居家老年人照护服务支付意愿及影响因素研究

doi:10.3969/j.issn.1003-9198.2021.01.027

摘要/Abstract

摘要： 目的探讨居家老年群体对照护服务的支付意愿及支付水平,并分析影响居家老年人支付照护服务愿意的因素。方法采用多阶段分层随机抽样法对安徽省16个社区和8个村庄≥65岁的居家老年人进行入户调查。采用χ²检验、二元Logistic回归模型分析居家老人照护服务支付意愿的影响因素。结果本研究最终共纳入1371例调查对象,其中愿意为照护服务付费的老年人有229例(16.7%)。多因素Logistic回归分析结果显示,老年人的文化程度、退休前职业、子女数量和养老保险类型是影响其照护服务支付意愿的独立因素。结论居家老年人照护服务支付意愿受社会经济地位相关因素的影响较大。在为老年群体搭建居家照护服务政策平台时,一方面需要提高老年人对居家照护服务的认识和接受程度,另一方面可通过低收入失能补贴、建立完善的长期护理保险制度等提高老年人的支付能力。

关键词: 支付意愿, 居家老年人, 照护服务, 影响因素

Abstract: Objective To explore the willingness to pay and the level of payment for care services among the in-home elderly, and to analyze the influencing factors. Methods This cross-sectional study adopted a multistage stratified sampling method to survey the in-home elderly aged≥65 years in 16 communities and 8 villages of Anhui province. The influencing factors of willingness to pay were analyzed by Chi-square test and binary Logistic regression model. Results A total of 1371 participants were enrolled in this study. Among them, 229 (16. 7%) participants were willing to pay for care services. Multivariate Logistic regression analysis showed that education level, occupation before retired, number of children and type of endowment insurance were the independent factors influencing the willingness to pay for the care services. Conclusions The willingness to pay for care services among the in-home-bound elderly is greatly affected by social and economic status. When building a policy platform of home-based care services for the elderly, on the one hand, it is necessary to improve the elderly's awareness and acceptance of home-based care services; On the other hand, it is necessary to improve the elderly's ability to pay by providing low-income disability subsidies and establishing the long-term care insurance system.

Key words: willingness to pay, in-home elderly, care service, influencing factor

中图分类号:

R 473.2

季佳林, 支梦佳, 胡琳琳. 居家老年人照护服务支付意愿及影响因素研究[J]. 实用老年医学, 2021, 35(1): 99-102.

JI Jia-lin, ZHI Meng-jia, HU Lin-lin. The willingness to pay for care services and influencing factors among the in-home elderly[J]. Practical Geriatrics, 2021, 35(1): 99-102.

参考文献

[1] CHEN F, XU X, YANG Z, et al. The willingness-to-pay for general practitioners in contractual service and influencing factors among empty nesters in Chongqing, China[J]. Int J Env Res Pub He, 2015, 12(8):9330-9341.
[2] ZHOU Q, LI Y, LIU H Z, et al. Willingness to pay for colorectal cancer screening in Guangzhou[J]. World J Gastroenterol, 2018, 24(41):4708-4715.
[3] WORASATHIT R, WATTANA W, OKANURAK K, et al. Health education and factors influencing acceptance of and willingness to pay for influenza vaccination among older adults[J]. BMC Geriatr, 2015, 15:136.
[4] 黄志庆, 吴桂华, 张小燕. 城市空巢老人家庭医生式服务支付意愿及其影响因素分析[J]. 心电图杂志: 电子版, 2019, 8(4):98.
[5] MARTÍN-FERNÁNDEZ J, GMEZ-GASCN T, OLIVA-MORENO J, et al. Perception of the economic value of primary care services: a willingness to pay study[J]. Health Policy, 2010, 94(3):266-272.
[6] 杜鹏, 孙鹃娟, 张文娟, 等. 中国老年人的养老需求及家庭和社会养老资源现状——基于2014年中国老年社会追踪调查的分析[J]. 人口研究, 2016, 40(6):49-61.
[7] 于彬彬, 柳韡. 老年人居家照护现状影响因素的研究进展[J]. 中华护理杂志, 2013, 48(8):764-766.
[8] LOH C P, SHAPIRO A. Willingness to pay for home- and community-based services for seniors in Florida[J]. Home Health Care Serv Q, 2013, 32(1):17-34.
[9] VAN HOI L, THI K T N, VAN TIEN N, et al. Willingness to use and pay for options of care for community-dwelling older people in rural Vietnam[J]. BMC Health Serv Res, 2012, 12:36.
[10] 万霞. 上海市老年家庭护理服务支付意愿的研究[D]. 上海:第二军医大学, 2013.
[11] LEUNG K C, MCGRATH C P. Willingness to pay for implant therapy: a study of patient preference[J]. Clin Oral Implants Res, 2010, 21(8):789-793.
[12] 万霞, 庞亚娟, 周兰姝. 上海市老年家庭护理服务支付意愿[J]. 中国老年学杂志, 2017, 37(11):2814-2816.
[13] 曾莉, 朱晓萍, 吴茜, 等. 老年人家庭照顾者对居家照护指导服务的支付意愿及其影响因素研究[J]. 护理学杂志, 2014, 29(13):71-74.
[14] 曾莉, 张曙映, 周兰姝. 上海277名老年人家庭照顾者居家康复护理支付意愿及影响因素研究[J]. 护理学报, 2013, 20(3):24-27.
[15] MCGEE H M, MOLLOY G, O HANLON A, et al. Older people - recipients but also providers of informal care: an analysis among community samples in the Republic of Ireland and Northern Ireland[J]. Health Soc Care Comm, 2008, 16(5):548-553.