【摘要】 背景 伴随我国老龄化程度不断加深，居民医疗与养老服务需求与日俱增，但目前医疗与养老服务仍互不衔接，而医养结合养老模式可将医疗与养老资源进行有序衔接，为老年人提供多层次连续性的照护服务。目的 综合分析我国居民医养结合养老模式的参与意愿。方法 2020年12月，检索中国知网、维普数据库、万方数据知识服务平台、PubMed、Web of Science等数据库中有关居民对医养结合养老服务参与意愿的文献，检索时限为从建库至2020年12月，对符合纳入标准的文献提取数据后进行Meta分析。采用澳大利亚乔安娜布里格斯研究所(JBI)循证卫生保健中心质性研究质量评价标准进行文献质量评价。结果 共纳入20篇文献，纳入研究的有效样本量为14 089，其中共有4 268例居民有医养结合养老服务参与意愿。纳入研究的文献的JBI评分为14～18分，得分均≥总分的70%，纳入研究的文献质量较高。居民参与医养结合养老模式的意愿率为40.5%〔95%CI(33.3%，47.7%)〕。亚组分析结果显示，学历〔OR(95%CI)=0.71(0.59，0.85)，P<0.01〕、子女数量〔OR(95%CI)=1.72(1.40，2.11)，P<0.01〕、婚姻状态〔OR(95%CI)=0.71(0.57，0.88)，P=0.02〕、是否独居〔OR(95%CI)=1.30(1.14，1.49)，P<0.01〕、患病情况〔OR(95%CI)=1.34(1.09，1.64)，P<0.01〕、知晓度〔OR(95%CI)=1.91(1.61，2.26)，P<0.01〕是居民医养结合养老服务参与意愿的影响因素。结论 我国居民医养结合养老服务参与意愿较低，高中及以上学历、子女数量≤1个、非在婚、独居、患病、知晓医养结合养老模式的居民对医养结合养老模式的参与意愿相对更强。应通过加强宣传工作、建立多元化的医养结合养老机构、不断丰富医养结合养老服务内涵等方式，提高居民医养结合养老模式的参与意愿。更多还原

【Abstract】 Background With aging deepening，there is an increasing demand for medical and elderly care services in Chinese older residents.However，current medical and pension services are still in a state of disconnection.In this regard，integrated medical and nursing care could continuously satisfy their multi-level healthcare needs via orderly combining medical and nursing care resources.Objective To comprehensively analyze the willingness of Chinese elderly residents to use integrated medical and nursing care.Methods The literature on the willingness of Chinese elderly residents to use integrated medical and nursing care was searched in databases including CNKI，WanFang Data，CQVIP，PubMed and Web of Science from inception to December，2020.Data of studies satisfying the inclusion criteria were extracted and meta-analyzed.The literature quality was evaluated by using the current situation survey bias risk assessment criteria(JBI).Results A total of 20 articles were included.The effective sample size of the study was 14 089 cases，and 4 268 residents were willing to participate.The JBI scores of the literature included in the study were 14-18 points，which were greater than 70% of the total score.The quality of the literature included in the study was high.The overall rate of Chinese elderly residents’ willingness to use integrated medical and nursing care was 40.5%〔95%CI(33.3%，47.7%)〕.Results of subgroup analysis demonstrated that educational background〔OR(95%CI)=0.71(0.59，0.85)，P<0.01〕，number of children〔OR(95%CI)=1.72(1.40，2.11)，P<0.01〕，marital status〔OR(95%CI)=0.71(0.57，0.88)，P=0.02〕，whether living alone〔OR(95%CI)=1.30(1.14，1.49)，P<0.01〕，disease prevalence〔OR(95%CI)=1.34(1.09，1.64)，P<0.01〕and awareness of integrated medical and nursing care〔OR(95%CI)=1.91(1.61，2.26)，P<0.01〕were associated with these residents’ willingness to use integrated medical and nursing care.Conclusion The rate of Chinese elderly residents’ willingness to use integrated medical and nursing care was relatively low.High school education or above，number of children≤1，unmarried，living alone，having an illness，and knowing integrated medical and nursing care were associated with stronger willingness to use integrated medical and nursing care.To improve the level of willingness，it is of great necessity to strengthen the publicity of integrated medical and nursing care，establish diversified medical and nursing care homes，and continuously enrich integrated medical and nursing care services.更多还原