Study on the influencing factors of elderly care satisfaction in China from a social ecosystem perspective: based on the CLHLS.

China has become the country with the largest and fastest-growing elderly population globally. OBJECTIVE: The study aimed to analyze the independent influences on elderly care satisfaction in China and provide a reference for optimizing the long-term care service system. METHODS: Data related to 2728 older adults aged 65 years and older were selected from the Chinese Longitudinal Healthy Longevity Survey 2018. The exploration of factors influencing elderly care satisfaction was conducted through generalization based on the social ecosystem theory. Single-factor analysis and hierarchical logistic regression analysis methods were utilized. RESULTS: 1427 older adults expressed incomplete satisfaction with the care they received. At the micro, meso, and macro levels, older adults with caregivers who were willing and able to provide good care (OR = 4.699, 95%CI = 2.140-10.318), with mild disability (OR = 2.429, 95%CI = 1.933-3.053) or complete self-care ability (OR = 2.022, 95%CI = 1.508-2.711), having a better self-rated financial status (OR = 1.715, 95%CI = 1.436-2.049), residing in the city (OR = 1.683, 95%CI = 1.307-2.167), and living in communities that provided daily care services (OR = 1.540, 95%CI = 1.175-2.019) were more likely to be satisfied with the care they received. (P < .05). CONCLUSIONS: There is an imbalance between the supply and demand for the care of older adults. We can enhance care satisfaction among older adults by improving their self-care capabilities, refining caregiver support policies, and optimizing community service systems.