Data Analysis Model Design of Health Service Monitoring System for China’s Elderly Population: The Proposal of the F-W Model Based on the Collaborative Governance Theory of Healthy Aging
Abstract
:1. Introduction
2. Materials and Method
2.1. Materials
2.2. Logistic Regression Analysis of the Indicators for the HA
3. Regional Healthy Service Monitoring System Design
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Appendix A
Dependent Variables | Question and Scale Items | Location in CHARLS 2015 |
---|---|---|
Y1 | Do you have one of the following disabilities? Including physical disabilities, brain damage, vision problem, etc. Have you been diagnosed with chronic disease? Hypertension, Diabetes or high blood sugar, etc. | Da005, Da008 |
Y2 | ADL scale; including dressing, showering, eating, getting into or out of bed, using the toilet, controlling urination and defecation, doing household chores, shopping, making phone calls and taking the right portion of medication right on time | From Db010 to Db020 |
Y3 | Hospital Anxiety and Depression scale; like the objective criteria: I was bothered by things that don’t usually bother me. I had trouble keeping my mind on what I was doing. I felt depressed, etc. | From Dc009 to Dc018 |
Y4 | How often in the last month do voluntary or charity work, cared for a sick or disabled adult, provided help to family, friends or neighbors, attended an educational or training course, interacted with friends, go to a sport, social or other kind of club, taken part in a community-related organization? Almost daily, almost every week, or not regularly? | Da057 |
X1 | Interviewer record R’s gender | Ba000_w2_3 |
X2 | What’s your actual date of birth? | Ba004_w3_1 |
X3 | Was your address village or city/town? | Bb000_w3_2 |
X4 | What’s the highest level of education your have attained now? | BD001_W2_4 |
X5 | What is your marital status? | Be001 |
X6 | Suppose that in the future, you needed help with basic daily activities like eating or dressing. Do you have relatives or friends (besides your spouse/partner) who would be willing and able to help you over a long period of time? | Db030 |
X7 | What is the highest level of education (child’s name) have completed? | Cb052_w3_2_ |
X8 | Where does this (child’s name) normally live now? | Cb053_1_ |
X9 | What is (child’s name) status? | Cb063_1_ |
X10 | How is (child’s name) health? Very good, good, fair, poor or very poor? | Cb063_w3_1_1_ |
X11 | Does (child’s name) own a house? | Cb071_w3_1_ |
X12 | Approximately how many weeks and how many hours per week did you spend last year taking care of this child’s children? | Cf003_1_1_ |
Y | Odds Ratio | Std. Err. | z | p > |z| | (95% Conf. Interval) |
---|---|---|---|---|---|
X1 | 1.228 | 0.260 | 0.97 | 0.332 | (0.810, 1.860) |
X2 | 1.697 | 0.383 | 2.34 | 0.019 | (1.090, 2.641) |
X3 | 1.606 | 0.351 | 2.17 | 0.030 | (1.046, 2.466) |
X4 | 0.727 | 0.158 | −1.47 | 0.142 | (0.476, 1.113) |
X5 | 1.046 | 0.273 | 0.18 | 0.860 | (0.628, 1.744) |
X6 | 1.649 | 0.364 | 2.27 | 0.023 | (1.074, 2.542) |
X7 | 0.515 | 0.177 | −1.93 | 0.054 | (0.263, 1.011) |
X8 | 0.879 | 0.185 | −0.61 | 0.542 | (0.582, 1.329) |
X9 | 1.058 | 0.282 | 0.21 | 0.832 | (0.627, 1.786) |
X10 | 1.177 | 0.124 | 1.55 | 0.122 | (0.957, 1.447) |
X11 | 1.226 | 0.275 | 0.91 | 0.364 | (0.789, 1.906) |
X12 | 0.889 | 0.172 | −0.61 | 0.545 | (0.608, 1.299) |
_cons | 2.944 | 1.573 | 2.02 | 0.043 | (1.033, 8.390) |
Y | Odds Ratio | Std. Err. | z | p > |z| | (95% Conf. Interval) |
---|---|---|---|---|---|
X1 | 1.236 | 0.258 | 1.02 | 0.309 | (0.821, 1.860) |
X2 | 1.713 | 0.377 | 2.47 | 0.013 | (1.119, 2.642) |
X3 | 1.602 | 0.349 | 2.16 | 0.030 | (1.045, 2.456) |
X4 | 0.725 | 0.156 | −1.49 | 0.136 | (0.475, 1.106) |
X6 | 1.647 | 0.364 | 2.28 | 0.023 | (1.073, 2.546) |
X7 | 0.514 | 0.178 | −1.91 | 0.056 | (0.265, 1.018) |
X8 | 0.877 | 0.182 | −0.67 | 0.502 | (0.575, 1.310) |
X9 | 1.057 | 0.282 | 0.21 | 0.836 | (0.627, 1.785) |
X10 | 1.178 | 0.124 | 1.55 | 0.120 | (0.958, 1.448) |
X11 | 1.221 | 0.272 | 0.88 | 0.378 | (0.786, 1.888) |
X12 | 0.890 | 0.172 | −0.60 | 0.548 | (0.609, 1.301) |
_cons | 2.791 | 0.146 | 1.97 | 0.049 | (1.004, 7.755) |
Y | Odds Ratio | Std. Err. | z | p > |z| | (95% Conf. Interval) |
---|---|---|---|---|---|
X1 | 1.239 | 0.258 | 1.03 | 0.304 | (0.823, 1.863) |
X2 | 1.699 | 0.366 | 2.46 | 0.014 | (1.114, 2.591) |
X3 | 1.604 | 0.349 | 2.17 | 0.030 | (1.047, 2.458) |
X4 | 0.725 | 0.156 | −1.49 | 0.136 | (0.475, 1.107) |
X6 | 1.648 | 0.364 | 2.26 | 0.024 | (1.073, 2.538) |
X7 | 0.512 | 0.175 | −1.95 | 0.051 | (0.261, 1.002) |
X8 | 0.871 | 0.181 | −0.66 | 0.508 | (0.579, 1.309) |
X10 | 1.179 | 0.124 | 1.57 | 0.117 | (0.959, 1.449) |
X11 | 1.238 | 0.265 | 0.99 | 0.320 | (0.811, 1.884) |
X12 | 0.890 | 0.172 | −0.60 | 0.548 | (0.609, 1.301) |
_cons | 3.013 | 1.589 | 2.09 | 0.036 | (1.072, 8.472) |
Y | Odds Ratio | Std. Err. | z | p > |z| | (95% Conf. Interval) |
---|---|---|---|---|---|
X1 | 1.239 | 0.258 | 1.03 | 0.304 | (0.823, 1.863) |
X2 | 1.705 | 0.367 | 2.48 | 0.013 | (1.117, 2.601) |
X3 | 1.604 | 0.349 | 2.17 | 0.030 | (1.047, 2.459) |
X4 | 0.726 | 0.156 | −1.49 | 0.137 | (0.476, 1.107) |
X6 | 1.653 | 0.364 | 2.28 | 0.023 | (1.073, 2.546) |
X7 | 0.517 | 0.177 | −1.93 | 0.054 | (0.264, 1.011) |
X8 | 0.862 | 0.178 | −0.71 | 0.475 | (0.579, 1.295) |
X10 | 1.179 | 0.124 | 1.57 | 0.118 | (0.959, 1.449) |
X11 | 1.234 | 0.265 | 0.98 | 0.326 | (0.811, 1.879) |
_cons | 2.832 | 1.463 | 2.02 | 0.044 | (1.029, 7.796) |
Y | Odds Ratio | Std. Err. | z | p > |z| | (95% Conf. Interval) |
---|---|---|---|---|---|
X1 | 1.232 | 0.256 | 1.00 | 0.316 | (0.819, 1.852) |
X2 | 1.682 | 0.361 | 2.42 | 0.015 | (1.104, 2.561) |
X3 | 1.601 | 0.349 | 2.16 | 0.031 | (1.045, 2.453) |
X4 | 0.723 | 0.156 | −1.51 | 0.132 | (0.474, 1.103) |
X6 | 1.652 | 0.364 | 2.28 | 0.023 | (1.073, 2.543) |
X7 | 0.508 | 0.174 | −1.98 | 0.048 | (0.260, 0.993) |
X10 | 1.173 | 0.123 | 1.52 | 0.127 | (0.955, 1.441) |
X11 | 1.274 | 0.267 | 1.15 | 0.249 | (0.844, 1.922) |
_cons | 2.646 | 1.340 | 1.92 | 0.055 | (0.980, 7.142) |
Y | Odds Ratio | Std. Err. | z | p > |z| | (95% Conf. Interval) |
---|---|---|---|---|---|
X2 | 1.631 | 0.346 | 2.30 | 0.021 | (1.076, 2.473) |
X3 | 1.556 | 0.335 | 2.05 | 0.040 | (1.020, 2.374) |
X4 | 0.671 | 0.136 | −1.97 | 0.048 | (0.452, 0.997) |
X6 | 1.643 | 0.362 | 2.26 | 0.024 | (1.068, 2.529) |
X7 | 0.516 | 0.176 | −1.94 | 0.052 | (0.264, 1.007) |
X10 | 1.168 | 0.122 | 1.49 | 0.136 | (0.952, 1.434) |
X11 | 1.268 | 0.266 | 1.13 | 0.257 | (0.841, 1.914) |
_cons | 3.203 | 1.501 | 2.47 | 0.013 | (1.273, 8.066) |
Y | Odds Ratio | Std. Err. | z | p > |z| | (95% Conf. Interval) |
---|---|---|---|---|---|
X2 | 1.487 | 0.291 | 2.03 | 0.042 | (1.013, 2.182) |
X3 | 1.543 | 0.333 | 2.01 | 0.044 | (1.011, 2.354) |
X4 | 0.681 | 0.137 | −1.90 | 0.057 | (0.459, 1.011) |
X6 | 1.657 | 0.364 | 2.30 | 0.021 | (1.078, 2.549) |
X7 | 0.511 | 0.174 | −1.97 | 0.049 | (0.262, 0.998) |
X10 | 1.176 | 0.122 | 1.56 | 0.120 | (0.959, 1.442) |
_cons | 3.745 | 1.688 | 2.93 | 0.003 | (1.548, 9.059) |
Y | Odds Ratio | Std. Err. | z | p > |z| | (95% Conf. Interval) |
---|---|---|---|---|---|
X2 | 1.554 | 0.300 | 2.28 | 0.023 | (1.064, 2.271) |
X3 | 1.573 | 0.338 | 2.11 | 0.035 | (1.033, 2.397) |
X4 | 0.663 | 0.133 | −2.05 | 0.040 | (0.448, 0.982) |
X6 | 1.697 | 0.372 | 2.42 | 0.016 | (1.105, 2.607) |
X7 | 0.498 | 0.169 | −2.05 | 0.040 | (0.255, 0.969) |
_cons | 5.213 | 2.088 | 4.12 | 0.000 | (2.377, 11.432) |
HA/Factors | Good Physical Health (Y1) | Good Ability of Daily Activities (Y2) | Good Psychological Well-Being (Y3) | Active Social Participation (Y4) |
---|---|---|---|---|
X1 | - | + | +, √ | + |
X2 | + | +, √ | - | +, √ |
X3 | +, √ | - | - | - |
X4 | - | + | + | - |
X5 | +, √ | - | +, √ | + |
X6 | + | +, √ | + | + |
X7 | - | -, √ | + | -, √ |
X8 | + | + | - | - |
X9 | +, √ | + | +, √ | - |
X10 | + | + | + | + |
X11 | - | + | - | - |
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Characteristics | Specific Indicators | N | % |
---|---|---|---|
Good physical health(Y1) | No disability and fewer chronic diseases | 545 | 68.6% |
Good ability of daily activities (Y2) | Grade 1 or 2 for each activity | 313 | 39.4% |
Good mental health (Y3) | score of less than or equal to 20 | 673 | 84.7% |
Good social participation (Y4) | the number of activities attended is no less than two in the last month | 488 | 61.4% |
Healthy aging (Y) | met the four standards of Y1–Y4 | 137 | 17.2% |
Variables | Specific Indicators | N | N (%) | N (%) | χ2 | p |
---|---|---|---|---|---|---|
Non-HA | HA | |||||
Gender (X1) | Male | 348 | 282 (42.8%) | 66 (48.1%) | 1.30 | 0.25 |
Female | 447 | 376 (57.2%) | 71 (51.8%) | |||
Age (X2) | younger(50–60) | 307 | 239 (36.3%) | 68 (49.6%) | 8.47 | 0.004 |
older(60–90) | 488 | 419 (63.7%) | 69 (50.4%) | |||
Residence (X3) | Urban | 177 | 134 (20.3%) | 43 (31.3%) | 7.95 | 0.005 |
Village | 618 | 524 (79.7%) | 94 (68.7%) | |||
Educational status (X4) | Literate | 397 | 296 (45%) | 83 (60.6%) | 11.06 | 0.001 |
Illiterate | 417 | 362 (55%) | 54 (39.4%) | |||
Marital status (X5) | Married | 602 | 492 (74.7%) | 110 (80.2%) | 1.87 | 0.17 |
Unmarried | 193 | 166 (25.3%) | 27 (19.7%) | |||
Expectation of Long-term Care in the future from grown children (X6) | Yes | 528 | 424 (64.4%) | 104 (75.9%) | 6.69 | 0.01 |
No | 267 | 234 (35.6%) | 33 (24.1%) | |||
Educational status of grown children (X7) | Literate | 617 | 535 (81.3%) | 126 (91.9%) | 9.200 | 0.002 |
Illiterate | 134 | 123 (18.6%) | 11 (8%) | |||
Living place of grown children (X8) | with parents | 312 | 261 (39.6%) | 51 (37.2%) | 0.28 | 0.59 |
Not with parents | 443 | 367 (60.4%) | 86 (62.8%) | |||
Marital status of grown children (X9) | Married | 624 | 516 (78.4%) | 108 (78.8%) | 0.01 | 0.91 |
Unmarried | 171 | 142 (21.6%) | 29 (21.2%) | |||
Physical condition of grown children (X10) | Good | 467 | 379 (57.5%) | 88 (64.2%) | 10.68 | 0.03 |
Fair | 328 | 279 (42.5%) | 49 (35.8%) | |||
Housing Property status of grown children (X11) | Own at least a house | 409 | 338 (51.3%) | 71 (51.8%) | 0.009 | 0.92 |
No house | 386 | 320 (48.7%) | 66 (48.2%) | |||
Elderly parents provide Inter-generational care for grown children’s babies (X12) | Yes | 400 | 334 (50.8%) | 66 (48.1%) | 0.30 | 0.58 |
No or not yet | 395 | 324 (49.2%) | 71 (51.8%) |
Variables of the First Family | β | OR | 95% CI | Variables of the Second Family | β | OR | 95%CI |
---|---|---|---|---|---|---|---|
Gender (ref. female) | 0.16 | 1.17 | (0.78, 1.77) | Educational status of grown children (ref. illiterate) | 0.91 ** | 2.48 ** | (1.29, 4.76) |
male | literate | ||||||
Age (ref. 60–90) | 0.49 * | 1.64 * | (1.10, 2.45) | Living place of grown children (ref. not at home) | −0.09 | 0.91 | (0.61, 1.36) |
40–60 | live with respondents | ||||||
Residence (ref. village) | 0.51 * | 1.66 * | (1.08, 2.55) | Marital status of grown children (ref. unmarried) | −0.05 | 0.95 | (0.58, 1.56) |
urban | married | ||||||
Educational status (ref. illiterate) | 0.43 * | 1.54 * | (1.02, 2.34) | Physical condition of grown children (ref. not good) | 0.24 * | 1.27 * | (1.05, 1.55) |
literate | good | ||||||
Marital status (ref. unmarried) | 0.05 | 1.05 | (0.64, 1.74) | Housing status of grown children (ref. do not) | 0.02 | 1.02 | (0.68, 1.54) |
married | Own a house | ||||||
Expectations of long-term health care from grown children (ref. no) | 0.53 * | 1.70 * | (1.11, 2.62) | Elderly parents provide inter-generational care for grown children’s babies (ref. no) | −0.14 | 0.87 | (0.60, 1.27) |
yes | yes |
Y(OR/Std. Err.) | First Step | Second Step | Third Step | Forth Step | Fifth Step | Sixth Step | Seventh Step | Last Step |
---|---|---|---|---|---|---|---|---|
X1 | 1.228 | 1.236 | 1.239 | 1.239 | 1.232 | |||
(0.260) | (0.258) | (0.258) | (0.258) | (0.256) | ||||
X2 | 1.697 * | 1.713 * | 1.699 * | 1.705 * | 1.682 * | 1.631 * | 1.487 * | 1.554 * |
(0.383) | (0.377) | (0.366) | (0.367) | (0.361) | (0.346) | (0.91) | (0.300) | |
X3 | 1.606 * | 1.602 * | 1.604 * | 1.604 * | 1.601 * | 1.556 * | 1.543 * | 1.573 * |
(0.351) | (0.349) | (0.349) | (0.349) | (0.349) | (0.335) | (2.01) | (0.338) | |
X4 | 0.727 | 0.725 | 0.725 | 0.726 | 0.723 | 0.671 * | 0.681 | 0.663 * |
(1.158) | (0.156) | (0.156) | (0.156) | (0.156) | (0.136) | (−1.90) | (0.133) | |
X5 | 1.046 | |||||||
(0.273) | ||||||||
X6 | 1.649 * | 1.647 * | 1.648 * | 1.653 * | 1.652 * | 1.643 * | 1.657 * | 1.697 * |
(0.364) | (0.364) | (0.364) | (0.364) | (0.364) | (0.362) | (2.30) | (0.372) | |
X7 | 0.515 | 0.514 | 0.512 | 0.517 | 0.508 * | 0.516 | 0.511 * | 0.497 * |
(0.177) | (0.178) | (0.175) | (0.177) | (0.174) | (0.176) | (0.174) | (2.088) | |
X8 | 0.879 | 0.877 | 0.871 | 0.862 | ||||
(0.185) | (0.182) | (0.171) | (0.178) | |||||
X9 | 1.058 | 1.057 | ||||||
(0.282) | (0.282) | |||||||
X10 | 1.177 | 1.178 | 1.179 | 1.179 | 1.173 | 1.168 | 1.176 | |
(0.124) | (0.124) | (0.124) | (0.124) | (0.123) | (0.122) | (0.122) | ||
X11 | 1.226 | 1.221 | 1.238 | 1.234 | 1.274 | 1.268 | ||
(0.275) | (0.272) | (0.265) | (0.256) | (0.267) | (0.266) | |||
X12 | 0.889 | 0.890 | 0.890 | |||||
(0.172) | (0.172) | (0.172) | ||||||
_cons | 2.769 | 2.791 | 3.013 | 2.832 | 2.646 | 3.203 | 3.745 | 5.21 |
(0.145) | (0.146) | (1.589) | (1.463) | (1.340) | (1.501) | (1.688) | (0.000) |
Variables | No Disability and Fewer Chronic Diseases | Good Social Participation | Good Ability of Daily Activities | Good Mental Health |
---|---|---|---|---|
Age (X2) | 1.33 | 1.24 | 2.13 ** | 0.78 |
Residence (X3) | 0.86 | 1.56 * | 1.48 | 1.26 |
Educational status (X4) | 0.99 | 0.99 | 0.63 * | 0.56 *** |
Expectations of long-term health care from grown children (X6) | 0.93 | 1.20 | 0.99 | 2.40 *** |
Educational status of grown children (X7) | 1.06 | 0.73 | 0.57 * | 0.85 |
Physical health of grown children (X10) | 1.21 * | 1.01 | 0.99 | 1.31 *** |
Criteria/Indicators | CHARLS Data from Academic Civil National Investigation (Factors from Micro-Perspective) | Weighs (β) | Regional Data from National Statistical Database (Factors from Macro-Perspective) | Weighs (w) |
---|---|---|---|---|
Criterion I | Age (X2) | 0.44 (β2) | Regional aging level (F1) | 0.44 (w1) |
Criterion II | Residence (X3) | 0.45 (β3) | Regional urbanization level (F3) | 0.45 (w2) |
Criterion III | Educational status (X4, X7) | 0.41 (β4), 0.69 (β7) | Regional educational level (F2) | 0.41 × 1/3 + 0.69 × 2/3 (w3) |
Criterion IV | Expectation for the long-term health care (X6) | 0.53 (β6) | Regional level of family care (F4) | 0.53 (w4) |
Four Types of Region | Corresponding Provinces in China |
---|---|
Region 1: HA score goes up first from 2005 to 2010 and then down from 2010 to 2015 | Beijing, Heilongjiang, Shaanx and Zhejiang province |
region 2: HA score has been falling from 2005 to 2015 | Tianjin, Shanghai, Qinghai, Jilin, Inner Mongolia, Liaoning, Hebei and Shandong province |
region 3: HA score goes down first from 2005 to 2010 and then up from 2010 to 2015 | Guangdong, Ningxia, Hainan, Xinjiang, Shanxi, Hubei, Gansu, Henan, Yunnan, Guangxi, Chongqing and Guizhou province |
region 4: HA score keeps going up from 2005 to 2010 | Hunan, Fujian, Jiangsu, Jiangxi, Anhui and Sichuan province |
Eight Economic Zones of China | HA Index in 2005 | HA Index in 2010 | HA Index in 2015 | Average HA Index from 2005–2015 |
---|---|---|---|---|
Beijing-Tianjin-Hebei | 114.60 | 114.11 | 108.75 | 112.49 |
Five North China Provinces Including Beijing, Tianjin and Hebei | 110.56 | 109.80 | 105.99 | 108.79 |
Three Northeast Provinces | 109.37 | 101.33 | 97.90 | 102.87 |
Yangtze River Delta Region | 106.10 | 105.51 | 101.70 | 104.43 |
East China Coastal Area | 94.54 | 96.77 | 98.25 | 96.52 |
Central Plains Region | 95.56 | 96.01 | 96.33 | 95.97 |
Pearl River Delta Region | 104.36 | 102.86 | 106.45 | 104.56 |
Southwest China | 88.39 | 88.13 | 92.27 | 89.60 |
Five Northwest Provinces | 104.06 | 102.05 | 102.83 | 102.98 |
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Fu, L.; Teng, T.; Wang, Y.; He, L. Data Analysis Model Design of Health Service Monitoring System for China’s Elderly Population: The Proposal of the F-W Model Based on the Collaborative Governance Theory of Healthy Aging. Healthcare 2021, 9, 9. https://doi.org/10.3390/healthcare9010009
Fu L, Teng T, Wang Y, He L. Data Analysis Model Design of Health Service Monitoring System for China’s Elderly Population: The Proposal of the F-W Model Based on the Collaborative Governance Theory of Healthy Aging. Healthcare. 2021; 9(1):9. https://doi.org/10.3390/healthcare9010009
Chicago/Turabian StyleFu, Liping, Tao Teng, Yuhui Wang, and Lanping He. 2021. "Data Analysis Model Design of Health Service Monitoring System for China’s Elderly Population: The Proposal of the F-W Model Based on the Collaborative Governance Theory of Healthy Aging" Healthcare 9, no. 1: 9. https://doi.org/10.3390/healthcare9010009