老年人家庭照顾者对社会支持性服务支付意愿的研究

The willingness to pay of elderly people's family caregivers for social support services

目的:了解老年人家庭照顾者是否愿意支付照顾者社会支持性服务的费用;了解照顾者对社会支持性服务愿意支付费用的具体金额。方法:用条件价值评估法调查了277名老年人家庭照顾者。结果:①是否愿意支付:对总体支持服务有支付意愿的照顾者共190人(68.6%);愿意支付费用的照顾者对具体支持服务项目的支付意愿不同,按照人数从高到低顺序排在前5位的有:康复训练182人(65.7%)、就诊转诊178人(64.3%)、社区送餐171人(61.7%)、家居安全环境改造167人(60.2%)、日常生活活动(沐浴、穿衣、进餐、如厕等)166人(59.9%)。②具体支付金额:照顾者对社会支持性服务愿意支付不同程度的金额,总体来说,愿意支付的金额偏低,对总体支持服务的支付意愿为600～800元/月。结论:照顾者对社会支持性服务项目持肯定态度,对不同服务的需求各有侧重。卫生服务提供者应大力开展照顾者迫切需求、有支付意愿的支持服务项目,以更好地服务于广大老年人家庭照顾者。

Objective： To investigate the willingness to pay of elderly people＇s family caregivers for social support services and how much they could afford. Methods： We investigated 277 family caregivers of seniors by Contingent Valuation Method （CVM）. Results： ① Willing to pay or not： 190 （68.6%） caregivers had willingness to pay for the general support service. Caregivers＇ willingness to pay for different services was different, too. The top five items were rehabilitation service （182, 65.7%）, patient referral service （178,64.3%）, community meal delivery service （177, 61.7%）, modifying safe environment of home setting （167, 60.2%）,assistance of daily life activities, such as bathing, dressing, eating, toileting, etc.（166,59.9%）.② How much they want to pay： The amount they want to pay was different, but was low in general. They just wanted to pay 600-800 RMB per month for general service. Conclusion： The attitude of family caregiver to social support services is positive and they may have different willingness to pay for different services. It suggested that health care providers should carry out caregiver support services which could meet their urgent needs.