城镇老年人医养结合养老模式选择影响因素研究

Analysis on the Factors Influencing the Choose of Medical-Nursing Combined Services among the Elderly People in Urban China

目的了解城镇老年人医养结合养老模式选择情况,探讨其影响因素,落实医养结合工作的推进,促进老年人健康的可持续发展。方法在深圳市十个区进行随机分层抽样,共选取2414例老年人为调查对象,于2017年10—12月,采用调查问卷进行调查。利用调查数据,采用描述性统计和有序多分类Logistic回归分析。结果城镇老年人在机构养老、社区养老和居家养老中,倾向于选择居家养老(P<0.01);社会经济地位越高的老年人,对机构养老的需求越大(P<0.01);在期望政府补偿方式中,老年人倾向于资金补偿而非照护服务(P<0.01)。结论城镇老年人对机构养老需求较低,低经济能力与高照护费用是阻碍城镇老年人选择机构养老的关键,居家养老仍是城镇老年人医养结合养老模式下的首选,建立层次化医养结合服务体系是推进医养结合工作的关键。

Objective To understand the urban elderly people’s choice of Medical-nursing Combined Services,and to analyze the influencing factors,and promote the implementation of pension combined with medical services and maintain the sustainable development of elderly people’s health.Methods We selected ten districts in Shenzhen,and a total of 2414 elders were selected randomly as participants.From October to December in 2017,survey was conducted through questionnaire.Descriptive analysis and ordered multivariate logistic analysis were employed in this study.Results Urban elderly prefer to live at home(P<0.01);the higher socioeconomic status the elderly has,the increasing demand of institutional care(P<0.01);As for the government compensation,the elderly prefer financial support than caring service(P<0.01).Conclusion The demand of institutional care is still low among urban elderly.High cost is the crucial factor hindering elderly’need to institutional care.The establishment of hierarchical service system is the key to promote Medical-nursing Combined services.