ORIGINAL RESEARCH article
Front. Psychiatry
Sec. Anxiety and Stress Disorders
Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1616682
Analysis of the Integration of Medical and Nursing Care and Its Association with Depression and Anxiety among Medical Staff in the Jinhua Area.
Provisionally accepted
- Fifth Hospital of Jinhua City, Jinhua, China
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Objective: To evaluate the relationship between implementation of the medical–nursing care integration model and the psychological health (depression and anxiety) of medical staff in the Jinhua area. Methods: A total of 1,022 elderly patients and 182 medical staff from four institutions in Jinhua were surveyed. Patient information, service utilization, and medical costs were collected, while staff familiarity with the Patient-Driven Payment Model (PDPM) and their mental health were assessed using the PHQ-9, GAD-7, and SCL-90 scales. Statistical analyses were conducted to explore associations between PDPM familiarity and psychological outcomes. Results: Most medical staff reported high familiarity with PDPM and successful adaptation to the integrated model. Despite this, nearly 10% of staff experienced symptoms of depression and 8% reported anxiety. Statistical analysis indicated that higher PDPM familiarity was significantly associated with lower rates of depression, anxiety, and overall psychological distress. Conclusion: The integration of medical and nursing care in Jinhua appears to improve not only the efficiency of elderly services but also supports the mental health of medical staff. However, psychological risks remain, highlighting the need for integrated care models to embed ongoing mental health support mechanisms for healthcare professionals.
Keywords: Jinhua area, Medical institutions, Integration of medical and nursing care, Depression, Anxiety, Medical Staff
Received: 23 Apr 2025; Accepted: 29 Aug 2025.
Copyright: © 2025 Sheng, Yu, Yu, Zhang, Zeng and Ye. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Ling Ye, Fifth Hospital of Jinhua City, Jinhua, China
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