供给侧改革背景下老年人照护模式的选择意愿

The Preference of the Elderly on Elderly Care under the Structural Reform of the Supply Side

基于第四次中国城乡老年人生活状况抽样调查湖北片区的数据,从供给侧出发,运用多项Logistic回归模型考察了家庭照护资源供给、居家照护资源供给、机构照护资源供给,以及经济状况四个方面对老年人照护模式选择意愿的影响。研究结果表明,不同类型照护资源供给对老年人照护模式选择意愿的影响不同,如家庭照护资源供给会促进老年人选择家庭照护,而机构照护资源供给反而会负向影响老年人选择机构照护;多元化的居家照护资源供给未必会正向影响老年人的居家照护意愿,只有上门看病和心理咨询服务会促进老年人选择居家照护;经济状况差的老年人,尤其是困难、失能失智老年人往往需要子女经济支持或政府兜底以获得居家照护或机构照护。最后在此基础上提出了相应的对策建议。

Based on the data from the fourth survey of the living conditions of the Chinese elderly in urban and rural areas, this paper analyzed the effect of care resources on the elderly＇ s willingness of using different models of care using Logistic regression model. The results show that different types of care resources affect the willingness of using different care models. Family care resources have positive influence on the elderly＇ s willingness of use family care support, while institutional care resources affect the elderly＇ s willingness of using home care; diversity home care resources did not impose significant positive impact on the elderly＇ s willingness of using home care, only on-site medical care and psychological counseling services promote the elderly＇ s willing to use home care; The elderly with economic difficulties, especially the disabled old people, usually need the support from their children or government to make access to home care or institutional care. On the basis of the results, this paper put forward some policy suggestions.