时间标签：数据日期 2026-11-05 · 生成时间 2026-11-05 05:30（Asia/Shanghai）｜ 检索窗口 PubMed edat 2026/11/02 – 2026/11/06 ｜ 情报发生日期 2026-11-05
研究问题
In response, integrated care has become a central policy and service strategy for connecting medical care, long-term care and social support, particularly for older adults whose needs extend beyond disease-specific treatment alone (4–7).Within this agenda, ageing in place has emerged as a widely endorsed objective.；Whether current institutional service portfolios align with these priorities, however, remains insufficiently understood.Against this background, this study examines community-based integrated medical and elderly care in Chengdu, China, from institutional and resident perspectives.；On the institutional side, each domain was represented by whether institutions considered the service to be needed by community-dwelling older adults and whether they were currently able to provide the corresponding service.
方法
By combining an institutional survey of 127 IMEC facilities with a household survey of 2,525 older adults recruited from selected communities, we address three questions.；Of these, 127 returned questionnaires with sufficient information for analysis and were included in the analytic sample; five did not return questionnaires with sufficient information for analysis and were excluded.A structured facility questionnaire was administered by trained investigators between October 2023 and May 2024.；Community-level identifiers and participant counts by individual community were not retained in the final analytic dataset; therefore, the exact number of participating communities and the distribution of participants across individual communities could not be reliably reconstructed for the present analysis.
核心结论
Evidence from China indicates that implementation remains uneven, with persistent challenges in governance, workforce capacity and local service organisation (22, 27).；Recent Chinese studies suggest that utilisation or acceptance of home- and community-based medical and elderly care services is shaped not only by health needs but also by service accessibility, user awareness, affordability and local service conditions (32–34).；Consistent with this, discrete choice evidence indicates that older and middle-aged adults in China make explicit trade-offs between service attributes such as medical capacity, quality and price when evaluating IMEC institutions (35).
局限
Increased longevity has been accompanied by a rising prevalence of multimorbidity, chronic disease, functional decline and long-term support needs, exposing the limitations of systems that remain largely organised around acute and episodic treatment (1–3).；However, ageing in place is not achieved simply by relocating care from institutions to communities.；Whether current institutional service portfolios align with these priorities, however, remains insufficiently understood.Against this background, this study examines community-based integrated medical and elderly care in Chengdu, China, from institutional and resident perspectives.
对本项目的价值
中等价值：属「衰老机制与老年临床」方向；其他衰老相关栏目可用作本项目文献库与综述素材。 ｜ 价值分 2.6/5（★★★☆☆）
全文来源
PubMed PMC JATS（正文 64,547 字符，题名指纹 0.94，已过 PubMed PMCID 官方关联 + 题名指纹 + 正文长度归属校验）
原文题录
- 中文题名：成都社区医养结合：组织异质性、服务能力与服务获取模式及照护连续性启示
- 英文标题：Community-based integrated medical and elderly care in Chengdu, China: organisational heterogeneity, service-capacity and service-receipt patterns, and implications for care continuity.
- 期刊与标识：Frontiers in health services · PMID 42973641 · DOI 10.3389/frhs.2026.1875860 · PMC PMC13724404