居家老年人照护服务支付意愿及影响因素研究

The willingness to pay for care services and influencing factors among the in-home elderly

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。

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.