Purpose: The world's rapid aging has heightened demand for older adult medical services, driving the emergence of medical companions. The current study examined factors influencing job satisfaction among Shanghai's older adult medical companions to inform workforce stability strategies and aging-related policy upgrades. Method: Cross-sectional surveys ( N = 146) were administered through stratified sampling across agencies, online platforms, and associations. Multivariate regression analyzed material (income, workload balance), social (professional recognition), and systemic factors (rights protections) using conservation of resources theory. Results: Key determinants included income–workload balance, income level, social recognition, and rights violations (all p < .005). More than 68% reported high satisfaction (mean = 4.12/5). Conclusion: Systemic support mechanisms—standardized compensation, rights protections, and professional certification—are critical for workforce retention. This study further highlights that, unlike Western patient navigator models where institutional safeguards are well established, policy adaptation in East Asia must begin with strengthening rights protection and recognition to provide a foundation for subsequent professionalization.
Cui et al. (Thu,) studied this question.