zone. Specifically, complete self-care participants showed 3 critical improvement, 1 advantage, and 10 maintenance items; mild disability had 3 critical improvement, 1 advantage, and 14 maintenance items; moderate disability demonstrated 6 critical improvement, 3 advantage, and 6 maintenance items; while severe disability exhibited 4 critical improvement, 6 advantage, and 8 maintenance items. Conclusions: Disabled older adults exhibit differentiated needs for specialized home care services based on disability severity. Effective care requires accurate disability identification and tailored prioritization of care programs aligned with impairment levels, ultimately enhancing service quality for this population. Relevance to Clinical Practice: This study analyzes differing specialized home care needs among older adults with different levels of disability in order to provide precise care and help reduce the burden of care. Patient or Public Contribution: Patients contributed through filling out questionnaires.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.