医疗护理服务可及性对居家老人照料服务选择的影响研究——基于北京市的实证研究

利用课题组2018年在北京市的抽样调查数据,运用Logistic回归方法考察医疗护理服务可及性对居家老人照料服务选择的影响。结果发现,医疗护理服务的便捷性、可支付性与老人照料服务的选择显著相关。住所附近有医疗卫生机构、有提供上门护理服务的机构或是与家庭医生签约的老人,更倾向于选择社会照料服务;支付能力对照料服务的选择呈现"U"型效应:家庭支付能力较强或者经济自评相对不足的老人更倾向于选择社会照料服务。应通过优化医疗护理资源布局、建立并完善社会照料服务的价格机制等措施,推进高效、可持续的社会照料服务体系的构建。

The Influence of Medical Care Services Accessibility on the Choice of Care Services of the Elderly:An Empirical Study Based on Beijing

Using the survey data Carried out by the research group in Beijing in 2018,this study explores the impact of medical care services accessibility on the choice of care services for the elderly.The results show that the convenience and affordability of medical care services are significantly associated with the choice of care services for the elderly.The elderly whose residence is near health facilities,or on-site care facilities,and the elderly who had signed up with their family doctor are more likely to choose social care services.Payment affordability has a"U"shaped effect on the choice of care services:the elderly with higher family affordability or low reported economic status are more likely to choose social care services.Therefore,the construction of an efficient and sustainable social care service system should be promoted by optimizing the distribution of medical care resources and establishing and improving the price mechanism of social care services.