{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T12:28:26Z","timestamp":1786537706521,"version":"build-2736575974"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":223,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Understanding the hierarchical structure and supply priorities of long\u2010term care (LTC) needs among disabled older adults is essential for responsive care systems. However, existing assessments fail to translate findings into actionable resource allocation strategies, leaving nursing managers without evidence\u2010based guidance for prioritization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To identify the hierarchical structure of LTC service demands among disabled older adults using the Kano model and to establish an evidence\u2010based supply priority order through integrated entropy\u2010weighted TOPSIS analysis, thereby providing nursing managers with a quantifiable sequence for phased resource allocation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross\u2010sectional survey was conducted from January to November 2024 among 585 disabled older adults recruited from six nursing institutions and six communities across three districts of Chengdu. Participants completed a self\u2010designed Kano model questionnaire covering 52 service items. Kano analysis was used to classify service attributes into must\u2010be, one\u2010dimensional, attractive, and indifferent categories, and entropy\u2010weighted TOPSIS was subsequently applied to determine supply priorities based on relative closeness (\n                      <jats:italic>C<\/jats:italic>\n                      <jats:sub>\n                        <jats:italic>i<\/jats:italic>\n                      <\/jats:sub>\n                      ) values.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the 52 items, Kano analysis identified 12 (23.1%) as must\u2010be, 14 (26.9%) as one\u2010dimensional, 10 (19.2%) as attractive, and 16 (30.8%) as indifferent.\n                      <jats:italic>C<\/jats:italic>\n                      <jats:sub>\n                        <jats:italic>i<\/jats:italic>\n                      <\/jats:sub>\n                      values ranged from 0.007 to 0.905. Within one\u2010dimensional attributes, vital signs monitoring (\n                      <jats:italic>C<\/jats:italic>\n                      <jats:sub>\n                        <jats:italic>i<\/jats:italic>\n                      <\/jats:sub>\n                      \u2009=\u20090.905) and oral medication administration (\n                      <jats:italic>C<\/jats:italic>\n                      <jats:sub>\n                        <jats:italic>i<\/jats:italic>\n                      <\/jats:sub>\n                      \u2009=\u20090.890) ranked highest. Among attractive attributes, cognitive training had the highest priority (\n                      <jats:italic>C<\/jats:italic>\n                      <jats:sub>\n                        <jats:italic>i<\/jats:italic>\n                      <\/jats:sub>\n                      \u2009=\u20090.615). Notably, 11 of 15 traditional Chinese medicine (TCM) nursing services (73.3%) fell into attractive or one\u2010dimensional categories.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The integrated Kano\u2013TOPSIS framework identifies LTC need hierarchies and supply priorities among disabled older adults. Must\u2010be services need basic guarantees; one\u2010dimensional services drive quality; and attractive services, especially TCM nursing and cognitive training, boost satisfaction. This user\u2010centered approach guides phased resource allocation and responsive LTC design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>The findings support a tiered resource allocation strategy based on the Kano\u2013TOPSIS framework. Must\u2010be services should be guaranteed as a basic care package. One\u2010dimensional services should be prioritized for quality monitoring and performance evaluation. Attractive services can be developed as value\u2010added modules to enhance cultural responsiveness. A phased approach is recommended: must\u2010be first, then one\u2010dimensional, and finally attractive according to local capacity. These measures enable nursing managers to translate needs assessment into actionable allocation decisions and bridge the supply\u2013demand gap.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/2094897","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T11:31:46Z","timestamp":1786534306000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prioritizing Long\u2010Term Care Services for Disabled Older Adults: A Cross\u2010Sectional Study Using the Kano Model and Entropy\u2010Weighted TOPSIS"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2270-2689","authenticated-orcid":false,"given":"Li","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9758-3949","authenticated-orcid":false,"given":"Liu","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5421-6179","authenticated-orcid":false,"given":"Jialin","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4246-3156","authenticated-orcid":false,"given":"Ying","family":"Xia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0373-5694","authenticated-orcid":false,"given":"Jiling","family":"Ye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0575-5961","authenticated-orcid":false,"given":"Ying","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9844-723X","authenticated-orcid":false,"given":"Qi","family":"An","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"e_1_2_10_1_2","unstructured":"World Health Organization Long-Term Care 2022 https:\/\/www.who.int\/europe\/news-room\/questions-and-answers\/item\/long-term-care."},{"key":"e_1_2_10_2_2","first-page":"601","article-title":"Aging in China: Challenges and Opportunities","volume":"4","author":"Wang H.","year":"2022","journal-title":"China CDC Wkly"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(22)01546-x"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2020.101174"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/s2666-7568(21)00167-7"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-6961-4"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(20)32136-x"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-021-01819-4"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnaf278"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2026.1735719"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1155\/jonm\/8917956"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1252817"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2025.103465"},{"key":"e_1_2_10_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-018-0856-6"},{"key":"e_1_2_10_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1466-7657.2011.00918.x"},{"key":"e_1_2_10_16_2","doi-asserted-by":"publisher","DOI":"10.2147\/cia.s536976"},{"key":"e_1_2_10_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-051801"},{"key":"e_1_2_10_18_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1727372"},{"key":"e_1_2_10_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-024-10889-1"},{"key":"e_1_2_10_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2025.01.005"},{"key":"e_1_2_10_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2020.e04324"},{"key":"e_1_2_10_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2021.e08097"},{"key":"e_1_2_10_23_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40199-016-0148-7"},{"key":"e_1_2_10_24_2","volume-title":"Multivariate Analysis","author":"Kendall M. 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